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Maintenance cognitive stimulation therapy: an economic evaluation within a randomised controlled trial

D’Amico, F; Rehill, A; Knapp, M; Aguirre, E; Donovan, H; Hoare, Z; Hoe, JM; ... Orrell, M; + view all (2015) Maintenance cognitive stimulation therapy: an economic evaluation within a randomised controlled trial. Journal of the American Medical Directors Association , 16 (1) pp. 63-70. 10.1016/j.jamda.2014.10.020. Green open access

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Abstract

Background: Cognitive Stimulation Therapy (CST) is effective and cost-effective for people with mild-to-moderate dementia when delivered bi-weekly over seven weeks. Aims: To examine whether longer-term (maintenance) CST is cost-effective when added to usual care. Methods: Cost-effectiveness analysis within multicentre, single-blind, pragmatic randomised controlled trial; subgroup analysis for people taking acetylcholinesterase inhibitors (ACHEIs). 236 participants with mild-tomoderate dementia received CST for seven weeks. They were randomised to either weekly maintenance CST added to usual care or usual care alone for 24 weeks. Results: Although outcome gains were modest over 6 months, maintenance CST appeared cost-effective when looking at self-rated quality of life as primary outcome, and cognition (MMSE) and proxy-rated quality-adjusted life years as secondary outcomes. CST in combination with ACHEIs offered costeffectiveness gains when outcome was measured as cognition. Conclusions: Continuation of CST is likely to be cost-effective for people with mild-tomoderate dementia. Trial registration: Current controlled trials ISRCTN26286067

Type: Article
Title: Maintenance cognitive stimulation therapy: an economic evaluation within a randomised controlled trial
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.jamda.2014.10.020
Publisher version: http://dx.doi.org/10.1016/j.jamda.2014.10.020
Language: English
Additional information: Copyright �© 2015 AMDA - The Society for Post-Acute and Long-Term Care Medicine. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/3.0/).
Keywords: cognitive stimulation therapy, dementia, cost, cost-effectiveness, randomised controlled trial, acetylcholinesterase inhibitors
UCL classification: UCL
UCL > Provost and Vice Provost Offices
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 > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
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/1455739
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