Progressive resistance plus balance training for older Australians receiving in-home care services: cost-effectiveness analyses alongside the muscling up against disability stepped-wedge randomized control trial.

Hetherington, Sharon; Swinton, Paul; Henwood, Tim; Keogh, Justin; Gardiner, Paul; Tuckett, Anthony; Rouse, Kevin; Comans, Tracy

Abstract

In this article, the authors assessed the cost-effectiveness of center-based exercise training for older Australians. The participants were recipients of in-home care services, and they completed 24 weeks of progressive resistance plus balance training. Transport was offered to all participants. A stepped-wedge randomized control trial produced pre-, post-, and follow-up outcomes and cost data, which were used to calculate incremental cost-effectiveness ratios per quality-adjusted life year gained. Analyses were conducted from a health provider perspective and from a government perspective. From a health-service provider perspective, the direct cost of program provision was $303 per person, with transport adding an additional $1,920 per person. The incremental cost–utility ratio of the program relative to usual care was $70,540 per quality-adjusted life year over 6 months, decreasing to $37,816 per quality-adjusted life year over 12 months. The findings suggest that Muscling Up Against Disability offers good value for the money within commonly accepted threshold values.

Citation

HETHERINGTON, S., SWINTON, P., HENWOOD, T., KEOGH, J., GARDINER, P., TUCKETT, A., ROUSE, K. and COMANS, T. 2020. Progressive resistance plus balance training for older Australians receiving in-home care services: cost-effectiveness analyses alongside the muscling up against disability stepped-wedge randomized control trial. Journal of aging and physical activity [online], 28(3), pages 352-359. Available from: https://doi.org/10.1123/japa.2019-0085

• Journal Article Type: Article
• Acceptance Date: Aug 27, 2019
• Online Publication Date: Nov 18, 2019
• Publication Date: Jun 30, 2020
• Deposit Date: Aug 27, 2019
• Publicly Available Date: Aug 27, 2019
• Journal: Journal of aging and physical activity
• Print ISSN: 1063-8652
• Electronic ISSN: 1543-267X
• Publisher: Human Kinetics
• Peer Reviewed: Peer Reviewed
• Volume: 28
• Issue: 3
• Pages: 352-359
• DOI: https://doi.org/10.1123/japa.2019-0085
• Keywords: Exercise; Cost-utility; Effectiveness
• Public URL: https://rgu-repository.worktribe.com/output/400913