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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

Authors

Sharon Hetherington

Paul Swinton

Tim Henwood

Justin Keogh

Paul Gardiner

Anthony Tuckett

Kevin Rouse

Tracy Comans



Abstract

In this paper we assess the cost-effectiveness of center-based exercise training for older Australians. Participants were recipients of in-home care services and 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 outcome and cost data which were used to calculate incremental cost-effectiveness ratios per quality-adjusted life year (QALY) gained. Analyses were conducted from the 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 QALY over six months, reducing to $37,816 per QALY over 12 months. The findings suggest that Muscling Up Against Disability offers good value for money within commonly accepted threshold values.

Journal Article Type Article
Journal Journal of aging and physical activity
Print ISSN 1063-8652
Electronic ISSN 1543-267x
Publisher Human Kinetics
Peer Reviewed Peer Reviewed
Institution Citation HETHERINGTON, S., SWINTON, P., HENWOOD, T., KEOGH, J., GARDINER, P., TUCKETT, A., ROUSE, K. and COMANS, T. 2019. 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], Ahead of Print. Available from: https://doi.org/10.1123/japa.2019-0085
DOI https://doi.org/10.1123/japa.2019-0085
Keywords Exercise; Cost-utility; Effectiveness

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