Evidence map›Paper›PMID 35774593›Full record

ArticleAlzheimer's & dementia (New York, N. Y.)2022

Cost-effectiveness of dementia training for caregivers in caregiver-patient dyads: A randomized controlled study.

Elizabeth G Birkenhäger-Gillesse, Wilco P Achterberg, Sarah I M Janus, Sytse U Zuidema, Wilbert B van den Hout

Open access · goldAbstract read
In one paragraph

Article in Alzheimer's & dementia (New York, N. Y.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.9field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 6 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Elizabeth G Birkenhäger-GillesseDepartment of General Practice and Elderly Care Medicine University of Groningen University Medical Center Groningen Groningen the Netherlands.ORCID https://orcid.org/0000-0002-8626-7392
Wilco P AchterbergDepartment of Public Health and Primary Care Leiden University Medical Center Leiden the Netherlands.
Sarah I M JanusDepartment of General Practice and Elderly Care Medicine University of Groningen University Medical Center Groningen Groningen the Netherlands.
Sytse U ZuidemaDepartment of General Practice and Elderly Care Medicine University of Groningen University Medical Center Groningen Groningen the Netherlands.
Wilbert B van den HoutDepartment of Medical Decision Making & Quality of Care Leiden University Medical Center Leiden the Netherlands.
University Medical Center Groningen · NLLeiden University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: We evaluated the cost-effectiveness of the "More at Home with Dementia" intervention, a multicomponent training program for co-residing caregivers of people with dementia (PwDs). Methods: We performed a two-armed randomized controlled trial with an intervention and a control group. Participants were community-dwelling caregivers living with a person with dementia (59 randomized to intervention and 50 to control arm). The training program lasted 5 days and took place in a holiday accommodation. Quality-adjusted life-years (QALYs) were calculated using the EuroQol-5 Dimensions 3 Levels (EQ-5D-3L) for caregivers and PwDs. Costs for informal and formal social care, as well as health care, were collected at four times over a 6-month period from baseline. Information on nursing home admission or death was collected for 2 years after baseline. Results: QALYs for caregivers and PwDs added together were 0.12 higher in the intervention group compared with the control group ( Discussion: The multicomponent "More at Home with Dementia" training program is effective and appears to save costs compared with usual care. Savings appear to be achieved by delaying nursing home admissions and by reducing the use of other care resources. Further research is also needed to clarify if this intervention is effective for caregivers who do not live with a PwD, such as adult children, and for the caregivers of patients with other debilitating chronic diseases. At the same time, effort is advised to implement caregiver training in standard care programs.

Indexed as

caregiverscost‐effectivenessdementiahealth resourcepsychosocial interventiontraining

Identifiers

PMID35774593
PMCPMC9216199
OpenAlexW4285182475

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.