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本文引用的文献

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Evaluation of the Fiscal Costs and Consequences of Alzheimer's Disease in Germany: Microsimulation of Patients' and Caregivers' Pathways.德国阿尔茨海默病的财政成本和后果评估:患者和照护者路径的微观模拟。
J Prev Alzheimers Dis. 2022;9(4):758-768. doi: 10.14283/jpad.2022.53.
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Economic and caregiver impact of Alzheimer's disease across the disease spectrum: a cohort study.阿尔茨海默病疾病谱中疾病经济负担和照护者影响的队列研究。
Alzheimers Res Ther. 2022 Feb 12;14(1):34. doi: 10.1186/s13195-022-00969-x.
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Family caregiving in dementia and its impact on quality of life and economic burden in Japan-web based survey.日本痴呆症家庭护理及其对生活质量和经济负担的影响——基于网络的调查
J Mark Access Health Policy. 2020 Feb 11;8(1):1720068. doi: 10.1080/20016689.2020.1720068. eCollection 2020.
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Screening for Cognitive Impairment in Older Adults: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force.老年人认知障碍筛查:美国预防服务工作组的更新证据报告和系统评价。
JAMA. 2020 Feb 25;323(8):764-785. doi: 10.1001/jama.2019.22258.
5
Tip of the Iceberg: Assessing the Global Socioeconomic Costs of Alzheimer's Disease and Related Dementias and Strategic Implications for Stakeholders.冰山一角:评估阿尔茨海默病和相关痴呆症的全球社会经济成本及其对利益相关者的战略意义。
J Alzheimers Dis. 2019;70(2):323-341. doi: 10.3233/JAD-190426.
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Validity and reliability of the EQ-5D-5 L in family caregivers of leukemia patients.EQ-5D-5L 在白血病患者家庭照顾者中的有效性和可靠性。
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《阿尔茨海默病患者非专业照护者综合多学科项目-关怀的成本效益分析》

Cost-Effectiveness of the Comprehensive Interdisciplinary Program-Care in Informal Caregivers of People with Alzheimer's Disease.

机构信息

Social Impact and Innovation in Health (InHEALTH) Research Group, University Centre of Mérida, University of Extremadura, 06800 Mérida, Spain.

BioẼrgon Research Group, University of Extremadura, 10003 Cáceres, Spain.

出版信息

Int J Environ Res Public Health. 2022 Nov 18;19(22):15243. doi: 10.3390/ijerph192215243.

DOI:10.3390/ijerph192215243
PMID:
36429962
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9691117/
Abstract

People with Alzheimer's disease (AD) diagnosis who get informal care remain at home longer, reducing the demand for healthcare resources but increasing the stress of caregiving. Research on the effectiveness of physical training, psychoeducational, cognitive-behavioural, and health education programs in reducing the caregiver load and enhancing health-related quality of life (HRQoL) exist, but none exist about an integrated interdisciplinary program. The goals of this project are (1) to assess the Integral-CARE Interdisciplinary Program (IP) applicability, safety, effects on HRQoL, and the incremental cost-effectiveness ratio for AD caregivers; (2) to evaluate the IP applicability and cost-effectiveness to enhance the physical, psychoemotional, cognitive-behavioural dimensions, and the health education status of informal caregivers, and (3) to study the transference of the results to the public and private sectors. A randomized controlled trial will be conducted with an experimental (IP) and a control group (no intervention). The PI will be conducted over nine months using face-to-face sessions (twice a week) and virtual sessions on an online platform (once a week). There will be an initial, interim (every three months), and final assessment. Focus groups with social and health agents will be organized to determine the most important information to convey to the public and private sectors in Extremadura (Spain). Applicability, safety, HRQoL, incremental cost-effectiveness ratio, and HRQoL will be the main outcome measures, while secondary measures will include sociodemographic data; physical, psychoemotional, health education, and cognitive-behavioural domains; program adherence; and patient health status. Data will be examined per procedure and intention to treat. A cost-effectiveness study will also be performed from the viewpoints of private and public healthcare resources.

摘要

患有阿尔茨海默病(AD)的人接受非正式护理后,可以在家中停留更长时间,从而减少对医疗保健资源的需求,但增加了护理人员的压力。虽然已经有研究评估了身体训练、心理教育、认知行为和健康教育计划在减轻护理人员负担和提高与健康相关的生活质量(HRQoL)方面的有效性,但没有研究涉及综合跨学科计划。本项目的目标是:(1)评估综合关怀跨学科计划(IP)的适用性、安全性、对 AD 护理人员 HRQoL 的影响以及增量成本效益比;(2)评估 IP 的适用性和成本效益,以增强非正式护理人员的身体、心理情绪、认知行为维度和健康教育状况;(3)研究结果在公共和私营部门的转移。将进行一项随机对照试验,实验组(IP)和对照组(无干预)。PI 将在九个月内进行,使用面对面会议(每周两次)和在线平台上的虚拟会议(每周一次)。将进行初始、中期(每三个月一次)和最终评估。将组织焦点小组,与社会和卫生机构合作,确定向埃斯特雷马杜拉(西班牙)的公共和私营部门传达的最重要信息。适用性、安全性、HRQoL、增量成本效益比和 HRQoL 将是主要的结果测量指标,而次要测量指标将包括社会人口统计学数据;身体、心理情绪、健康教育和认知行为领域;方案依从性;和患者的健康状况。将根据程序和意向治疗进行数据检查。还将从私人和公共医疗保健资源的角度进行成本效益研究。