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Centre for Policy on Ageing | |
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Community occupational therapy for older patients with dementia and their care givers
— cost effectiveness study | | Author(s) | Maud J L Graff, Eddy M M Adang, Myrra J M Vernooij-Dassen |
| Journal title | British Medical Journal, vol 336 no 7636, 19 January 2008 |
| Pages | pp 134-138 |
| Source | http://www.bmj.com |
| Keywords | Dementia ; Informal care ; Occupational therapy ; Geriatric out-patients clinics ; Cost effectiveness ; Clinical surveys ; Netherlands. |
| Annotation | Community occupational therapy improves daily functioning in patients with dementia and reduces the burden on caregivers. From April 2001 to January 2005, the authors recruited 135 patients aged 65+ with mild to moderate dementia and their primary caregivers from the memory clinic and day clinic of a department of geriatrics. Patients randomly assigned to the intervention received 10 sessions of occupational therapy over 5 weeks, including cognitive and behavioural interventions, to train patients in the use of aids to compensate for cognitive decline and caregivers in coping behaviours and supervision. The intervention cost Ç1183 (£848) to Ç1239 (£808) per patient and primary caregiver at 3 months. Visits to general practitioners (GPs) and hospital doctors cost the same in both groups, but total mean costs were Ç1748 (£1279) lower in the intervention group, with the main cost savings in informal care. There was a significant difference in proportions of successful treatment at 3 months. Community occupational therapy interventions for patients with dementia and their caregivers is successful and cost-effective, especially in terms of informal caregiving. (RH). |
| Accession Number | CPA-080122205 A |
| Classmark | EA: P6: LOH: L6G: WEC: 3G: 76H * |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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