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Cost Template for Meaningful Activity Intervention for Mild Cognitive Impairment

Lu, Yvonne Yueh-Feng PhD, RN; Bakas, Tamilyn PhD; Haase, Joan E. PhD

Clinical Nurse Specialist:
doi: 10.1097/NUR.0b013e3182819171
Feature Article
Abstract

Purpose: The objective of the study was to describe and compare cost estimates for a pilot study of the Daily Enhancement of Meaningful Activity intervention for persons with mild cognitive impairment–caregiver dyads.

Background: The increasing complexity of the healthcare system and rising healthcare costs have forced nurse scientists to find ways to effectively improve healthcare quality and control cost, but no studies have examined costs for new programs that target persons with mild cognitive impairment–caregiver dyads.

Description of the Project: Pilot study data were used to develop a cost template and calculate the cost of implementing the Daily Enhancement of Meaningful Activity.

Outcomes: Mean cost per dyad was estimated to be $1327.97 in the clinical setting, compared with $1069.06 if a telephone delivery mode had been used for 4 of the 6 face-to-face sessions. This difference was largely due to transportation-related expenses and staff cost.

Implications: Daily Enhancement of Meaningful Activity should be evaluated further with larger and more diverse samples as a technology-delivered health promotion program that could reduce costs.

Author Information

Author Affiliations: Assistant Professor (Dr Lu) and PhD Program Coordinator (Dr Bakas), Department of Adult Health, and Holmquist Professorin Pediatric Oncology Nursing and Codirector, Research in Palliative and End-of-Life Communication and Training (RESPECT) Center, School ofNursing, Department of Family Health (Dr Haase), Indiana University, Indianapolis.

Funding was received from the National Institutes of Health, National Institute of Nursing Research (1k01 NR010854-01).

The authors report no conflicts of interest.

Correspondence: Yvonne Yueh-Feng Lu, PhD, RN, School of Nursing, Indiana University, 111 Middle Dr, NU E407, Indianapolis, IN 46202 (yuelu@iupui.edu).

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