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Every row

Showing 21 of 382 rows. One row per study per exposure: a study that tested two different things appears twice, once for each.

Scroll the table sideways to see every column.

Research and outcomes, 21 rows. Every row links to its source.
Exposure Question Direction Outcome measured Design People Effect size, as the source reported it Source
Carer psychosocial / skills intervention Care, carers and services Treatment Benefit
why

A pilot designed to test feasibility; 68 carers and a 2-week outcome.

Pre-death grief at 2 weeks randomised trial 68 Pre-death grief Cohen d = -0.38 (mean change -3.29, SD 8.64, p=0.03) at 2 weeks JAMA Network Open 2026
✓ Peer-reviewed PMID 42018322
Carer psychosocial / skills intervention Care, carers and services Treatment No effect
why

No difference from waitlist control on the primary burden outcome or on mood, WHOQOL-Bref or productivity; only the CarerQoL-VAS quality-of-life score was higher in the intervention group. The trial recruited 93 of a 194 target.

Carer burden on the Zarit Burden Interview at 6 and 12 weeks (primary); mood, quality of life, productivity randomised trial 93 No statistically significant differences were observed between the intervention and control groups on the ZBI, CES-D, WHOQOL-Bref and WPAI:CG ... A statistically significantly higher mean CarerQoL-VAS score was found for the intervention group (mean difference = 0.75, 95% CL: 0.25 to 1.24, P = .003) over 6- and 12-weeks, compared to the control Age and ageing 2026
✓ Peer-reviewed PMID 41719424
Carer psychosocial / skills intervention Care, carers and services Treatment Benefit
why

At the 1-month comparison the automated self-guided programme reduced depression and burden and increased positive gains versus waitlist; anxiety did not differ. Group differences mostly disappeared once controls received the programme.

Caregiver depression (PHQ-9) at 1 month versus waitlist (primary); anxiety, burden and positive gains randomised trial 274 At 1-month follow-up, coinciding with exclusive access to PDC30, intervention caregivers showed significant improvements in depression (d = -0.37), burden (d = -0.34), and positive gains (d = 0.42) The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry 2026
✓ Peer-reviewed PMID 41644333
Carer psychosocial / skills intervention Care, carers and services Treatment Benefit
why

A factorial trial of components: the mindfulness component carried the benefit and amplified the others.

Carer depressive symptoms (PHQ-9) at 12 months randomised trial 250 Mindfulness component: PHQ-9 depressive symptoms β = -2.13 (95% CI -2.85 to -1.38) at 12 months JAMA Network Open 2025
✓ Peer-reviewed PMID 40094667
Carer psychosocial / skills intervention Care, carers and services Treatment No effect
why

Burden fell in both arms with no significant difference between the two platforms. There was no untreated control, so the within-arm improvement cannot be separated from time or attention.

Caregiver burden at 6 months randomised trial 240 Burden: GamePlan4Care effect size 0.50 (p<0.001); Resources4Care effect size 0.23 (p=0.030). Social support GP4C ES 0.21 (p=0.035); distress GP4C ES 0.30 (p=0.010) Alzheimer's & Dementia 2025
✓ Peer-reviewed PMID 41085219
Carer psychosocial / skills intervention Care, carers and services Treatment Benefit
why

Direction is for NIDUS-Family: an 89% probability of cost-effectiveness from a health and social care perspective (87% societal) and £8,934 (37%) lower average costs, though the cost difference's confidence interval includes zero.

Probability of cost-effectiveness at £20,000-30,000 per QALY and 12-month costs versus goal setting and routine care randomised trial 302 At both a £20 000 and £30 000 decision threshold, there was an 89% probability that NIDUS-Family was cost-effective compared with usual care from a health and social care perspective, and an 87% probability from a societal perspective. Intervention participants accrued on average £8934 (37%) less in costs than control participants (95% CI -£59 460 to £41 592) The Lancet Healthy Longevity 2025
✓ Peer-reviewed PMID 39978389
Carer psychosocial / skills intervention Care, carers and services Treatment Benefit
why

The outcome is how prepared carers felt to decide about firearm access, not whether any injury was avoided.

Preparation for Decision Making score randomised trial 500 Preparation for Decision Making score +4.80 points (95% CI 0.53 to 9.07) vs control Annals of Internal Medicine 2024
✓ Peer-reviewed PMID 39531391
Carer psychosocial / skills intervention Care, carers and services Treatment Benefit
why

Benefit in Hispanic and White caregivers and in Black spousal caregivers; not in Black non-spousal caregivers.

