Economic evaluation of a home-based programme to reduce concerns about falls in frail, independently-living older people
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. Trial registration: NCT01358032.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2020 |
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| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:20 |
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| Enthalten in: |
Expert review of pharmacoeconomics & outcomes research - 20(2020), 6 vom: 24. Dez., Seite 641-651 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Evers, Silvia M A A [VerfasserIn] |
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| Links: |
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| Themen: |
Aged |
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| Anmerkungen: |
Date Completed 18.03.2021 Date Revised 18.03.2021 published: Print-Electronic ClinicalTrials.gov: NCT01358032 Citation Status MEDLINE |
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| doi: |
10.1080/14737167.2019.1666714 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM301117136 |
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| 245 | 1 | 0 | |a Economic evaluation of a home-based programme to reduce concerns about falls in frail, independently-living older people |
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| 500 | |a published: Print-Electronic | ||
| 500 | |a ClinicalTrials.gov: NCT01358032 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a 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. Trial registration: NCT01358032 | ||
| 650 | 4 | |a Comparative Study | |
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| 650 | 4 | |a Randomized Controlled Trial | |
| 650 | 4 | |a Aged | |
| 650 | 4 | |a cognitive behavioral therapy | |
| 650 | 4 | |a economic evaluation | |
| 650 | 4 | |a fear of falling | |
| 650 | 4 | |a randomized controlled trial | |
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| 700 | 1 | |a Wijnen, Ben F M |e verfasserin |4 aut | |
| 700 | 1 | |a van Haastregt, Jolanda C M |e verfasserin |4 aut | |
| 700 | 1 | |a Kempen, Gertrudis I J M |e verfasserin |4 aut | |
| 700 | 1 | |a Zijlstra, G A Rixt |e verfasserin |4 aut | |
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