UTILITIES FOR MODERATE ALZHEIMER'S DISEASE- RESULTS FROM A SURVEY OF THE GENERAL PUBLIC IN CANADA

Author(s)

Jean-Eric Tarride, PhD, Assistant Professor, Mark Oremus, PhD, Assistant Professor, Natasha Clayton, RA, BA(inc), Research Coordinator, Parminder Raina, PhD, ProfessorMcMaster University, Hamilton, ON, Canada

OBJECTIVES (1) To elicit health utility scores for moderate Alzheimer's disease (AD) using the Canadian general public; (2) to compare utility scores for Canadians' self-assessed health status with utility scores for health status defined as moderate AD; (3) to measure awareness of AD; and (4) to determine factors that influence utility scores. METHODS Five-hundred Canadians were chosen randomly to participate in a 13-minute telephone interview. The sample was national in scope and stratified by income. The EQ-5D was administered to measure utility for respondents' current health status (i.e., no AD). After describing moderate AD, respondents were asked to answer the EQ-5D again, this time imagining they had moderate AD. AD awareness was measured with the Alzheimer's Disease Knowledge Test (ADKT). Respondents were also asked about socio-demographics and whether they knew someone with AD. OLS regressions were conducted to identify determinants of EQ-5D utility scores. RESULTS The mean age of respondents was 51 years, 61% were female, and 42% knew someone with AD (e.g., family member). Mean ADKT score was 3.4 (SD: 1.1) out of 5 (higher scores indicate better knowledge of AD). Respondents' mean EQ-5D score for their current health status was 0.857 (SD: 0.15). Mean EQ-5D score for a hypothetical, moderate AD health status was 0.638 (SD: .20), a utility decrement of 0.22. For the VAS component of the EQ-5D, scores were higher for the current health status (79.16 versus 57.66). Age and income were significant explanatory variables for current health status utilities, but only age was significant in the determination of the utility score under the assumption of moderate AD. Gender, knowledge of someone with AD, or AD awareness scores had no impact. CONCLUSIONS When measured by the EQ-5D, Canadians would expect to assign a lower utility to their health status when they have moderate AD.

Conference/Value in Health Info

2009-05, ISPOR 2009, Orlando, FL, USA

Value in Health, Vol. 12, No. 3 (May 2009)

Code

PND26

Topic

Patient-Centered Research

Topic Subcategory

Health State Utilities

Disease

Neurological Disorders

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