Program Components and Outcomes of Individuals With Dementia: Results From the Replication of an Evidence-Based Program

Menne, Heather L.; Bass, David M.; Johnson, Justin; Kearney, Keith R.; Bollin, Salli; Teri, Linda

doi:10.1177/0733464815591212

Cited by 13 publications

(19 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Interventions for dementia caregivers that have demonstrated efficacy in scientific evaluations have been gradually implemented in the community, but are still not widespread or available to all family caregivers 418‐432 . When interventions are implemented, they are generally successful at improving how caregiver services are delivered, and have the potential to reach a large number of families while also helping caregivers cope with their responsibilities 433 .…”

Section: Caregivingmentioning

confidence: 99%

“…417 Interventions for dementia caregivers that have demonstrated efficacy in scientific evaluations have been gradually implemented in the community, but are still not widespread or available to all family caregivers. [418][419][420][421][422][423][424][425][426][427][428][429][430][431][432] When interventions are implemented, they are generally successful at improving how caregiver services are delivered, and have the potential to reach a large number of families while also helping caregivers cope with their responsibilities. 433 In one example, researchers utilized an "agile implementation" process to more rapidly select, localize, evaluate and replicate a collaborative care model for dementia care.…”

Section: Multicomponent Approachesmentioning

confidence: 99%

See 1 more Smart Citation

2020 Alzheimer's disease facts and figures

2020

Alzheimer's & Dementia

2,038

653

View full text Add to dashboard Cite

This article describes the public health impact of Alzheimer's disease (AD), including incidence and prevalence, mortality and morbidity, use and costs of care, and the overall impact on caregivers and society. The Special Report discusses the future challenges of meeting care demands for the growing number of people living with Alzheimer's dementia in the United States with a particular emphasis on primary care. By mid‐century, the number of Americans age 65 and older with Alzheimer's dementia may grow to 13.8 million. This represents a steep increase from the estimated 5.8 million Americans age 65 and older who have Alzheimer's dementia today. Official death certificates recorded 122,019 deaths from AD in 2018, the latest year for which data are available, making Alzheimer's the sixth leading cause of death in the United States and the fifth leading cause of death among Americans age 65 and older. Between 2000 and 2018, deaths resulting from stroke, HIV and heart disease decreased, whereas reported deaths from Alzheimer's increased 146.2%. In 2019, more than 16 million family members and other unpaid caregivers provided an estimated 18.6 billion hours of care to people with Alzheimer's or other dementias. This care is valued at nearly $244 billion, but its costs extend to family caregivers’ increased risk for emotional distress and negative mental and physical health outcomes. Average per‐person Medicare payments for services to beneficiaries age 65 and older with AD or other dementias are more than three times as great as payments for beneficiaries without these conditions, and Medicaid payments are more than 23 times as great. Total payments in 2020 for health care, long‐term care and hospice services for people age 65 and older with dementia are estimated to be $305 billion. As the population of Americans living with Alzheimer's dementia increases, the burden of caring for that population also increases. These challenges are exacerbated by a shortage of dementia care specialists, which places an increasing burden on primary care physicians (PCPs) to provide care for people living with dementia. Many PCPs feel underprepared and inadequately trained to handle dementia care responsibilities effectively. This report includes recommendations for maximizing quality care in the face of the shortage of specialists and training challenges in primary care.

show abstract

Section: Caregivingmentioning

confidence: 99%

Section: Multicomponent Approachesmentioning

confidence: 99%

2020 Alzheimer's disease facts and figures

2020

Alzheimer's & Dementia

2,038

653

View full text Add to dashboard Cite

show abstract

“…Every EB program has distinct provider and service elements, and its characteristics are key elements that contribute to a successful implementation in the community (Menne et al, 2015). The selection of an EB program should align conceptually and programmatically with the needs, values, and resources of the participating service network, and is a critical first step to establishing a fidelity-focused implementation.…”

