TY - JOUR
T1 - A longitudinal evaluation of family caregivers' willingness to pay for an in-home nonpharmacologic intervention for people living with dementia
T2 - Results from a randomized trial
AU - Jutkowitz, Eric
AU - Pizzi, Laura T.
AU - Popp, Jonah
AU - Prioli, Katherine K.
AU - Scerpella, Danny
AU - Marx, Katherine
AU - Samus, Quincy Miles
AU - Piersol, Catherine Verrier
AU - Gitlin, Laura N.
N1 - Funding Information:
This study was supported by grants from National Institute on Aging (Grant # R01 AG041781-01A1, 1R21AG059623, and 1R01AG060871)
Funding Information:
This study was supported by a grant from National Institute on Aging (Grant # R01 AG041781-01A1, 1R21AG059623, and 1R01AG060871). The sponsor had no role in the design, data collection, data analysis, and decision to publish. Dr. Gitlin is an inventor of an online program for an intervention (Tailored Activity Program) for which Johns Hopkins University, Drexel University, Thomas Jefferson University and Dr. Gitlin are entitled to royalty fees. The other authors have no conflicts of interest to declare.
Publisher Copyright:
© 2021 Cambridge University Press. All rights reserved.
PY - 2021/4
Y1 - 2021/4
N2 - Objective: To determine the willingness-to-pay (WTP) of family caregivers to learn care strategies for persons living with dementia (PLwD). Design: Randomized clinical trial. Setting: Community-dwelling PLwD and their caregivers (dyads) in Maryland and Washington, DC. Participants: 250 dyads. Intervention: Tailored Activity Program (TAP) compared to attention control. TAP provides activities tailored to the PLwD and instructs caregivers in their use. Measurement: 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. Results: 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). Conclusions: Family caregivers are willing to pay more for an intervention immediately following participation in a program similar to which they were asked to value.
AB - Objective: To determine the willingness-to-pay (WTP) of family caregivers to learn care strategies for persons living with dementia (PLwD). Design: Randomized clinical trial. Setting: Community-dwelling PLwD and their caregivers (dyads) in Maryland and Washington, DC. Participants: 250 dyads. Intervention: Tailored Activity Program (TAP) compared to attention control. TAP provides activities tailored to the PLwD and instructs caregivers in their use. Measurement: 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. Results: 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). Conclusions: Family caregivers are willing to pay more for an intervention immediately following participation in a program similar to which they were asked to value.
KW - caregiving
KW - dementia
KW - long-term care
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U2 - 10.1017/S1041610221000089
DO - 10.1017/S1041610221000089
M3 - Article
C2 - 33757615
AN - SCOPUS:85105801862
VL - 33
SP - 419
EP - 428
JO - International Psychogeriatrics
JF - International Psychogeriatrics
SN - 1041-6102
IS - 4
ER -