Department of Health Services, Policy & Practice, Brown University School of Public Health, Providence, RI, USA.
Providence Veterans Affairs (VA) Medical Center, Center of Innovation in Long Term Services and Supports, Providence, RI, USA.
Int Psychogeriatr. 2021 Apr;33(4):419-428. doi: 10.1017/S1041610221000089. Epub 2021 Mar 24.
To determine the willingness-to-pay (WTP) of family caregivers to learn care strategies for persons living with dementia (PLwD).
Randomized clinical trial.
Community-dwelling PLwD and their caregivers (dyads) in Maryland and Washington, DC.
250 dyads.
Tailored Activity Program (TAP) compared to attention control. TAP provides activities tailored to the PLwD and instructs caregivers in their use.
At baseline, 3 and 6 months, caregivers were asked their WTP per session for an 8-session 3-month in-home nonpharmacologic intervention to address behavioral symptoms and functional dependence.
At baseline, 3 and 6 months, caregivers assigned to TAP were willing to pay $26.10/session (95%CI:$20.42, $33.00), $28.70 (95%CI:$19.73, $39.30), and $22.79 (95%CI: $16.64, $30.09), respectively; attention control caregivers were willing to pay $37.90/session (95%CI: $27.10, $52.02), $30.92 (95%CI: $23.44, $40.94), $27.44 (95%CI: $20.82, $35.34), respectively. The difference in baseline to 3 and 6 months change in WTP between TAP and the attention control was $9.58 (95%CI: -$5.00, $25.47) and $7.15 (95%CI: -$5.72, $21.81). The difference between TAP and attention control in change in the proportion of caregivers willing to pay something from baseline to 3 and 6 months was -12% (95%CI: -28%, -5%) and -7% (95%CI:-25%, -11%), respectively. The difference in change in WTP, among caregivers willing to pay something, between TAP and attention control from baseline to 3 and 6 months was $17.93 (95%CI: $0.22, $38.30) and $11.81 (95%CI: -$2.57, $28.17).
Family caregivers are willing to pay more for an intervention immediately following participation in a program similar to which they were asked to value.
确定家庭照顾者学习照顾痴呆症患者（PLwD）的护理策略的支付意愿（WTP）。
随机临床试验。
马里兰州和华盛顿特区的社区居住的 PLwD 及其照顾者（对偶）。
250 对。
量身定制的活动计划（TAP）与注意力控制相比。TAP 提供针对 PLwD 的活动，并指导照顾者使用。
在基线、3 个月和 6 个月时，询问照顾者在 8 次 3 个月的家庭非药物干预期间每次的 WTP，以解决行为症状和功能依赖。
在基线、3 个月和 6 个月时，接受 TAP 治疗的照顾者愿意支付 26.10 美元/次（95%CI：20.42 美元，33.00 美元），28.70 美元（95%CI：19.73 美元，39.30 美元）和 22.79 美元（95%CI：16.64 美元，30.09 美元），而注意力对照组的照顾者愿意支付 37.90 美元/次（95%CI：27.10 美元，52.02 美元），30.92 美元（95%CI：23.44 美元，40.94 美元），27.44 美元（95%CI：20.82 美元，35.34 美元）。TAP 和注意力对照组之间的 WTP 从基线到 3 个月和 6 个月的变化差异为 9.58 美元（95%CI：-5.00 美元，25.47 美元）和 7.15 美元（95%CI：-5.72 美元，21.81 美元）。从基线到 3 个月和 6 个月，TAP 和注意力对照组之间愿意支付一定金额的照顾者比例的变化差异分别为-12%（95%CI：-28%，-5%）和-7%（95%CI：-25%，-11%）。从基线到 3 个月和 6 个月，TAP 和注意力对照组之间愿意支付一定金额的照顾者的 WTP 变化差异分别为 17.93 美元（95%CI：0.22 美元，38.30 美元）和 11.81 美元（95%CI：-2.57 美元，28.17 美元）。
家庭照顾者在参与类似的计划后，愿意为干预支付更多费用，而他们被要求评估该计划的价值。
