Journal article
Costs of a Staff Communication Intervention to Reduce Dementia Behaviors in Nursing Home Care
The journal of nursing home research sciences, Vol.3(suppl_1), pp.22-546
2017
DOI: 10.1093/geroni/igx004.1928
PMCID: PMC6246524
PMID: 28503675
Abstract
Persons with Alzheimer's disease and other dementias experience behavioral symptoms that frequently result in nursing home (NH) placement. Managing behavioral symptoms in the NH increases staff time required to complete care, and adds to staff stress and turnover, with estimated cost increases of 30%. The Changing Talk to Reduce Resistivenes to Dementia Care (CHAT) study found that an intervention that improved staff communication by reducing elderspeak led to reduced behavioral symptoms of dementia or resistiveness to care (RTC).
This analysis evaluates the cost-effectiveness of the CHAT intervention to reduce elderspeak communication by staff and RTC behaviors of NH residents with dementia.
Costs to provide the intervention were determined in eleven NHs that participated in the CHAT study during 2011-2013 using process-based costing. Each NH provided data on staff wages for the quarter before and for two quarters after the CHAT intervention. An incremental cost-effectiveness analysis was completed.
An average cost per participant was calculated based on the number and type of staff attending the CHAT training, plus materials and interventionist time. Regression estimates from the parent study then were applied to determine costs per unit reduction in staff elderspeak communication and resident RTC.
A one percentage point reduction in elderspeak costs $6.75 per staff member with average baseline elderspeak usage. Assuming that each staff cares for 2 residents with RTC, a one percentage point reduction in RTC costs $4.31 per resident using average baseline RTC.
Costs to reduce elderspeak and RTC depend on baseline levels of elderspeak and RTC, as well as the number of staff participating in CHAT training and numbers of residents with dementia-related behaviors. Overall, the 3-session CHAT training program is a cost-effective intervention for reducing RTC behaviors in dementia care.
Details
- Title: Subtitle
- Costs of a Staff Communication Intervention to Reduce Dementia Behaviors in Nursing Home Care
- Creators
- Kristine N Williams - University of IowaPadmaja Ayyagari - University of IowaYelena Perkhounkova - University of IowaMarjorie J Bott - University of Kansas Medical CenterRuth Herman - University of KansasAnn Bossen - University of Iowa
- Resource Type
- Journal article
- Publication Details
- The journal of nursing home research sciences, Vol.3(suppl_1), pp.22-546
- DOI
- 10.1093/geroni/igx004.1928
- PMID
- 28503675
- PMCID
- PMC6246524
- ISSN
- 2496-0799
- eISSN
- 2399-5300
- Grant note
- R01 NR011455 / NINR NIH HHS
- Language
- English
- Date published
- 2017
- Academic Unit
- Health Management and Policy; Nursing
- Record Identifier
- 9984364384502771
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