Maintenance cognitive stimulation therapy: an economic evaluation within a randomized controlled trial.

نویسندگان

  • Francesco D'Amico
  • Amritpal Rehill
  • Martin Knapp
  • Elisa Aguirre
  • Helen Donovan
  • Zoe Hoare
  • Juanita Hoe
  • Ian Russell
  • Aimee Spector
  • Amy Streater
  • Christopher Whitaker
  • Robert T Woods
  • Martin Orrell
چکیده

BACKGROUND Cognitive Stimulation Therapy (CST) is effective and cost-effective for people with mild-to-moderate dementia when delivered biweekly over 7 weeks. AIMS To examine whether longer-term (maintenance) CST is cost-effective when added to usual care. METHODS Cost-effectiveness analysis within multicenter, single-blind, pragmatic randomized controlled trial; subgroup analysis for people taking acetylcholinesterase inhibitors (ACHEIs). A total of 236 participants with mild-to-moderate dementia received CST for 7 weeks. They were randomized to either weekly maintenance CST added to usual care or usual care alone for 24 weeks. RESULTS Although outcome gains were modest over 6 months, maintenance CST appeared cost-effective when looking at self-rated quality of life as primary outcome, and cognition (MMSE) and proxy-rated quality-adjusted life years as secondary outcomes. CST in combination with ACHEIs offered cost-effectiveness gains when outcome was measured as cognition. CONCLUSIONS Continuation of CST is likely to be cost-effective for people with mild-to-moderate dementia.

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عنوان ژورنال:
  • Journal of the American Medical Directors Association

دوره 16 1  شماره 

صفحات  -

تاریخ انتشار 2015