A cost effectiveness analysis of maintenance cognitive stimulation therapy (MCST) for people with dementia: examining the influence of cognitive ability and living arrangements

Brown, Heather, D'Amico, Francesco, Knapp, Martin ORCID: 0000-0003-1427-0215, Orrell, Martin, Rehill, Amritpal ORCID: 0000-0003-3826-2711, Vale, Luke and Robinson, Louise (2019) A cost effectiveness analysis of maintenance cognitive stimulation therapy (MCST) for people with dementia: examining the influence of cognitive ability and living arrangements. Aging and Mental Health, 23 (5). pp. 602-607. ISSN 1360-7863

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Abstract

Objectives: Identify if cost-effectiveness of Maintenance Cognitive Simulation Therapy (MCST) differs by type of living arrangement and cognitive ability of the person with dementia. Next, a value of information analysis is performed to inform decisions about future research. Methods: Incremental cost-effectiveness analysis applying seemingly unrelated regressions using data from a multicentre RCT of MCST versus treatment as usual in a population which had already received 7 weeks of CST for dementia (ISRCTN: 26286067). The findings from the cost-effectiveness analysis are used to inform a value of information analysis. Results: The results are dependent upon how quality adjusted life years (QALYs) are measured. MCST might be cost-effective compared to standard treatment for those who live alone and those with higher levels of cognitive functioning. If a further RCT was to be conducted for this sub-group of the population, value of information analysis suggests a total sample of 48 complete cases for both sub-groups would be required for a two-arm trial. The expected net gain of conducting this future research is £920 million. Conclusion: Preliminary results suggest that MCST may be most cost-efficient for people with dementia who live alone and/or who have higher cognition. Future research in this area is needed.

Item Type:	Article
Additional Information:	© 2018 Informa UK Limited, trading as Taylor & Francis Group
Divisions:	Care Policy and Evaluation Centre Management Health Policy
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine H Social Sciences > HJ Public Finance
Date Deposited:	20 May 2019 14:57
Last Modified:	01 Nov 2024 05:32
URI:	http://eprints.lse.ac.uk/id/eprint/100841

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