Cost-effectiveness of an exercise programme that provided group or individual training to reduce the fall risk in healthy community-dwelling people aged 65-80: a secondary data analysis

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dc.contributor.authorAranda Reneo, Isaac
dc.contributor.authorAlbornos Muñoz, Laura
dc.contributor.authorRich Ruiz, Manuel
dc.contributor.authorCidoncha Moreno, María Ángeles
dc.contributor.authorPastor López, Ángeles
dc.contributor.authorMoreno Casbas, María Teresa
dc.contributor.authorOtago Project Working Group
dc.contributor.authorBays Moneo, Ana Beatriz
dc.contributor.departmentCiencias de la Saludes_ES
dc.contributor.departmentOsasun Zientziakeu
dc.date.accessioned2022-09-23T08:07:29Z
dc.date.available2022-09-23T08:07:29Z
dc.date.issued2021
dc.date.updated2022-09-23T07:43:24Z
dc.descriptionAna Beatriz Bays Moneo pertenece al Otago Project Working Groupes_ES
dc.description.abstractResearch has demonstrated that some exercise programs are effective for reducing fall rates in community-dwelling older people; however, the literature is limited in providing clear recommendations of individual or group training as a result of economic evaluation. The objective of this study was to assess the cost-effectiveness of the Otago Exercise Program (OEP) for reducing the fall risk in healthy, non-institutionalized older people. An economic evaluation of a multicenter, blinded, randomized, non-inferiority clinical trial was performed on 498 patients aged over 65 in primary care. Participants were randomly allocated to the treatment or control arms, and group or individual training. The program was delivered in primary healthcare settings and comprised five initial sessions, ongoing encouragement and support to exercise at home, and a reinforcement session after six months. Our hypothesis was that the patients who received the intervention would achieve better health outcomes and therefore need lower healthcare resources during the follow-up, thus, lower healthcare costs. The primary outcome was the incremental cost-effectiveness ratio, which used the timed up and go test results as an effective measure for preventing falls. The secondary outcomes included differently validated tools that assessed the fall risk. The cost per patient was USD 51.28 lower for the group than the individual sessions in the control group, and the fall risk was 10% lower when exercises had a group delivery. The OEP program delivered in a group manner was superior to the individual method. We observed slight differences in the incremental cost estimations when using different tools to assess the risk of fall, but all of them indicated the dominance of the intervention group. The OEP group sessions were more cost-effective than the individual sessions, and the fall risk was 10% lower.en
dc.description.sponsorshipThis work was supported by Spanish National Fund for Health Research (ISCIII-Subdirección General de Evaluación y Fomento de la Investigación), grant numbers PI16CIII/00031 coordinator, PI16/01520, PI16/00821, PI16/01316, PI16/01649, PI16/01042, PI16/01159 and PI16/01312, and Regional Fund for Health Research (País Vasco & Murcia), grant numbers 2016111005 & FFIS17/AP/02/04.en
dc.format.mimetypeapplication/pdfen
dc.identifier.citationAranda-Reneo I, Albornos-Muñoz L, Rich-Ruiz M, Cidoncha-Moreno MÁ, Pastor-López Á, Moreno-Casbas T, Otago Project Working Group. Cost-Effectiveness of an Exercise Programme That Provided Group or Individual Training to Reduce the Fall Risk in Healthy Community-Dwelling People Aged 65–80: A Secondary Data Analysis. Healthcare. 2021; vol. 9(6): p. 714.en
dc.identifier.doi10.3390/healthcare9060714
dc.identifier.issn2227-9032
dc.identifier.urihttps://academica-e.unavarra.es/handle/2454/44093
dc.language.isoengen
dc.publisherMDPIen
dc.relation.ispartofHealthcare, 2021, vol. 9 (6), p. 714en
dc.relation.projectIDinfo:eu-repo/grantAgreement/MINECO//PI16%2F00031/ES/
dc.relation.projectIDinfo:eu-repo/grantAgreement/MINECO//PI16%2F01520/ES/
dc.relation.projectIDinfo:eu-repo/grantAgreement/MINECO//PI16%2F00821/ES/
dc.relation.projectIDinfo:eu-repo/grantAgreement/MINECO//PI16%2F01316/ES/
dc.relation.projectIDinfo:eu-repo/grantAgreement/MINECO//PI16%2F01649/ES/
dc.relation.projectIDinfo:eu-repo/grantAgreement/MINECO//PI16%2F01042/ES/
dc.relation.projectIDinfo:eu-repo/grantAgreement/MINECO//PI16%2F01159/ES/
dc.relation.projectIDinfo:eu-repo/grantAgreement/MINECO//PI16%2F01312/ES/
dc.relation.publisherversionhttps://doi.org/10.3390/healthcare9060714
dc.rights© 2022 by the authors. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) licenseen
dc.rights.accessRightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectCost-effectivenessen
dc.subjectRisk fallen
dc.subjectOlder adultsen
dc.subjectRandomized controlled trialen
dc.subjectOtago Exercise Programen
dc.subjectTinettien
dc.subjectTimed up and goen
dc.subjectShort physical performance batteryen
dc.subjectDirect healthcare costsen
dc.titleCost-effectiveness of an exercise programme that provided group or individual training to reduce the fall risk in healthy community-dwelling people aged 65-80: a secondary data analysisen
dc.typeinfo:eu-repo/semantics/article
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dspace.entity.typePublication
relation.isAuthorOfPublicationcc296672-1d90-4af1-89e4-4ef14d6f645a
relation.isAuthorOfPublication.latestForDiscoverycc296672-1d90-4af1-89e4-4ef14d6f645a

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