Caregiver quality of life and depression at 6 months randomised trial 642 Depression: 12.6% (intervention) vs. 22.7% (control) at 6 months Annals of Internal Medicine 2006
✓ Peer-reviewed PMID 17116917
Carer psychosocial / skills intervention Care, carers and services Treatment Benefit Time to nursing home placement randomised trial 406 HR 0.717 for nursing home placement; median time to placement 557 days longer (model-predicted) in the intervention group Neurology 2006
✓ Peer-reviewed PMID 17101889
Cost-effectiveness of multidomain prevention programme Care, carers and services Prevention Mixed
why

Direction is for value for money: APPLE-Tree had a 96% probability of being cost-effective per cognition point at a £30 000 threshold but only 12% on QALYs, which were slightly lower in the intervention arm. Post hoc subgroups suggested better value in non-White and socioeconomically disadvantaged participants.

QALYs over 24 months (primary) and cost per 1-point NTB cognition gain randomised trial 746 Mean adjusted QALYs were 1.511 (intervention) and 1.520 (control), an adjusted difference of -0.010 (95%CI -0.04 to -0.022). Mean adjusted (SD) costs were £2966 (3629) and £2551 (4439), respectively. Cost per 1-point NTB change z-score was £6809. At a £30 000 threshold, the probability of cost-effective was 12% and 96% based on QALYs and cognition, respectively Age and ageing 2026
✓ Peer-reviewed PMID 42328805
Dementia care management / navigation Care, carers and services Treatment Benefit
why

The community health worker programme achieved verified linkage to medical care in 16.7% of dyads versus none in the control arm. Caregiver outcomes were largely unchanged, with self-efficacy favouring control.

Clinic-verified linkage to medical services at 6 months (primary); caregiver psychosocial outcomes randomised trial 287 PLAN increased linkage to medical services versus control (16.7% vs 0%, chi-squared [df = 1] = 24.05, p < 0.001). Caregiver outcomes were largely unchanged, with self-efficacy favoring control Alzheimer's & dementia : the journal of the Alzheimer's Association 2026
✓ Peer-reviewed PMID 42233272
Dementia care management / navigation Care, carers and services Treatment No effect
why

No difference between health-system care, community-based care or usual care on either primary outcome. Caregiver self-efficacy did improve in both active arms.

NPI-Q behavioural symptoms and caregiver strain (co-primary) randomised trial 2,176 NPI-Q difference health-system vs community 0.30 (97.5% CI -0.18 to 0.78); caregiver self-efficacy vs usual care +0.70 (health system) and +0.85 (community), both significant JAMA 2025
✓ Peer-reviewed PMID 39878968
Dementia care management / navigation Care, carers and services Treatment Benefit
why

Direction is for the extended nursing role intervention: 74% fewer unmet needs and higher quality of life at six months, with a small QALY gain at about 1,425 EUR added cost; no effect on caregiver burden.

Unmet needs, quality of life, caregiver burden and cost per QALY at six months (advanced dementia care management by nurses in extended roles) randomised trial 417 PlwD receiving the intervention had 74% lower unmet needs (0.26, CI95%: 0.17 to 0.40, p < 0.001) and higher quality of life (0.04, CI95%: 0.01 to 0.07, p = 0.017) than controls. There was a gain in quality-adjusted life years (0.01, CI95%: -0.001 to 0.018) at slightly higher costs (1,425 EUR, CI95%: 638 to 2,211) Alzheimer's & Dementia 2025
✓ Peer-reviewed PMID 41143334
Dementia care management / navigation Care, carers and services Treatment Mixed
why

The two perspectives disagree: the digitally supported care management system dominated usual care for the public payer (lower costs, marginally more QALYs, 72-79% probability of cost-effectiveness) but cost €331,000 per QALY from a societal perspective (33-35% probability).

Caregiver QALYs, costs and incremental cost per QALY at six months, from public-payer and societal perspectives randomised trial 192 Caregivers in the intervention group gained QALYs (+0.004 [95% CI -0.003 to 0.012], P value = .225) and had lower costs from the public payer (-378€ [1926-1168], P value = .630), but higher costs from the societal perspective (+1324 [-3634 to 6284], P value = .599). The intervention dominated usual care from the payer perspective, whereas the incremental cost-effectiveness ratio was €331 000/QALY from a societal perspective Value in Health 2025
✓ Peer-reviewed PMID 39922302
Dementia care management / navigation Care, carers and services Treatment Benefit
why

Direction is for collaborative dementia care management: fewer neuropsychiatric symptoms, lower caregiver burden, better mental health and 0.137 QALYs gained at no significant added cost (3186€ per QALY) over 36 months; no difference in antidementia drug use, overall quality of life or inappropriate medication.

