In this area , there are examples of good and moderate quality studies which confirm the cost-effectiveness of diverse physical activity interventions in fall prevention .
Background Healthy ageing and health promotion ( HP ) actions for older people have become an important health sector priority .
At the same time , the application of economic evaluation methods in the field of health interventions in order to support allocative decision processes is of growing importance .
The aims of the review were to analyze what the existing evidence is on cost-effectiveness of HP and /or primary prevention ( PP ) programmes for older people whilst providing deeper insight into method ological aspects of such studies , their overall quality and issues related to practical implementation of results .
Economic evaluation of dose–response resistance training in older women: a cost-effectiveness and cost-utility analysis
Summary We estimated the incremental cost-effectiveness of a once-weekly or twice-weekly resistance training intervention compared with balance and tone classes in terms of falls prevented and quality -adjusted life years ( QALYs ) gained . Both resistance training interventions were more likely to save health care re source money and offer better health outcomes for falls prevention than balance and tone classes . Introduction This study aims to estimate the incremental cost-effectiveness and cost-utility of a once-weekly or twice-weekly resistance training intervention compared with twice-weekly balance and tone classes in terms of falls prevented and QALYs gained . Methods Economic evaluation was conducted concurrently with a three-arm r and omized controlled trial including 155 community-dwelling women aged 65 to 75 years , Mini Mental State Examination ≥24 , and visual acuity 20/40 or better . Participants received the once-weekly resistance training ( n = 54 ) , the twice-weekly resistance training ( n = 51 ) or the twice-weekly balance and tone ( the comparator ) classes ( n = 50 ) for 1 year . Measurements included the number of falls for each participant , healthcare re source utilization , and associated costs over 9 months ; health status was assessed using the EQ-5D and SF-6D to calculate QALYs . Results Based on the point estimates from our base case analysis , we found that both once- and twice-weekly resistance training groups were less costly ( p < 0.05 ) and more effective than twice-weekly balance and tone classes . The incremental QALYs assessed using the SF-6D were 0.003 for both the once- and twice-weekly resistance training groups , compared with the twice-weekly balance and tone classes . The incremental QALYs assessed using the EQ-5D were 0.084 for the once-weekly and 0.179 for the twice-weekly resistance training groups , respectively , compared with the twice-weekly balance and tone classes . Conclusions An individually tailored resistance training intervention delivered once or twice weekly provided better value for money for falls prevention than balance and tone classes
In this area , there are examples of good and moderate quality studies which confirm the cost-effectiveness of diverse physical activity interventions in fall prevention .
Background Healthy ageing and health promotion ( HP ) actions for older people have become an important health sector priority .
At the same time , the application of economic evaluation methods in the field of health interventions in order to support allocative decision processes is of growing importance .
The aims of the review were to analyze what the existing evidence is on cost-effectiveness of HP and /or primary prevention ( PP ) programmes for older people whilst providing deeper insight into method ological aspects of such studies , their overall quality and issues related to practical implementation of results .