TY - JOUR
T1 - Economic evaluation of a home-based programme to reduce concerns about falls in frail, independently-living older people
AU - Evers, Silvia M. A. A.
AU - Dorresteijn, Tanja A. C.
AU - Wijnen, Ben F. M.
AU - van Haastregt, Jolanda C. M.
AU - Kempen, Gertrudis I. J. M.
AU - Zijlstra, G. A. Rixt
N1 - Funding Information:
This research has been funded by ZonMw, the Netherlands Organization for Health Research and Development [grant 120610001]. We would like to thank all participants and the nurses from the home-care organizations “Envida” (previously: “GroenekruisDomicura”) in Maastricht, “Zorggroep Meander” in Heerlen and “Zuyderland” (previously “Orbis Thuiszorg”) in Sittard-Geleen for their participation. The Center for Data and Information Management (MEMIC), Yvonne van Eijs, Inge van der Putten and Els Rennen are acknowledged for their assistance with the data collection.
Publisher Copyright:
© 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
PY - 2020/11/1
Y1 - 2020/11/1
N2 - Background: Concerns about falls, or fear of falling, are frequently reported by older people and can have serious consequences. Aim of this study was to evaluate the cost-effectiveness of a home-based, cognitive behavioral programme for independently-living, frail older people in comparison with usual care from a societal perspective. Methods: This economic evaluation was embedded in a randomized-controlled trial with a follow-up of 12-months. In the trial 389 people aged 70 years or older were allocated to usual care (n = 195) or the intervention group (n = 194). The intervention group received a home-based, cognitive behavioral programme. Main outcome measures were concerns about falls and Quality Adjusted Life Years (QALYs). Results: Average total costs per participant in the usual care group were 8,094 Euros and 7,890 Euros for participants in the intervention group. The intervention group showed a significant decrease in concerns about falls and a non-significant increase in QALYS in comparison with the usual care group. The probability that the intervention was cost-effective was 75% at a willingness to pay of 20,000 Euros per QALY. Discussion: The programme is likely to be cost-effective, and therefore a useful addition to current geriatric care, particularly for those persons who are not able or willing to attend group programmes.
AB - Background: Concerns about falls, or fear of falling, are frequently reported by older people and can have serious consequences. Aim of this study was to evaluate the cost-effectiveness of a home-based, cognitive behavioral programme for independently-living, frail older people in comparison with usual care from a societal perspective. Methods: This economic evaluation was embedded in a randomized-controlled trial with a follow-up of 12-months. In the trial 389 people aged 70 years or older were allocated to usual care (n = 195) or the intervention group (n = 194). The intervention group received a home-based, cognitive behavioral programme. Main outcome measures were concerns about falls and Quality Adjusted Life Years (QALYs). Results: Average total costs per participant in the usual care group were 8,094 Euros and 7,890 Euros for participants in the intervention group. The intervention group showed a significant decrease in concerns about falls and a non-significant increase in QALYS in comparison with the usual care group. The probability that the intervention was cost-effective was 75% at a willingness to pay of 20,000 Euros per QALY. Discussion: The programme is likely to be cost-effective, and therefore a useful addition to current geriatric care, particularly for those persons who are not able or willing to attend group programmes.
KW - ACTIVITY RESTRICTION
KW - ADULTS
KW - AVOIDANCE
KW - Aged
KW - COST-EFFECTIVENESS
KW - ELDERLY PERSONS
KW - FEAR
KW - GROUP INTERVENTION
KW - HEALTH SURVEY
KW - MANAGE CONCERNS
KW - RISK
KW - cognitive behavioral therapy
KW - economic evaluation
KW - fear of falling
KW - randomized controlled trial
KW - INTERVENTION
UR - https://tandf.figshare.com/articles/dataset/Economic_evaluation_of_a_home-based_programme_to_reduce_concerns_about_falls_in_frail_independently-living_older_people/9887552/1
U2 - 10.1080/14737167.2019.1666714
DO - 10.1080/14737167.2019.1666714
M3 - Article
C2 - 31502897
SN - 1473-7167
VL - 20
SP - 641
EP - 651
JO - Expert Review of Pharmacoeconomics & Outcomes Research
JF - Expert Review of Pharmacoeconomics & Outcomes Research
IS - 6
ER -