Improving the quality of life of care home residents with dementia: cost-effectiveness of an optimized intervention for residents with clinically significant agitation in dementia

Romeo, Renee, Zala, Darshan, Knapp, Martin ORCID: 0000-0003-1427-0215, Orrell, Martin, Fossey, Jane and Ballard, Clive (2019) Improving the quality of life of care home residents with dementia: cost-effectiveness of an optimized intervention for residents with clinically significant agitation in dementia. Alzheimer's and Dementia, 15 (2). pp. 282-291. ISSN 1552-5260

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Abstract

Introduction: To examine whether an optimized intervention is a more cost-effective option than treatment as usual (TAU) for improving agitation and quality of life in nursing home residents with clinically significant agitation and dementia. Methods: A cost-effectiveness analysis within a cluster-randomized factorial study in 69 care homes with 549 residents was conducted. Each cluster was randomized to receive either the Well-being and Health for people with Dementia (WHELD) intervention or TAU for nine months. Health and social care costs, agitation, and quality of life outcomes were evaluated. Results: Improvements in agitation and quality of life were evident in residents allocated to the WHELD intervention group. The additional cost of the WHELD intervention was offset by the higher health and social care costs incurred by TAU group residents (mean difference, £2103; 95% confidence interval, −13 to 4219). Discussion: The WHELD intervention has clinical and economic benefits when used in residents with clinically significant agitation.

Item Type:	Article
Additional Information:	© 2018 Crown Copyright
Divisions:	Care Policy and Evaluation Centre
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Date Deposited:	04 Mar 2019 16:15
Last Modified:	01 Nov 2024 04:26
URI:	http://eprints.lse.ac.uk/id/eprint/100183

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