Neuropsychiatric symptoms, caregiver burden, quality of life and cost per QALY at 36 months after 6 months of collaborative dementia care management randomised trial 428 Participants receiving CDCM showed significantly fewer behavioral and psychological symptoms (adjusted mean difference [AMD] in NPI score, -10.26 [95% CI, -16.95 to -3.58]; P = .003; Cohen d, -0.78 [95% CI, -1.09 to -0.46]) ... and lower caregiver burden (AMD in BIZA-D score, -0.59 [95% CI, -0.81 to -0.37]; P < .001; Cohen d, -0.71 [95% CI, -1.03 to -0.40]) ... The CDCM group gained QALYs (0.137 [95% CI, 0.000 to 0.274]; P = .049; Cohen d, 0.20 [95% CI, -0.09 to 0.40]) but had no significant increase in costs (437€ [-5438€ to 6313€] [US $476 (95% CI, -$5927 to $6881)]; P = .87; Cohen d, 0.07 [95% CI, -0.14 to 0.28]), resulting in a cost-effectiveness ratio of 3186€ (US $3472) per QALY JAMA Network Open 2024
✓ Peer-reviewed PMID 38967926
Dementia screening / case finding Care, carers and services Treatment No effect
why

No benefit and no harm: screening did not change family-member quality of life, preparedness or self-efficacy, and did not raise depression or anxiety. Only 5.1% screened positive.

Family-member quality of life (SF-36) at 24 months randomised trial 1,808 24-month SF-36 mental component difference 0.58 (95% CI -0.18 to 1.33), not significant JAMA Internal Medicine 2026
✓ Peer-reviewed PMID 42008257
Dementia screening / case finding Care, carers and services Treatment Benefit
why

The outcome is how many diagnoses were made, not whether anyone was better off. The passive digital marker alone did not raise detection (AOR 0.84, 95% CI 0.63-1.11).

New dementia diagnosis within 12 months randomised trial 5,325 Adjusted OR for new dementia diagnosis 1.31 (95% CI 1.05-1.64) with QDRS plus passive digital marker vs usual care JAMA Network Open 2025
✓ Peer-reviewed PMID 41212562
Palliative / advance care planning Care, carers and services Treatment No effect
why

The primary outcome did not improve. Emergency department visits and hospitalisations were lower (RR 0.45, 95% CI 0.31-0.65), which is a secondary outcome.

NPI-Q neuropsychiatric symptom severity at 24 months (primary) randomised trial 201 ED visits + hospitalisations: RR 0.45 (95% CI 0.31-0.65); NPI-Q severity difference -0.24 (95% CI -2.33 to 1.84, not significant) JAMA 2025
✓ Peer-reviewed PMID 39878993
Safety / firearm decision aid Care, carers and services Treatment Benefit
why

The outcome is how prepared carers felt to decide about firearm access, not whether any injury was avoided.

Preparation for Decision Making score randomised trial 500 Preparation for Decision Making score +4.80 points (95% CI 0.53 to 9.07) vs control Annals of Internal Medicine 2024
✓ Peer-reviewed PMID 39531391
Sleep intervention for carers/dyads Care, carers and services Treatment Benefit
why

Direction is for DREAMS START against treatment as usual: a 78% probability of being cost-effective at £20,000 per QALY, with cost and QALY differences individually non-significant. The clinical sleep result is in the table under its own row.

Cost per QALY gained (within-trial cost-utility) randomised trial 377 The mean incremental difference in QALYs per person with dementia was 0·016 more (95% CI 0·000 to 0·033) for the intervention group than for the TAU group, indicating no significant difference in quality of life. At a £20 000 per QALY gained decision threshold, there was a 78% probability that DREAMS START is cost-effective, compared with TAU The Lancet Healthy Longevity 2025
✓ Peer-reviewed PMID 40412418
Sleep intervention for carers/dyads Care, carers and services Treatment Benefit Sleep Disorders Inventory at 8 months randomised trial 377 Adjusted mean difference in Sleep Disorders Inventory at 8 months: -4.70 (95% CI -7.65 to -1.74) The Lancet Healthy Longevity 2024
✓ Peer-reviewed PMID 39366393

How this table was built, and where it is weak →