Innovating dementia support: an evaluation of cost‐effectiveness and wellbeing outcomes of the Sage House Model

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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