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Cognitive stimulation therapy for people with dementia
 — cost-effectiveness analysis
Author(s)Martin Knapp, Lene Thorgrimsen, Anita Patel
Journal titleBritish Journal of Psychiatry, vol 188, June 2006
Pagespp 574-580
Sourcehttp://bjp.rcpsych.org
KeywordsDementia ; Therapy ; Psychiatric treatment ; Cost effectiveness ; Evaluation.
AnnotationPsychological therapy groups for people with dementia are widely used. This study investigates the cost-effectiveness of an evidence-based cognitive stimulation therapy (CST) programme for people with dementia as part of a randomised controlled trial. 91 people with dementia living in care homes or the community received a CST group intervention twice weekly for 8 weeks; 20 participants with dementia received treatment as usual. Service use was recorded 8 weeks before and during the 8 weeks intervention, and costs were calculated. A cost-effectiveness analysis was conducted with cognition as the primary outcome, and quality of life as the secondary outcome. Cost-effectiveness acceptability curves were plotted. CST has benefits for cognition and quality of life in dementia, and costs did not differ between the groups. Under reasonable assumptions, there is high probability that CST is more cost-effective than treatment as usual with regard to both outcome measures. CST for people with dementia has effectiveness advantages over, and may be more effective than, treatment as usual. (RH).
Accession NumberCPA-060620212 A
ClassmarkEA: LO: LP: WEC: 4C

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