King, R., Warren, S., Vass, E., Beaumont, K., Seymour, S., Bell, S., Sharpe, B. T., Pacella, R. E. and Pereira, A. (2025) Innovating dementia support: an evaluation of cost‐effectiveness and wellbeing outcomes of the Sage House Model. Alzheimer's & Dementia, 21 (S4). p. 1. ISSN 1552-5279
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Abstract
Background: Today, nearly one million people live with dementia (PLWD) in the UK, a number projected to rise to 1.7 million with estimated costs of £90 billion by 2040. 1–4 These projections highlight the necessity to develop cost‐effective solutions to providing care. Multicomponent supportive care approaches (MSCA) integrate tailored support and psychosocial interventions to enable a personalised support package, 5 showing promise in enhancing wellbeing for PLWD and care partners, while offering cost‐effective care solutions. 5, 6 However, these approaches are underutilised due to the additional implementation complexities inherent with multifaceted intervention strategies. The Sage House Model is a MSCA that has overcome these challenges by utilising a collaborative approach between the voluntary and healthcare sectors, integrating a range of specialised dementia services into an accessible community‐based centre. The present study aimed to investigate the wellbeing and economic impact of the Sage House Model of dementia support. Method: A natural experiment was run comparing wellbeing (QoL, Wellbeing, Life Satisfaction) and economic outcomes (Health and Social Care Engagement) between a group of participants with access to the Sage House Model and a group receiving standard care. The sample included 132 PLWD (Mage 74.64, SD 8.30) and 129 care partners (Mage 67.23, SD 9.84). Result: It was observed that PLWD with access to the Sage House Model reported higher QoL (p = .004, ω2 = .06), wellbeing (p = .044, ω2 = .03) and life satisfaction (p = .004, ω2 = .07) as compared to the group receiving standard care. Care partners with access also reported greater needs‐based QoL (p = .005, ω2 = .07) relating to improved access to support and information. It was also observed that participants with access to the Sage House Model cost health and social care less over a three‐month period (p = .038, ω2 = .02) and had greater Health Related QoL (p = .004, ω2 = .03). After incorporating costs associated with funding access, the model continued to demonstrate cost‐effectiveness. Conclusion: Overall, this study provides initial evidence that suggests that the Sage House Model offers a scalable, community‐driven approach to improving dementia care outcomes and supporting PLWD and care partners, while reducing economic strain on health systems.
| Publication Type: | Articles |
|---|---|
| Additional Information: | © 2025 The Alzheimer’s Association. |
| Uncontrolled Keywords: | dementia care, Multicomponent Supportive Care Approaches (MSCA), economic viability, personalised, support, |
| Subjects: | B Philosophy. Psychology. Religion > BF Psychology H Social Sciences > H Social Sciences (General) H Social Sciences > HV Social pathology. Social and public welfare > HV40 Social service. Social work. Charilty organisation and pracitce R Medicine > RA Public aspects of medicine |
| Divisions: | Academic Areas > Institute of Education, Social and Life Sciences > Psychology Research Entities > POWER Centre |
| SWORD Depositor: | Publications Router Jisc |
| Depositing User: | Publications Router Jisc |
| Date Deposited: | 07 Jan 2026 12:10 |
| Last Modified: | 07 Jan 2026 12:10 |
| URI: | https://eprints.chi.ac.uk/id/eprint/8435 |
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