Key issues in the economic evaluation of interventions for people with dementia:
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| Format: | Thesis/Dissertation Book |
| Language: | English |
| Published: |
2009
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| Subjects: | |
| Links: | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=017749395&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| Physical Description: | VII, 117 S. graph. Darst. |
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| adam_text | Titel: Key issues in the economic evaluation of interventions for people with dementia
Autor: Kunz, Simone
Jahr: 2009
Table of contents
Chapter 1: Introduction..............................................................................................1
Context.................................................................................................................2
Measuring informal care time..............................................................................5
Context........................................................................................................5
Challenge....................................................................................................6
Objective.....................................................................................................6
Measuring quality of life......................................................................................7
Context........................................................................................................7
Challenge....................................................................................................8
Objective.....................................................................................................8
Outline..................................................................................................................9
Chapter 2: Background on dementia.......................................................................11
Definition of dementia........................................................................................12
Types of dementia..............................................................................................12
Diagnosis............................................................................................................12
Symptoms of dementia.......................................................................................13
Treatments..........................................................................................................14
Chapter 3: A valid instrument for measuring informal care time for people
with dementia.............................................................................................................15
Abstract..............................................................................................................16
Introduction........................................................................................................17
Methods..............................................................................................................18
Data collection..........................................................................................18
Assessment of informal care time.............................................................19
Hypotheses................................................................................................20
Results.......................................................................................................21
Discussion..........................................................................................................25
Appendix 1: Overview of questions on informal care time...............................29
Appendix 2: Questionnaire about informal care time........................................30
Chapter 4: Measurement of informal care time in a study of patients with
A „ ........................................33
dementia.....................................................................................
.......34
Abstract.................................................................................................
Introduction........................................................................................................
Methods.............................................................................................................
Patient criteria and data collection...........................................................
37
Measurement of informal care time.........................................................
Statistical methods....................................................................................
39
Results................................................................................................................
39
Study population.......................................................................................
Feasibility, missing values and extreme values........................................
Informal care time....................................................................................
Factors related to informal care time........................................................
Discussion..........................................................................................................
Chapter 5: A review of the psychometric properties of generic quality of life
instruments applied to people with dementia and proxies....................................
Abstract..............................................................................................................54
Introduction........................................................................................................55
Methods.............................................................................................................56
Inclusion criteria for the literature review................................................56
Data extraction.........................................................................................56
Interpretation of results............................................................................57
Results................................................................................................................57
Literature search.......................................................................................57
Applied QoL instruments and Mini-Mental State Examination..............57
Study populations.....................................................................................59
Acceptability and feasibility.....................................................................59
Validity.....................................................................................................60
Reliability.................................................................................................61
Discussion.................................................. .......,.........63
Conclusion................................................. ..............68
Appendix: Included QoL instruments......................................................74
Chapter 6: Psychometric properties of the EQ-SD in a study of people with
mild to moderate dementia.......................................................................................75
Abstract..............................................................................................................76
Introduction........................................................................................................77
Methods..............................................................................................................78
IDA study..................................................................................................78
Data collection..........................................................................................79
Measures...................................................................................................79
Statistical analysis.....................................................................................81
Results................................................................................................................83
Patient characteristics................................................................................83
Feasibility and acceptability.....................................................................83
Discriminative ability................................................................................84
Construct validity......................................................................................85
Inter-rater reliability..................................................................................86
Responsiveness.........................................................................................89
Discussion..........................................................................................................90
Conclusion..........................................................................................................93
Appendix: EuroQol-5D (descriptive profile).....................................................95
Chapter 7: Implementing the societal perspective into practice...........................97
Cost.....................................................................................................................98
Effects.................................................................................................................99
Chapter 8: Summary...............................................................................................101
Authors contributions............................................................................................105
References.................................................................................................................106
Eidesstattliche Versicherung..................................................................................116
List of tables
Table 1: Prevalence and incidence of dementia in Germany in 2007............................3
Table 2: Severity stages of dementia............................................................................13
Table 3: Characteristics of patients and their informal caregivers...............................22
Table 4: Correlations with total hours of informal care...............................................23
Table 5: Correlations with hours of informal care in ADL, IADL and supervision ....24
Table 6: Difference between baseline and 1 -year follow-up in hours per day spent
on caring for patients with the same degree of dependency..........................25
Table 7: Questions on informal care time....................................................................39
Table 8: Characteristics of patients and their informal caregivers...............................40
Table 9: Time of the primary informal caregiver by ADL, IADL and supervision.....42
Table 10: Time of other informal caregivers by ADL, IADL and supervision..............43
Table 11: Beta regression on informal care time............................................................45
Table 12: Methodological characteristics of included studies.......................................69
Table 13: Reported psychometric properties in the included studies.............................71
Table 14: Characteristics of the study population..........................................................84
Table 15: Construct validity oftheEQ-5D baseline data...............................................86
Table 16: Itvter-rater reliability of the EQ-5D................................................................87
Table 17: EQ-5D utility scores by rater and severity of dementia.................................88
Table 18: Multivariate regression on the level of agreement between patient and
proxy rating....................................................................................................88
Table 19: Responsiveness of the EQ-5D........................................................................89
List of figures
Figure 1: Distribution of hours per day in ADL of the interviewed caregivers............42
Figure 2: Average hours per day spent on caring for the patient by activity,
informal caregiver and respondent................................................................44
Figure 3: Local regression of hours per day of the primary informal caregiver on
Barthel Index by relationship to the patient...................................................47
Figure 4: Distribution of responses to items of the EQ-5D...........................................85
|
| any_adam_object | 1 |
| author | Kunz, Simone |
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| dewey-sort | 3616.8 |
| dewey-tens | 610 - Medicine and health |
| discipline | Wirtschaftswissenschaften Medizin |
| format | Thesis Book |
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| spellingShingle | Kunz, Simone Key issues in the economic evaluation of interventions for people with dementia Kosten-Nutzen-Analyse stw Pflegedienst stw Psychische Störung stw Kranker (DE-588)4137863-5 gnd Demenz (DE-588)4011404-1 gnd Krankheitskosten (DE-588)4247917-4 gnd Kriterium (DE-588)4245403-7 gnd Kostenfestsetzung (DE-588)4138984-0 gnd |
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| title | Key issues in the economic evaluation of interventions for people with dementia |
| title_auth | Key issues in the economic evaluation of interventions for people with dementia |
| title_exact_search | Key issues in the economic evaluation of interventions for people with dementia |
| title_full | Key issues in the economic evaluation of interventions for people with dementia von Simone Kunz (geb. Neubauer) |
| title_fullStr | Key issues in the economic evaluation of interventions for people with dementia von Simone Kunz (geb. Neubauer) |
| title_full_unstemmed | Key issues in the economic evaluation of interventions for people with dementia von Simone Kunz (geb. Neubauer) |
| title_short | Key issues in the economic evaluation of interventions for people with dementia |
| title_sort | key issues in the economic evaluation of interventions for people with dementia |
| topic | Kosten-Nutzen-Analyse stw Pflegedienst stw Psychische Störung stw Kranker (DE-588)4137863-5 gnd Demenz (DE-588)4011404-1 gnd Krankheitskosten (DE-588)4247917-4 gnd Kriterium (DE-588)4245403-7 gnd Kostenfestsetzung (DE-588)4138984-0 gnd |
| topic_facet | Kosten-Nutzen-Analyse Pflegedienst Psychische Störung Kranker Demenz Krankheitskosten Kriterium Kostenfestsetzung Hochschulschrift |
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