Impact of Behavioral Interventions for Chronic Diseases on Health Utility: Assessment of Three Trials of Older Adults


INTRODUCTION There are approximately 49 million Americans aged 65 and older, with projections estimating that the population of older adults will grow to 98 million in 2060. Chronic diseases are a leading cause of disability and mortality in the US adult population. In all US adults, 6 in 10 have a chronic disease and 4 in 10 adults have 2 or more chronic diseases. Among US older adults, 80% have at least one chronic disease and 77% have at least two chronic diseases. Diabetes affects 23% of US older adults and 1 in 4 US older adults experience some mental disorder, including depression and dementia. Chronic diseases account for 75% of the US national spending on health care. Previous research has suggested that behavioral interventions may play a role in effective treatment of chronic diseases. OBJECTIVE To describe our experience in using utility measures in three randomized trials of behavioral interventions (BI) in older adults; the three diseases were depression, diabetes, and dementia.

Poster presentation at the 24th Annual International Meeting of the International Society for Pharmacoeconomics and Outcomes Research.