Application of resource utilization in dementia (RUD) instrument in a global setting

Wimo, Anders, Gustavsson, Anders, Jonsson, Linus, Winblad, Bengt, Hsu, Ming-Ann and Gannon, Brenda (2013) Application of resource utilization in dementia (RUD) instrument in a global setting. Alzheimer's and Dementia, 9 4: 429-435.e17. doi:10.1016/j.jalz.2012.06.008


Author Wimo, Anders
Gustavsson, Anders
Jonsson, Linus
Winblad, Bengt
Hsu, Ming-Ann
Gannon, Brenda
Title Application of resource utilization in dementia (RUD) instrument in a global setting
Journal name Alzheimer's and Dementia   Check publisher's open access policy
ISSN 1552-5260
1552-5279
Publication date 2013-07-01
Year available 2012
Sub-type Article (original research)
DOI 10.1016/j.jalz.2012.06.008
Open Access Status Not yet assessed
Volume 9
Issue 4
Start page 429
End page 435.e17
Total pages 24
Place of publication Philadelphia, PA, United States
Publisher Elsevier
Language eng
Formatted abstract
Background: The Resource Utilization in Dementia (RUD) questionnaire is the most widely used instrument for resource use data collection in dementia, enabling comparison of costs of care across countries with differing health care provisions. Recent feedback from payers questioned its face validity given that health care provisions have changed since the initial development of the RUD in 1998. The aim of this study was to update the RUD to improve its face validity in Alzheimer's disease (AD) clinical research and its utility for health care resource allocation.

Methods: An extensive PubMed review was conducted of current relevant resource items in AD in 15 countries. The findings were complemented by interviews with local care providers and experts in dementia care and health economics. Their proposed revisions were discussed with five leading dementia experts in North and South America, northern and southern Europe, and Asia. A new version of the RUD was developed based on their recommendations.

Results: RUD users identified a need for more information relevant to coverage decisions. Proposed revisions included changes to existing questions (e.g., to capture more accurately the number and type of health care visits) and the addition of new questions (e.g., on informal caregiver hours and the primary caregiver's hours of sleep).

Conclusion: Several minor changes were made to the RUD instrument to improve the accuracy and precision of the data while maintaining comparability with the original version and reflecting current medical practice. The RUD Complete Version 4.0 is now available for use in future AD clinical trials.
Keyword RUD
Dementia
Resource use
Costing
Clinical trials
Outcomes
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: Mater Research Institute-UQ (MRI-UQ)
 
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Created: Wed, 22 Feb 2017, 16:54:33 EST by Anthony Yeates on behalf of Learning and Research Services (UQ Library)