Ut4 Evaluating Willingness to Pay Thresholds for a Dementia Caregiving Intervention

Jutkowitz, Eric; Gitlin, Laura N.; Pizzi, LT

doi:10.1016/s1098-3015(10)72043-x

Cited by 1 publication

(2 citation statements)

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“…There was no evidence effects lasted beyond the intervention period, or for benefit in severe agitation (417). As activity reduces supervision time, it may be cost-effective (415).…”

Section: Activities and Sensory Interventionsmentioning

confidence: 90%

“…Activity can be a therapeutic agent to target agitation in individuals with dementia at home (414), in hospitals (415) or in residential settings (413;416), while they are engaged in it. One systematic review found that activities in care homes reduced participants' levels of agitation significantly during the activity (SES =0.2 to 1.05) as did music therapy using a protocol (SES =0.5 to 0.6) ( figure 13) (413;414).…”

Section: Activities and Sensory Interventionsmentioning

confidence: 99%

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Dementia prevention, intervention, and care

et al. 2017

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People with dementia are usually older, often have co-morbidities and may need help in coping with these illnesses. A third of older people now die with dementia and all professionals working in endof-life care need to make this a central part of their planning and communication. In this commission, we have detailed evidence-based approaches to dementia and its symptoms. Services should be available, scalable and give value. As there are limited resources, professionals and services need to use what works, not use what is ineffective, and be aware of the difference. Overall, there is good potential for prevention and, once someone develops dementia, for care to be high-quality, accessible, and give value to an under-served, growing population. Effective dementia prevention and care could transform the future for society and vastly improve living and dying for individuals with dementia and their families. Acting now on what we already know can make this difference happen. Key Messages 1 There are increasing numbers of people with dementia globally although incidence in some countries has decreased. 2 Be ambitious about prevention: We recommend energetically treating hypertension in middle aged and older people without dementia to reduce dementia incidence. Interventions for other risk factors, including more childhood education, exercise, maintaining social engagement, reducing smoking, and management of hearing loss, depression, diabetes and obesity; may have the potential of delaying or preventing a third of dementias. 3 Treat cognitive symptoms: To maximise cognition, people with Alzheimer's dementia or Dementia with Lewy Bodies should be offered Cholinesterase Inhibitors (ChEIs)at all stages, or memantine for severe dementia. ChEIs are not effective in Mild Cognitive Impairment. 4 Individualise dementia care: Good dementia care spans medical, social and supportive care, should be tailored to unique individual and cultural needs, preferences, priorities, and should incorporate support for the family carers 5 Care for family carers. Family carers are at high risk of depression. Effective interventions reduce the risk and treat the symptoms, include START (Strategies for Relatives) or REACH (Resources for Enhancing Alzheimer's Caregiver Health intervention) and should be made available. 6 Plan for the future. People with dementia and their families value discussions about the future and decisions about possible attorneys to make decisions. Clinicians should consider capacity to make different types of decisions at diagnosis. 7 Protect people with dementia. People with dementia and society require protection from possible risks of the condition, including self-neglect, vulnerability including to exploitation, managing money, driving or using weapons. Risk assessment and management at all stages of the disease is essential but it should be balanced against the persons' right to autonomy. 8 Manage neuropsychiatric symptoms. Management of the neuropsychiatric symptoms of dementia including agitation, low mood or psyc...

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“…There was no evidence effects lasted beyond the intervention period, or for benefit in severe agitation (417). As activity reduces supervision time, it may be cost-effective (415).…”

Section: Activities and Sensory Interventionsmentioning

confidence: 90%

Section: Activities and Sensory Interventionsmentioning

confidence: 99%