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X Demographics
Mendeley readers
Attention Score in Context
| Title |
The cost‐effectiveness of grip on challenging behaviour: an economic evaluation of a care programme for managing challenging behaviour
|
|---|---|
| Published in |
International Journal of Geriatric Psychiatry, September 2015
|
| DOI | 10.1002/gps.4360 |
| Pubmed ID | |
| Authors |
S A Zwijsen, J E Bosmans, D L Gerritsen, A M Pot, C M P M Hertogh, M Smalbrugge |
| Abstract |
The objective of the study was to evaluate the cost-effectiveness of implementing the Grip on Challenging Behaviour care programme (GRIP) on dementia special care units in comparison with usual care. A stepped wedge design was used. Challenging behaviour and quality of life were measured using the Cohen Mansfield Agitation Inventory (CMAI) and the QUALIDEM. Quality-adjusted life years (QALYs) were calculated using the EuroQol-5D. Psychoactive medication use (range 0-5 per measurement) and sick leave were registered. Costs included medication, time spent on challenging behaviour and education. Costs and effects were analysed using linear multilevel regression. Incremental cost-effectiveness ratios were calculated. Statistical uncertainty was estimated using bootstrapping. Seventeen dementia special care units participated. GRIP led to improvement on the QUALIDEM subscale social relations (1.6; 95% CI 0.18 to 3.4) and on the use of psychoactive medication (-0.73; 95% CI -1.1 to -0.46) and to a decrease in QALYs (-0.02; 95% CI -0.06 to -0.003). No significant effects on CMAI, sick leave and other QUALIDEM subscales were found. The intervention was not cost-effective in comparison with usual care with regard to CMAI score, QALYs and sick leave. The willingness to pay should be 320€/point improvement on the QUALIDEM subscale social relations and 370€/psychoactive medication less to reach a 0.95 probability of cost-effectiveness. It depends on how much society is willing to pay whether GRIP can be considered cost-effective. Because the appropriateness of the current methods for analysing cost-effectiveness in this specific population is uncertain, the positive effects on behaviour, medication and job satisfactions should also be taken in account in the decision making. Copyright © 2015 John Wiley & Sons, Ltd. |
X Demographics
The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Canada | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 96 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 96 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 20 | 21% |
| Researcher | 11 | 11% |
| Student > Bachelor | 9 | 9% |
| Lecturer | 6 | 6% |
| Student > Ph. D. Student | 6 | 6% |
| Other | 19 | 20% |
| Unknown | 25 | 26% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 24 | 25% |
| Medicine and Dentistry | 16 | 17% |
| Psychology | 12 | 13% |
| Social Sciences | 6 | 6% |
| Business, Management and Accounting | 2 | 2% |
| Other | 7 | 7% |
| Unknown | 29 | 30% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 02 October 2015.
All research outputs
#19,990,545
of 24,565,648 outputs
Outputs from International Journal of Geriatric Psychiatry
#2,158
of 2,535 outputs
Outputs of similar age
#203,876
of 279,526 outputs
Outputs of similar age from International Journal of Geriatric Psychiatry
#28
of 45 outputs
Altmetric has tracked 24,565,648 research outputs across all sources so far. This one is in the 10th percentile – i.e., 10% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,535 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.5. This one is in the 8th percentile – i.e., 8% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 279,526 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 14th percentile – i.e., 14% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 45 others from the same source and published within six weeks on either side of this one. This one is in the 37th percentile – i.e., 37% of its contemporaries scored the same or lower than it.