Evidence map›Paper›PMID 41595898›Full record

SynthesisInternational journal of environmental research and public health2026

A Review of Dementia Caregiver Interventions: Valuing Psychological Well-Being and Economic Impact Through the State-Preference Method.

Anna Consiglio, Antonella Lopez, Andrea Bosco

Abstract readSystematic Review
In one paragraph

Synthesis in International journal of environmental research and public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

3 authors.

Anna ConsiglioDepartment of Educational Sciences, Psychology and Communication, University of Bari, 70122 Bari, Italy.ORCID 0009-0003-8505-2220
Antonella LopezDepartment of Humanities, Social Sciences and Education, University of Molise, 86100 Campobasso, Italy.ORCID 0000-0002-3717-1677
Andrea BoscoDepartment of Educational Sciences, Psychology and Communication, University of Bari, 70122 Bari, Italy.ORCID 0000-0002-9458-3993

Funding

A.Mi.C.A. Assistenza olistica Intelligente per l'aCtive Ageing in ecosistemi indoor e outdoor" [T1-MZ-09], Traiettoria 1 - Azione 1.1 del Piano operativo salute: "Active & Healthy Ageing - Tecnologie per l'invecchiamento attivo e l'assistenza domiciliare" T1-MZ-09GRINS - Growing Resilient, INclusive and Sustainable [code id. PE00000018], CUP H93C22000650001, Spoke 7 "Territorial sustainability" volto al finanziamento di n. 9 Progetti di Ricerca svolti da Università statali, Università non statali legalmente ricono code id. PE00000018Testing the efficacy of remote, sustainable empowerment protocols in promoting psycho-physical well-being in the life-span" [Prot. 202284WCP9], PRIN: Progetti Di Ricerca Di Rilevante Interesse Nazionale - Bando 2022 Prot. 202284WCP9
6 · The paper itself

Abstract

objectivesTo integrate clinical and economic evidence on the main non-pharmacological interventions aimed to reduce the burden of caregivers of people with dementia, with specific attention to stated preference measures (SPM), Willingness-to-Pay (WTP) and Willingness-to-Accept (WTA), alongside other cost-effectiveness indicators (ICER, QALY).

methodsA systematic review was conducted on randomized and quasi-experimental evaluations, economic models, and preference studies concerning psychoeducational/coping interventions, activity-centered/occupational programs (TAP), technological solutions and tele-support, and goal-oriented cognitive rehabilitation (CR). For each study, the following indexes were extracted: design, sample size, psychological outcomes (anxiety/depression, burden, engagement), utility per QALY, costs per perspective (the health-social and the broader societal perspectives), ICER, WTP/WTA, and sensitivity results.

resultsPsychoeducational programs and CR show consistent benefits on distress, anxiety/depression, and caregiver quality of life; TAP reduces caregiver burden and patient behavioral problems, with favorable signs of cost-effectiveness; results on the effects of technologies are heterogeneous, but online modules with telephone support improve psychological morbidity. QALY improvement is generally modest, but the probability of cost-effectiveness remains high when costs do not differ significantly from treatment as usual, or when, from a societal perspective, the unpaid caregiving time of the caregiver is valued. Preference studies indicate positive WTP for additional hours of home care, health-social integration, and facilitated groups; evidence on WTA is scarcer and methodologically variable.

conclusionsShort, structured interventions with a human support component offer good value-for-money; the adoption of societal perspectives and the systematic use of WTP/WTA can better capture the value perceived by caregivers. Heterogeneity issues persist.

Indexed as

CaregiversDementiaAdaptation, PsychologicalCost-Benefit AnalysisHumansPsychological Well-BeingQuality of Lifecaregiver burdenpsychological interventionpsychometricsWTP/WTA

Identifiers

PMID41595898
PMCPMC12840879

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.