Short Term Economic Evaluation of the Digital Platform "Support, Monitoring and Reminder Technology for Mild Dementia" (SMART4MD) for People with Mild Cognitive Impairment and their Informal Caregivers
| العنوان: | Short Term Economic Evaluation of the Digital Platform "Support, Monitoring and Reminder Technology for Mild Dementia" (SMART4MD) for People with Mild Cognitive Impairment and their Informal Caregivers |
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| المؤلفون: | Ghani, Zartashia, 1980, Saha, Sanjib, Jarl, Johan, Andersson, Martin, Sanmartin Berglund, Johan, Professor, Anderberg, Peter |
| المصدر: | SMART4MD Journal of Alzheimer's Disease. 86(4):1629-1641 |
| مصطلحات موضوعية: | Carer, cost-effectiveness, economic evaluation, elderly, memory, mHealth, mild cognitive impairment, mild dementia, mobile application, smartphone, COST-EFFECTIVENESS ANALYSIS, MINI-MENTAL-STATE, QUALITY-OF-LIFE, ALZHEIMERS-DISEASE, CLINICAL-TRIALS, EQ-5D, BURDEN |
| الوصف: | Background: A randomized controlled trial of the SMART4MD tablet application was conducted for persons with mild cognitive impairment (PwMCI) and their informal caregivers to improve or maintain quality of life. Objective: The objective was to conduct economic evaluation of SMART4MD compared to standard care in Sweden from a healthcare provider perspective based on a 6-month follow-up period. Methods: Three hundred forty-five dyads were enrolled: 173 dyads in the intervention group and 172 in standard care. The primary outcome measures for PwMCI and informal caregivers were quality-adjusted life years (QALY). The results are presented as incremental cost-effectiveness ratios, and confidence intervals are calculated using non-parametric bootstrap procedure. Results: For PwMCI, the mean difference in total costs between intervention and standard care was (sic)12 (95%CI: -2090 to 2115) (US$ =(sic) 1.19) and the mean QALY change was -0.004 (95%CI: -0.009 to 0.002). For informal caregivers, the cost difference was -(sic)539 (95%CI: -2624 to 1545) and 0.003 (95%CI: -0.002 to 0.008) for QALY. The difference in cost and QALY for PwMCI and informal caregivers combined was -(sic)527 (95%CI: -3621 to 2568) and -0.001 (95%CI: -0.008 to 0.006). Although generally insignificant differences, this indicates that SMART4MD, compared to standard care was: 1) more costly and less effective for PwMCI, 2) less costly and more effective for informal caregivers, and 3) less costly and less effective for PwMCI and informal caregivers combined. Conclusion: The cost-effectiveness of SMART4MD over 6 months is inconclusive, although the intervention might be more beneficial for informal caregivers than PwMCI. |
| وصف الملف: | electronic |
| URL الوصول: | https://urn.kb.se/resolve?urn=urn:nbn:se:bth-22892 https://doi.org/10.3233/JAD-215013 https://bth.diva-portal.org/smash/get/diva2:1656557/FULLTEXT01.pdf |
| قاعدة البيانات: | SwePub |
| تدمد: | 13872877 |
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| DOI: | 10.3233/JAD-215013 |