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Every row of the evidence table
One row per finding: what was tested, which way the result went, and how the study was built. The answer by area, and where the studies disagree, are on the main page.
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Showing 21 of 382 rows. One row per study per exposure: a study that tested two different things appears twice, once for each.
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| 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
whyA 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
whyNo 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
whyAt 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
whyA 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
whyBurden 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
whyDirection 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
whyThe 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
whyBenefit 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
whyDirection 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
whyThe 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
whyNo 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
whyDirection 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
whyThe 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
whyDirection 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
whyNo 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
whyThe 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
whyThe 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
whyThe 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
whyDirection 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 |