Cost-effectiveness of the Namaste care family program for nursing home residents with advanced dementia in comparison wi
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(2020) 20:831
RESEARCH ARTICLE
Open Access
Cost-effectiveness of the Namaste care family program for nursing home residents with advanced dementia in comparison with usual care: a cluster-randomized controlled trial Mohamed El Alili1 , Hanneke J. A. Smaling2,3, Karlijn J. Joling4, Wilco P. Achterberg3, Anneke L. Francke2,5,6, Judith E. Bosmans1 and Jenny T. van der Steen3,7*
Abstract Background: Dementia is a progressive disease that decreases quality of life of persons with dementia and is associated with high societal costs. The burden of caring for persons with dementia also decreases the quality of life of family caregivers. The objective of this study was to assess the societal cost-effectiveness of Namaste Care Family program in comparison with usual care in nursing home residents with advanced dementia. Methods: Nursing homes were randomized to either Namaste Care Family program or usual care. Outcome measures of the cluster-randomized trial in 231 residents included Quality of Life in Late-Stage Dementia (QUALID) and the Gain in Alzheimer Care Instrument (GAIN) for family caregivers over 12 months of follow-up. Health states were measured using the EQ-5D-3L questionnaire which were translated into utilities. QALYs were calculated by multiplying the amount of time a participant spent in a specific health state with the utility score associated with that health state. Healthcare utilization costs were estimated using standard unit costs, while intervention costs were estimated using a bottom-up approach. Missing cost and effect data were imputed using multiple imputation. Bootstrapped multilevel models were used after multiple imputation. Cost-effectiveness acceptability curves were estimated. (Continued on next page)
* Correspondence: [email protected] 3 Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands 7 Department of Primary and Community Care, Radboud university medical center, Nijmegen, The Netherlands Full list of author information is available at the end of the article
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