Economic Analysis of the Tailored Activity Program: A Nonpharmacological Approach to Improve Quality of Life in People Living With Dementia and their Caregivers-Reference-Cited by-同舟云学术

Economic Analysis of the Tailored Activity Program: A Nonpharmacological Approach to Improve Quality of Life in People Living With Dementia and their Caregivers

Published:2023-02-22 Issue:7 Volume:42 Page:1433-1444
ISSN:0733-4648
Container-title:Journal of Applied Gerontology
language:en
Short-container-title:J Appl Gerontol

Author:

Pizzi Laura T.¹,Prioli Katherine M.¹,Jutkowitz Eric²³^ORCID,Piersol Catherine V.³,Lyketsos Constantine G.⁴,Abersone Ilze¹^ORCID,Marx Katherine A.⁵,Gitlin Laura N.⁶⁷

Affiliation:

1. Center for Health Outcomes, Policy, and Economics, Rutgers University, Piscataway, NJ, USA

2. Department of Health Services, Policy & Practice, Brown University School of Public Health, Providence, RI, USA

3. Center for Innovation in Long Term Services and Supports, Providence VA Medical Center, Providence, RI, USA

4. Department of Occupational Therapy, Jefferson College of Rehabilitation Sciences, Thomas Jefferson University, Philadelphia, PA, USA

5. Department of Psychiatry and Behavioral Sciences, Johns Hopkins Bayview Medical Center, Baltimore, MD, USA

6. Center for Innovative Care in Aging, Johns Hopkins School of Nursing, Baltimore, MD, USA

7. College of Nursing and Health Professions, AgeWell Collaboratory, Drexel University, PA, USA

Abstract

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.

Funder

Johns Hopkins Alzheimer's disease research Center

National Institute of Aging

Publisher

SAGE Publications

Subject

Geriatrics and Gerontology,Gerontology

Link

http://journals.sagepub.com/doi/pdf/10.1177/07334648231158091

Reference40 articles.

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