Economic analysis of the tailored activity program: a nonpharmacological approach to improve quality of life in people living with dementia and their caregivers
Open accessAbstract
We investigated costs of delivering the Tailored Activity Program (TAP) and cost savings from two perspectives (health sector and societal) for people living with dementia (PLWD) and their caregivers (dyads) compared to attention control (AC) using data from a randomized controlled trial. The evaluation assessed intervention delivery costs and caregiver reported health care utilization. The total intervention cost of TAP was $1707/dyad versus $864/dyad for AC, and total costs over 6 months for TAP dyads as compared to AC were $1299 (CI: -$10,496, $7898) less from the healthcare perspective, and $761 (CI: -$10,133, $8611) less from the societal perspective. TAP cost savings are driven by lower use of healthcare services among participating dyads, but further analyses with larger samples is warranted to confirm its financial impact.
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TAP interventions may also be cost saving because of lower use of healthcare systems.
“They may also be cost saving because of lower use of healthcare systems. (523)”
From Dementia prevention, intervention, and care: 2024 report of the Lancet standing Commission (2024) · cites this paper as [523]
The Results (Healthcare Sector Perspective Analysis; page not provided) report lower net healthcare costs for TAP than for the attention-control group, supporting the possibility of cost savings. But the Discussion says costly medications used by two control-group participants drove the savings and that caregiver healthcare service use may have been affected by TAP; it does not establish lower healthcare use as the reason for the savings. (LLM, conf=0.85)
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Dementia prevention, intervention, and care: 2024 report of the Lancet standing Commission
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Self-citation
- Authors
- Pizzi, L. T., Prioli, K. M., Jutkowitz, E., Piersol, C. V., Lyketsos, C. G., Abersone, I., Marx, K. A., & Gitlin, L. N.
- Affiliations
- Rutgers, The State University of New Jersey (US)
- Brown University (US)
- Providence VA Medical Center (US)
- Thomas Jefferson University (US)
- Johns Hopkins University (US)
- Corresponding author
- Pizzi, Laura T.
- ORCID
- Venue
- Journal of Applied Gerontology
- Publisher
- SAGE Publications
- Published
- 2023-02-22
- Volume
- 42
- Issue
- 7
- Pages
- 1433-1444
- ISSN
- 0733-4648 (ISSN-L)
- 1552-4523
- PMC
- PMC10330220
- OpenAlex
- W4321600444
- Cited by
- 7
- References
- 42
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 2 · 2023: 1
- FWCI
- 1.43
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Applied Gerontology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Johns Hopkins Alzheimer's disease research Center (P30 AG066507)
- National Institute of Aging (1R21 AG059623, R01 AG041781)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Keywords
- dementia, caregivers, non-pharmacological treatment, cost analysis, cost reduction, quality of life, health care utilization, dyads, attentional control
- MeSH terms
- Dementia, Humans, Patient Acceptance of Health Care, Quality of Life, Caregivers, Health Care Costs
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