Economic evaluation of a home-based programme to reduce concerns about falls in frail, independently-living older people

Silvia M. A. A. Evers, Tanja A. C. Dorresteijn, Ben F. M. Wijnen*, Jolanda C. M. van Haastregt, Gertrudis I. J. M. Kempen, G. A. Rixt Zijlstra

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

1 Citation (Web of Science)

Abstract

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.

Original languageEnglish
Pages (from-to)641-651
Number of pages11
JournalExpert Review of Pharmacoeconomics & Outcomes Research
Volume20
Issue number6
Early online date21 Sep 2019
DOIs
Publication statusPublished - 1 Nov 2020

Keywords

  • ACTIVITY RESTRICTION
  • ADULTS
  • AVOIDANCE
  • Aged
  • COST-EFFECTIVENESS
  • ELDERLY PERSONS
  • FEAR
  • GROUP INTERVENTION
  • HEALTH SURVEY
  • MANAGE CONCERNS
  • RISK
  • cognitive behavioral therapy
  • economic evaluation
  • fear of falling
  • randomized controlled trial
  • INTERVENTION

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