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 and Swinton, Paul and Henwood, Tim and Keogh, Justin and Gardiner, Paul ORCID: https://orcid.org/0000-0002-8072-2673 and Tuckett, Anthony and Rouse, Kevin and Comans, Tracy (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, 28 (3). pp. 352-359. ISSN 1063-8652


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. © 2020 Human Kinetics, Inc.


Statistics for USQ ePrint 43568
Statistics for this ePrint Item
Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Permanent restricted access to Published version in accordance with the copyright policy of the publisher.
Faculty/School / Institute/Centre: No Faculty
Faculty/School / Institute/Centre: No Faculty
Date Deposited: 21 Oct 2021 23:56
Last Modified: 03 Nov 2021 06:32
Uncontrolled Keywords: cost-utility; effectiveness; exercise
Fields of Research (2008): 11 Medical and Health Sciences > 1106 Human Movement and Sports Science > 110602 Exercise Physiology
11 Medical and Health Sciences > 1117 Public Health and Health Services > 111712 Health Promotion
14 Economics > 1402 Applied Economics > 140208 Health Economics
Fields of Research (2020): 42 HEALTH SCIENCES > 4206 Public health > 420603 Health promotion
38 ECONOMICS > 3801 Applied economics > 380108 Health economics
42 HEALTH SCIENCES > 4207 Sports science and exercise > 420702 Exercise physiology
Identification Number or DOI: https://doi.org/10.1123/JAPA.2019-0085
URI: http://eprints.usq.edu.au/id/eprint/43568

Actions (login required)

View Item Archive Repository Staff Only