Cost-Effectiveness of the Comprehensive Interdisciplinary Program-Care in Informal Caregivers of People with Alzheimer's Disease

Autor: Laura Muñoz-Bermejo, María José González-Becerra, Sabina Barrios-Fernández, Salvador Postigo-Mota, María del Rocío Jerez-Barroso, Juan Agustín Franco Martínez, Belén Suárez-Lantarón, Diego Muñoz Marín, Nieves Martín-Bermúdez, Raquel Ortés-Gómez, Martín Gómez-Ullate-García de León, Marta Martínez-Acevedo, Lara Rocha-Gómez, Sara Espejo-Antúnez, Mercedes Fraile-Bravo, María Gloria Solís Galán, Ignacio Chato-Gonzalo, Francisco Javier Domínguez Muñoz, Miguel Ángel Hernández-Mocholí, Miguel Madruga-Vicente, Angelina Prado-Solano, María Mendoza-Muñoz, Jorge Carlos-Vivas, Jorge Pérez-Gómez, Raquel Pastor-Cisneros, Paulina Fuentes-Flores, Damián Pereira-Payo, Javier De Los Ríos-Calonge, Javier Urbano-Mairena, Joan Guerra-Bustamante, José Carmelo Adsuar
Rok vydání: 2022
Předmět:
Zdroj: International journal of environmental research and public health. 19(22)
ISSN: 1660-4601
Popis: People with Alzheimer’s disease (AD) diagnosis who get informal care remain at home longer, reducing the demand for healthcare resources but increasing the stress of caregiving. Research on the effectiveness of physical training, psychoeducational, cognitive–behavioural, and health education programs in reducing the caregiver load and enhancing health-related quality of life (HRQoL) exist, but none exist about an integrated interdisciplinary program. The goals of this project are (1) to assess the Integral-CARE Interdisciplinary Program (IP) applicability, safety, effects on HRQoL, and the incremental cost-effectiveness ratio for AD caregivers; (2) to evaluate the IP applicability and cost-effectiveness to enhance the physical, psychoemotional, cognitive–behavioural dimensions, and the health education status of informal caregivers, and (3) to study the transference of the results to the public and private sectors. A randomized controlled trial will be conducted with an experimental (IP) and a control group (no intervention). The PI will be conducted over nine months using face-to-face sessions (twice a week) and virtual sessions on an online platform (once a week). There will be an initial, interim (every three months), and final assessment. Focus groups with social and health agents will be organized to determine the most important information to convey to the public and private sectors in Extremadura (Spain). Applicability, safety, HRQoL, incremental cost-effectiveness ratio, and HRQoL will be the main outcome measures, while secondary measures will include sociodemographic data; physical, psychoemotional, health education, and cognitive–behavioural domains; program adherence; and patient health status. Data will be examined per procedure and intention to treat. A cost-effectiveness study will also be performed from the viewpoints of private and public healthcare resources.
Databáze: OpenAIRE