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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 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.

Journal Article Type Article
Publication Date Jun 30, 2020
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
Institution 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
DOI https://doi.org/10.1123/japa.2019-0085
Keywords Exercise; Cost-utility; Effectiveness

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