Section: Eb Program Review and Selection: Laying The Foundation For Imentioning

confidence: 99%

Implementing Sustainable Evidence-Based Interventions in the Community: A Fidelity-Focused Training Framework for the Savvy Caregiver Program

Sherman

Steiner

2016

J Appl Gerontol

View full text Add to dashboard Cite

Evidence-based (EB) programs provide a tested means for addressing serious public health concerns. While establishing and maintaining fidelity to these programs is critical for high-quality outcomes, unfortunately, implementation reports rarely describe the strategies used to train and monitor fidelity in community-based implementations. Thus, an essential translational ingredient is a clearly articulated model for establishing a systemic, sustainable fidelity framework. This article provides a detailed description of the fidelity-focused framework developed for Michigan's statewide implementation of the Savvy Caregiver Program. This framework, titled Creating Confident Caregivers® (CCC), instilled conceptual understanding of fidelity, practice adherence, and competence via ongoing progressive practitioner training, peer observation, participant evaluation, and experiential assessments. Practitioners maintained very high evaluations from participants, and a select cadre of practitioners achieved master trainer status to monitor regional fidelity. This framework promotes sustainable fidelity to EB interventions and provides a replicable platform for other community-based implementations.

show abstract

“…Further, there is a lack of data on cost of intervention delivery and cost savings to estimate potential for return on investment for implementation by systems and insurers. Promising models [41][42][43][44][45] share similarities including a focus on the patient/caregiver dyad (as opposed to the patient alone); structured needs assessments; personalized care planning; ongoing monitoring and revisions of care plans; referrals and linkages to health care providers and community-based organizations; and caregiver support, problem solving, and skills training. Yet, each is unique in terms of intervention content and areas of focus, duration of intervention program (i.e.…”

Section: Introductionmentioning

confidence: 99%

Comprehensive home-based care coordination for vulnerable elders with dementia: Maximizing Independence at Home-Plus—Study protocol

Samus

Davis

Willink

et al. 2017

International Journal of Care Coordination

View full text Add to dashboard Cite

Introduction Despite availability of effective care strategies for dementia, most health care systems are not yet organized or equipped to provide comprehensive family-centered dementia care management. Maximizing Independence at Home-Plus is a promising new model of dementia care coordination being tested in the U.S. through a Health Care Innovation Award funded by the Centers for Medicare and Medicaid Services that may serve as a model to address these delivery gaps, improve outcomes, and lower costs. This report provides an overview of the Health Care Innovation Award aims, study design, and methodology. Methods This is a prospective, quasi-experimental intervention study of 342 community-living Medicare–Medicaid dual eligibles and Medicare-only beneficiaries with dementia in Maryland. Primary analyses will assess the impact of Maximizing Independence at Home-Plus on risk of nursing home long-term care placement, hospitalization, and health care expenditures (Medicare, Medicaid) at 12, 18 (primary end point), and 24 months, compared to a propensity-matched comparison group. Discussion The goals of the Maximizing Independence at Home-Plus model are to improve care coordination, ability to remain at home, and life quality for participants and caregivers, while reducing total costs of care for this vulnerable population. This Health Care Innovation Award project will provide timely information on the impact of Maximizing Independence at Home-Plus care coordination model on a variety of outcomes including effects on Medicaid and Medicare expenditures and service utilization. Participant characteristic data, cost savings, and program delivery costs will be analyzed to develop a risk-adjusted payment model to encourage sustainability and facilitate spread.

show abstract

Program Components and Outcomes of Individuals With Dementia: Results From the Replication of an Evidence-Based Program

Cited by 13 publications

References 15 publications

2020 Alzheimer's disease facts and figures

2020 Alzheimer's disease facts and figures

Implementing Sustainable Evidence-Based Interventions in the Community: A Fidelity-Focused Training Framework for the Savvy Caregiver Program

Comprehensive home-based care coordination for vulnerable elders with dementia: Maximizing Independence at Home-Plus—Study protocol

Contact Info

Product

Resources

About