Efficacy and cost-effectiveness of extended nursing roles in dementia care: Results of the cluster-randomized trial InDePendent.

ABSTRACT:

Introduction

Extended nursing roles in dementia can improve treatment, care, and patient and caregiver outcomes. We tested the efficacy and cost-effectiveness in people living with dementia (PlwD) and caregivers.

Methods

We analyzed data from 417 PlwD within the multicenter, cluster-randomized InDePendent trial six months after baseline. Specifically, qualified nurses carried out advanced dementia care management individually tailored to each patient's and caregiver's needs. Outcomes included unmet needs (CANE), quality of life (QoL-AD, EQ-5D), caregiver burden (Zarit), and cost-effectiveness (FIMA, RUD).

Results

PlwD receiving the intervention had 74% lower unmet needs (0.26, CI^95%: 0.17 to 0.40, p < 0.001) and higher quality of life (0.04, CI^95%

SUBMITTER: Radke A 

PROVIDER: S-EPMC12556587 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature