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
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|
|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|
|Keywords||Exercise; Cost-utility; Effectiveness|
HETHERINGTON 2019 Progressive resistance