Cost‐effectiveness of a telehealth intervention for in‐home dementia care support: Findings from the FamTechCare clinical trial

Shaw, Clarissa; Williams, Kristine; Lee, Robert H.; Coleman, Carissa

doi:10.1002/nur.22076

Cited by 17 publications

(38 citation statements)

References 40 publications

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“…However, the incremental cost-effectiveness ratios for caregiver depression and competence demonstrated that the FamTechCare intervention does remain within a dementia caregivers’ willingness-to-pay threshold making the intervention cost effective. The methods and results of the cost-effectiveness analysis are reported elsewhere (Shaw et al, in press).…”

Section: Discussionmentioning

confidence: 99%

Satisfaction, utilization, and feasibility of a telehealth intervention for in-home dementia care support: A mixed methods study

et al. 2020

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Background Technology can enhance support for families caring for persons living with dementia but must be acceptable to be adopted. The FamTechCare clinical trial engaged caregivers in video recording care encounters that were reviewed by an expert panel who provided tailored feedback. The intervention reduced caregiver depression and improved caregiver competence. This mixed methods study reports on caregiver satisfaction and utilization of the intervention and expert panel evaluation of the intervention. Methods A convergent parallel mixed methods design was used to evaluate the satisfaction, usability, and feasibility of the FamTechCare intervention. In the multisite randomized controlled trial, caregiver-person living with dementia dyads were randomized to the FamTechCare video support or attention control telephone support groups. Caregivers completed a satisfaction survey at the completion of the 3-month trial. Utilization was evaluated using the number and duration of videos submitted and calls received by caregivers. Relationships between participant characteristics and their satisfaction and utilization were evaluated. Feasibility of the intervention was assessed through content analysis of interviews with the expert panel. Results The majority of caregivers in both groups reported benefits from participation. More FamTechCare caregivers found the interventionist support to be helpful ( p = 0.001) and effective ( p = 0.020) compared to attention control caregivers. FamTechCare caregivers of persons with more severe dementia were more likely to report that video recording intruded on their privacy ( p = 0.050). Caregiver age, gender, education, dyad relationship, rural status, and type and severity of dementia were not associated with ratings of acceptability, ease of use, or intervention utilization. The expert panel described the FamTechCare intervention as useful and identified adaptations to enhance feasibility. Conclusion Regardless of age, gender, and relationship, caregivers found the intervention acceptable and easy to use and rated the expert feedback as effective in addressing care challenges. Further adaptation may be needed for FamTechCare to be readily implemented.

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Section: Discussionmentioning

confidence: 99%

Satisfaction, utilization, and feasibility of a telehealth intervention for in-home dementia care support: A mixed methods study

et al. 2020

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“…An increasing number of dementia prevention interventions are being delivered through telehealth, although few of these programs have specifically targeted AAs. 8,9 Around 40% of participants reported willingness to engage in virtual research. While this is less than the majority of the sample, this percentage aligns with previous research.…”

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 Pandemic on Research Participation Among Older African Americans

Gwizdala

Pugh

Carter

et al. 2022

Alzheimer Disease &Amp; Associated Disorders

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COVID-19 represents the newest health disparity faced by African Americans (AA). This study assessed the impact of COVID-19 on barriers and willingness to participate in research among older AAs. An online survey was sent to a nationwide sample of 65- to 85-year-old AAs between January and February 2021. Constant comparison analysis was used to extract themes. A total of 624 older AAs completed the survey. Approximately 40% of participants were willing to engage in virtual or in-person research. Of the individuals who were willing to participate in research, >50% were willing to engage in a spectrum of activities from group discussions to group exercise. Research participation themes related to logistics, technology, pandemic fears, and privacy or security. Older AAs face new research barriers that can be overcome through data use transparency and technology resources. This information can be used to encourage dementia research engagement among older AAs despite the pandemic.

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“…On the other hand, (Howard et al, 2021) found that assistive technology was not either effective or cost-effective. However, cost-effectiveness analyses on assistive technologies have yet to be completed (Shaw et al, 2021).…”

Section: Theoretical Backgroundmentioning

confidence: 99%

An effectiveness and cost-estimation model for deploying assistive technology solutions in elderly care

Režný

Bauer

Fadeyi

et al. 2022

International Journal of Healthcare Management

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BackgroundDeployment of modern assistive technologies is one of the major trends contained in the strategies of developed countries. However, the use of technology in households is not yet a common practice. The aim of this paper is present a model for assessment of selected smart device solutions in elderly care and the evaluation of overall care costs. The model provides the optimal set of devices for different target groups in terms of nancial savings. MethodsThe model uses demographic projections taken from Eurostat for EU countries and the disability incidence from the annual report of the Ministry of Labour and Social Affairs of the Czech Republic as an input. The model was implemented in the software Stella Professional dedicated to system dynamics modelling including a web interface and is accessible online. ResultsIn relation to the combination of ve assistive devices for the elderly, the optimal solution, the cost savings are 37.8% or182 billion CZK), cumulatively in the simulated time period 2021-2060. Out of the ve available assistive devices, up to three -UpWalker, Jaco robotic arm and Poseidon -were employed by the model for different target groups. ConclusionAccording to the performed analysis the assistive technologies proved a signi cant potential to maintain the quality of life of elderly and lessen the burden on public budgets. With respect to the ongoing demographic transition, the need to employ smart device solutions should further increase and their price could decline with increasing scale of production and overall advancement in technology.

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Cost‐effectiveness of a telehealth intervention for in‐home dementia care support: Findings from the FamTechCare clinical trial

Cited by 17 publications

References 40 publications

Satisfaction, utilization, and feasibility of a telehealth intervention for in-home dementia care support: A mixed methods study

Satisfaction, utilization, and feasibility of a telehealth intervention for in-home dementia care support: A mixed methods study

Impact of COVID-19 Pandemic on Research Participation Among Older African Americans

An effectiveness and cost-estimation model for deploying assistive technology solutions in elderly care

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