Health economic evaluations of non-pharmacological interventions for persons with dementia and their informal caregivers: a systematic review.

Abstract:

BACKGROUND:This systematic review aims to review the literature on trial-based economic evaluations of non-pharmacological interventions directly targeted at persons with dementia as well as persons with mild cognitive impairment and their respective caregivers. METHODS:A systematic literature research was conducted for the timeframe from 2010 to 2016 in the following databases: Centre for Reviews and Dissemination, EconLit, Embase, Cochrane Library, PsycINFO and PubMed. Study quality was assessed according to the Drummond criteria. RESULTS:In total sixteen publications were identified. Health economic evaluations indicated the cost-effectiveness of physical exercise interventions and occupational therapy. There was also evidence to suggest that psychological and behavioral therapies are cost-effective. Health economic studies investigating psychosocial interventions mainly targeted towards informal caregivers showed inconsistent results. CONCLUSIONS:Due to the increasing prevalence of dementia non-pharmacological interventions and their health economic impact are of increasing importance for health care decision-makers and HTA agencies.

journal_name

BMC Geriatr

journal_title

BMC geriatrics

authors

Nickel F,Barth J,Kolominsky-Rabas PL

doi

10.1186/s12877-018-0751-1

subject

Has Abstract

pub_date

2018-03-09 00:00:00

pages

69

issue

1

issn

1471-2318

pii

10.1186/s12877-018-0751-1

journal_volume

18

pub_type

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