Knapp, Martin;
Lorenz-Dant, Klara;
Walbaum, Magdalena;
Comas-Herrera, Adelina;
Cyhlarova, Eva;
Livingston, Gill;
Wittenberg, Raphael;
(2024)
Scaling-up an evidence-based intervention for family carers of people with dementia: Current and future costs and outcomes.
International Journal of Geriatric Psychiatry
, 39
(2)
, Article e6059. 10.1002/gps.6059.
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Abstract
OBJECTIVES: The STrAtegies for RelaTives (START) intervention is effective and cost-effective in supporting family carers of people with dementia. It is currently not available to all eligible carers in England. What would be the impacts on service costs and carer health-related quality of life if START was provided to all eligible carers in England, currently and in future? METHODS: Effectiveness and cost-effectiveness data from a previously conducted randomised controlled trial were combined with current and future projections of numbers of people with newly diagnosed dementia to estimate overall and component costs and health-related quality of life outcomes between 2015 (base year for projections) and 2040. RESULTS: Scaling-up START requires investments increasing annually but would lead to significant savings in health and social care costs. Family carers of people with dementia would experience improvements in mental health and quality of life, with clinical effects lasting at least 6 years. Scaling up the START intervention to eligible carers was estimated to cost £9.4 million in 2020, but these costs would lead to annual savings of £68 million, and total annual quality-adjusted life year (QALY) gains of 1247. Although the costs of START would increase to £19.8 million in 2040, savings would rise to £142.7 million and Quality adjusted life years gained to 1883. CONCLUSIONS: Scaling-up START for family carers of people with dementia in England would improve the lives of family carers and reduce public sector costs. Family carers play a vital part in dementia care; evidence-based interventions that help them to maintain this role, such as START, should be available across the country.
| Type: | Article |
|---|---|
| Title: | Scaling-up an evidence-based intervention for family carers of people with dementia: Current and future costs and outcomes |
| Location: | England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1002/gps.6059 |
| Publisher version: | http://dx.doi.org/10.1002/gps.6059 |
| Language: | English |
| Additional information: | © 2024 The Authors. International Journal of Geriatric Psychiatry published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
| Keywords: | carers, coping therapy, cost, dementia, economic evaluation, scaling-up, Humans, Caregivers, Cost-Benefit Analysis, Dementia, England, Evidence-Based Medicine, Quality of Life |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10186841 |
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