Costs associated with treatment of insomnia in Alzheimer’s disease caregivers: a comparison of mindfulness meditation and cognitive behavioral therapy for insomnia

Table 4 Sensitivity analyses: MAP-I and CBT-I per-participant costs for individually- and group-based programs^a

SENSITIVITY ANALYSIS	INDIVIDUALLY-DELIVERED PROGRAMS			GROUP-DELIVERED PROGRAMS
SENSITIVITY ANALYSIS	MAP-I	CBT-I	Savings with MAP-I	MAP-I	CBT-I	Savings with MAP-I
Base case (societal perspective)	$1884	$3978	$2094	$1377	$1981	$604
Healthcare system perspective^b	$995	$2867	$1872	$488	$870	$382
Excluding costs of: ^c
Participant travel time	$1750	$3844	$2094	$1243	$1847	$604
Fixed equipment	$1883	$3972	$2089	$1376	$1975	$599
Caregiver time	$1482	$3552	$2070	$975	$1555	$580
Instructor training	$1594	$3607	$2013	$1087	$1610	$523
All participant time	$1397	$3293	$1896	$890	$1296	$406
Instructor non-structured time outside-of-sessions	$1843	$3732	$1889	$1371	$1946	$575
Booster sessions	$1214	$2476	$1263	$925	$1308	$383
Instructor structured time^d	$1290	$1848	$558	$1292	$1677	$385
Instructor salary differences^e	$1884	$2404	$520	$1377	$1780	$403
All instructor time	$1249	$1602	$353	$1287	$1642	$355

CBT-I Cognitive behavioral therapy for insomnia, MAP-I Mindful awareness practices for insomnia
^aIndividually-based programs assume that interventions are delivered to individuals in a 1:1 instructor-to-participant ratio; group-based programs assume group-based delivery in a 1:7 instructor-to-participant ratio
^bHealthcare system perspective excludes participant and other AD caregiver time costs
^cListed in order of least-to-greatest impact on savings with MAP-I, considering individually-based programs
^dStructured instructor time includes time both in sessions and in structured treatment plan development
^eAssuming CBT-I instructors and MAP-I instructors all paid at MAP-I salary + benefits rate

ISSN: 1472-6963