They are definitely not a 'cure-all' for anything. But, they can make some differences. If they make connections with the radiating element rather than ground, at the very least, they will make the 'whip' portion slightly longer. Effectively changing the length of the antenna, so retuning it, sort of. If that's what happens then you could do the same thing by just adjusting the whip, probably. That doesn't say anything about it being a capacitive hat, but it would act that way too.
If it makes connection to the ground side of the antenna, then it would act sort of like the opposite of a capacitive hat by making 'ground' appear closer to the whip. About the same as shortening the whip, so it ~could~ make an SWR change to the better, or worse too. Same sort of change you'd get from readjusting the length of the whip.
Now. It the price of this thingy worth it? Uh... not to me cuz I'm cheap and would rather just change whip length (if possible). I don't think it's particularly 'good looking' so that part of it isn't much use to me. And then there's the fact that there's always more than one way of doing things. This 'way' just doesn't suit me (cheap again)...
- 'Doc