Cost-Effectiveness of the Tailored Activity Programme for Person With Dementia-Caregiver Dyads: A Markov Model

IF 2.8 3区医学 Q2 GERIATRICS & GERONTOLOGY International Journal of Geriatric Psychiatry Pub Date : 2025-02-09 DOI:10.1002/gps.70049

Brenda Gannon, Vinh Vo, Laura N. Gitlin, Sally Bennett

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Abstract

Objectives

The Tailored Activity Programme (TAP) is a home-based programme with compelling outcomes for reducing behavioural and psychological symptoms of dementia and functional decline. We conducted a cost-utility analysis of TAP compared to usual care, for the person with dementia and their caregiver.

Methods

We developed a Markov Model, from the healthcare sector perspective. Using parameters from the dementia care literature. Base-case and probabilistic sensitivity analyses were applied to handle uncertainty.

Results

Given the growing need for cost-effective dementia care, understanding the cost-effectiveness of TAP is crucial for health service design and its implementation into healthcare settings. Our study shows that TAP is cost-effective for both males and females with dementia and their caregivers. The most favourable cost-effectiveness acceptability curves were found in men and women with dementia, aged 50 to 70, with lower costs and higher QALYs compared to those over 80. The probability of TAP being cost-effective rises with public higher willingness-to-pay thresholds, especially for people with dementia in the age group of 50–70.

Conclusions

These findings indicate TAP is highly cost-effective for individuals living with dementia compared to usual home care, which provides evidence for policy makers towards their decisions on resource allocation and for implementing TAP in Australia.

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为老年痴呆症患者量身定制的活动方案的成本效益-照顾者：一个马尔可夫模型

量身定制活动计划（TAP）是一项以家庭为基础的计划，在减少痴呆症和功能衰退的行为和心理症状方面具有令人信服的结果。我们对痴呆症患者及其护理人员进行了与常规护理相比的TAP成本效用分析。方法从医疗保健行业的角度建立马尔可夫模型。使用痴呆护理文献中的参数。基本情况和概率敏感性分析应用于处理不确定性。鉴于对具有成本效益的痴呆症护理的需求日益增长，了解TAP的成本效益对于卫生服务设计及其在卫生保健环境中的实施至关重要。我们的研究表明，TAP对患有痴呆症的男性和女性及其照顾者都具有成本效益。最有利的成本效益可接受曲线是在50至70岁的痴呆症患者中发现的，与80岁以上的患者相比，他们的成本更低，质量寿命更高。随着公众支付意愿阈值的提高，特别是50-70岁年龄组的痴呆症患者，TAP具有成本效益的可能性也会增加。这些发现表明，与通常的家庭护理相比，TAP对痴呆症患者具有很高的成本效益，这为政策制定者决定资源分配和在澳大利亚实施TAP提供了证据。

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

International Journal of Geriatric Psychiatry 医学-精神病学

CiteScore

6.10

自引率

2.50%

发文量

168

审稿时长

4-8 weeks

期刊介绍： The rapidly increasing world population of aged people has led to a growing need to focus attention on the problems of mental disorder in late life. The aim of the Journal is to communicate the results of original research in the causes, treatment and care of all forms of mental disorder which affect the elderly. The Journal is of interest to psychiatrists, psychologists, social scientists, nurses and others engaged in therapeutic professions, together with general neurobiological researchers. The Journal provides an international perspective on the important issue of geriatric psychiatry, and contributions are published from countries throughout the world. Topics covered include epidemiology of mental disorders in old age, clinical aetiological research, post-mortem pathological and neurochemical studies, treatment trials and evaluation of geriatric psychiatry services.