Using choice modelling to inform service sustainability for dementia Meeting Centres for people living with dementia in the UK.

IF 2.8 3区 医学 Q3 GERIATRICS & GERONTOLOGY Aging & Mental Health Pub Date : 2024-07-09 DOI:10.1080/13607863.2024.2375609
Michela Tinelli, Thomas Morton, Jennifer Bray, Catherine Henderson, Faith Frost, Shirley Evans
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Abstract

Objectives: This study explores the preferences and willingness-to-pay (WTP) of carers for Meeting Centres (MCs) attributes in assisting individuals with mild to moderate dementia.

Method: Preferences from 108 carers, gathered through UK-wide MC networks, were collected using a Discrete Choice Experiment survey. The survey incorporated attributes derived from evidence synthesis and lay consultation. A regression model estimated preference weights and marginal WTP for a change in attributes one a time within the MC support 'package.'

Results: Carers preferred MCs offering a balanced mix of practical activities and emotional support, along with flexibility without booking requirements and low costs. Social opportunities and the frequency of the meeting were not prioritised. Respondents expressed a WTP of £43 to stay with 'My MC,' the preferred option, compared to transitioning to an alternative in-person MC, all else being equal. Various factors, including attendance modality, the relationship with the supported person, age, and gender, influenced carers' choices.

Conclusion: These findings offer valuable insights into carers' preferences, priorities, and WTP within MC support for those with mild to moderate dementia. Understanding these factors can guide the implementation and sustainability of MCs, ensuring alignment with carers' needs and preferences and, ultimately, enhancing support for individuals with dementia.

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利用选择模型为英国痴呆症患者会议中心的服务可持续性提供信息。
研究目的本研究探讨了照护者对会议中心(MC)在帮助轻度至中度痴呆症患者方面的属性的偏好和支付意愿(WTP):采用离散选择实验调查的方法收集了通过英国范围内的会务中心网络收集到的 108 名照护者的偏好。该调查纳入了从证据综述和非专业咨询中得出的属性。通过回归模型估算出护理者对 MC 支持 "套餐 "中每次属性变化的偏好权重和边际 WTP:照护者更倾向于提供实际活动和情感支持平衡组合的管委会,同时具有灵活性,无需预约且费用低廉。社交机会和会议频率并不是优先考虑的因素。受访者表示,在其他条件相同的情况下,如果继续选择 "我的管委会"(首选方案),与过渡到其他面对面的管委会相比,WTP 为 43 英镑。各种因素,包括就诊方式、与被支持者的关系、年龄和性别,都会影响照护者的选择:这些研究结果为了解照护者在为轻度至中度痴呆症患者提供陪护支持时的偏好、优先事项和WTP提供了宝贵的见解。了解这些因素可以指导管委会的实施和可持续发展,确保符合照护者的需求和偏好,最终加强对痴呆症患者的支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Aging & Mental Health
Aging & Mental Health 医学-精神病学
CiteScore
7.00
自引率
2.90%
发文量
176
审稿时长
4-8 weeks
期刊介绍: Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods. Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.
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