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Ghani Z, Jarl J, Anderberg P, Berglund JS, Aparicio MQ, Barnestein-Fonseca P, Cellek S, Cleries FM, Garolera M, Guerrero-Pertiñez G, Hayden K, Moore C, Zhang J, Trepel D, Saha S
Support, Monitoring, and Reminder Technology for Mild Dementia (SMART4MD) for People With Mild Cognitive Impairment and Their Informal Caregivers: Cost-Effectiveness Analysis
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Support, Monitoring and Reminder Technology for Mild Dementia (SMART4MD) for people with mild cognitive impairment and their informal caregivers: a cost-effectiveness analysis
Zartashia Ghani;
Johan Jarl;
Peter Anderberg;
Johan Sanmartin Berglund;
Maria Quintana Aparicio;
Pilar Barnestein-Fonseca;
Selim Cellek;
Fermín Mayoral Cleries;
Maite Garolera;
Gloria Guerrero-Pertiñez;
Karen Hayden;
Carmel Moore;
Jufen Zhang;
Dominic Trepel;
Sanjib Saha
ABSTRACT
The study evaluated the cost-effectiveness of a customised, tablet-based application (SMART4MD) which is developed to support people living with mild cognitive impairment and their informal caregivers.
In a pragmatic randomized controlled trial, people with mild cognitive impairment (PwMCI) and their informal caregivers were randomised to intervention and control groups. Healthcare costs, quality-adjusted life years (QALY), incremental cost-effectiveness ratios were measured (ICER) in 345 Swedish PwMCI and their informal caregivers and 347 Spanish PwMCI.
The analysis showed higher incremental costs and lower QALYs for Swedish PwMCI than controls whereas higher incremental costs and higher QALYs were observed for Spanish PwMCI. The intervention was found to be not cost-effective for the Swedish informal caregivers with an ICER of €78,000/QALY.
The varying findings regarding cost-effectiveness for PwMCI in Sweden and Spain necessitate further research with extended follow-up, ideally involving an increased sample size and conducted in different national contexts.
Citation
Please cite as:
Ghani Z, Jarl J, Anderberg P, Berglund JS, Aparicio MQ, Barnestein-Fonseca P, Cellek S, Cleries FM, Garolera M, Guerrero-Pertiñez G, Hayden K, Moore C, Zhang J, Trepel D, Saha S
Support, Monitoring, and Reminder Technology for Mild Dementia (SMART4MD) for People With Mild Cognitive Impairment and Their Informal Caregivers: Cost-Effectiveness Analysis