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Search: L773:1387 2877 OR L773:1875 8908 > (2020-2024) > 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

Ghani, Zartashia, 1980- (author)
Blekinge Institute of Technology,Blekinge Tekniska Högskola,Institutionen för hälsa,Applied Health Technology, Department of Health, Blekinge Institute of Technology (BTH), Karlskrona, Sweden
Saha, Sanjib (author)
Lund University,Lunds universitet,Hälsoekonomi,Forskargrupper vid Lunds universitet,Health Economics,Lund University Research Groups
Jarl, Johan (author)
Lund University,Lunds universitet,Hälsoekonomi,Forskargrupper vid Lunds universitet,Health Economics,Lund University Research Groups
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Andersson, Martin (author)
Blekinge Institute of Technology,Blekinge Tekniska Högskola,Institutionen för industriell ekonomi,Department of Industrial Economics, Blekinge Institute of Technology (BTH), Karlskrona, Sweden
Sanmartin Berglund, Johan, Professor (author)
Blekinge Institute of Technology,Blekinge Tekniska Högskola,Institutionen för hälsa,Applied Health Technology, Department of Health, Blekinge Institute of Technology (BTH), Karlskrona, Sweden
Anderberg, Peter (author)
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
English.
In: Journal of Alzheimer's Disease. - : IOS Press. - 1387-2877 .- 1875-8908. ; 86:4, s. 1629-1641
  • Journal article (peer-reviewed)
Abstract Subject headings
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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.

Subject headings

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)

Keyword

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

Publication and Content Type

ref (subject category)
art (subject category)

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