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Short Term Economic...
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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- Ghani, Zartashia, 1980- (författare)
- Blekinge Institute of Technology,Blekinge Tekniska Högskola,Institutionen för hälsa,Applied Health Technology, Department of Health, Blekinge Institute of Technology (BTH), Karlskrona, Sweden
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- Saha, Sanjib (författare)
- Lund University,Lunds universitet,Hälsoekonomi,Forskargrupper vid Lunds universitet,Health Economics,Lund University Research Groups
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- Jarl, Johan (författare)
- Lund University,Lunds universitet,Hälsoekonomi,Forskargrupper vid Lunds universitet,Health Economics,Lund University Research Groups
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- Andersson, Martin (författare)
- Blekinge Institute of Technology,Blekinge Tekniska Högskola,Institutionen för industriell ekonomi,Department of Industrial Economics, Blekinge Institute of Technology (BTH), Karlskrona, Sweden
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- Sanmartin Berglund, Johan, Professor (författare)
- Blekinge Institute of Technology,Blekinge Tekniska Högskola,Institutionen för hälsa,Applied Health Technology, Department of Health, Blekinge Institute of Technology (BTH), Karlskrona, Sweden
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- Anderberg, Peter (författare)
- University of Skövde,Blekinge Institute of Technology,Högskolan i Skövde,Blekinge Tekniska Högskola,Institutionen för hälsa,Institutionen för hälsovetenskaper,Forskningsmiljön hälsa, hållbarhet och digitalisering,Applied Health Technology, Department of Health, Blekinge Institute of Technology (BTH), Karlskrona, Sweden
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(creator_code:org_t)
- IOS Press, 2022
- 2022
- Engelska.
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Ingår i: Journal of Alzheimer's Disease. - : IOS Press. - 1387-2877 .- 1875-8908. ; 86:4, s. 1629-1641
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https://doi.org/10.3...
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https://urn.kb.se/re...
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Abstract
Ämnesord
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- 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.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Nyckelord
- 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
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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