ESSENCE CASE STUDY Interventions beyond medicine for dementia: economic evidence

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Key Points


  • A series of interventions ‘beyond medicine’ are available for people living with dementia. The effectiveness in relation to cognition, independence, wellbeing and other outcomes varies across these interventions.
  • The National Institute for Health and Care Excellence (NICE) developed economic models to simulate the cost-effectiveness for an average person receiving each intervention of interest, compared with usual care. The effectiveness measure was (health-related) quality-adjusted life years (QALYs).
  • Individual cognitive stimulation therapy is the only cost-effective intervention for dementia. However, group cognitive stimulation therapy and group reminiscence therapy are interventions to consider for people living with mild-to-moderate dementia. Additionally, cognitive rehabilitation or occupational therapy are interventions to consider for supporting functional ability in people living with mild-to-moderate dementia.
  • For other interventions the NICE committee agreed that people should be offered access to a range of activities that should be tailored to their individual preferences.

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