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 .
Improving oral health in institutionalised elderly people by educating caregivers: a randomised controlled trial.
OBJECTIVES This cluster-r and omised controlled trial assessed whether oral health care education ( OHCE ) for nursing home caregivers would achieve improvements in clients ' oral health . METHODS Twenty-two nursing homes were r and omly allocated to intervention or control group . Clients were examined at baseline and at follow-up visits 1- and 6-months after caregivers received OHCE . Main outcome measures were denture plaque , denture-induced stomatitis , dental plaque and gingivitis . Differences in group means/medians were compared with adjustment for cluster r and omisation . RESULTS Clients ' baseline oral health was poor . After OHCE , the intervention group 's oral health scores improved significantly . Reductions in denture plaque scores ( 0 - 4 scale ) exceeded those of the control group by 1.15 ( 95%CI=0.83 , 1.47 ) at 1 month and by 1.47 ( 95%CI=1.13 , 1.80 ) at 6 months . Denture-induced stomatitis prevalence reduced significantly over 6 months compared to the control group ( P<0.0001 ) . Group differences in favour of the intervention group were 0.41 ( 95%CI=0.18 , 0.65 ) at 1 month and 0.34 ( 95%CI=0.14 , 0.53 ) at 6 months for dental plaque ( 0 - 3 scale ) , and 0.17 ( 95%CI= -0.01 , 0.35 ) at 1 month and 0.28 ( 95%CI 0.15 , 0.42 ) at 6 months for gingivitis ( 0 - 2 scale ) . Key differences remained significant after adjustment for clustering effects . The provider 's costs would currently be approximately pounds 6700 per year to deliver the intervention to a Health Authority with 100 homes . CONCLUSIONS Although final levels of residents ' oral health were still short of ideal , this study clearly shows that , for a modest cost , OHCE can improve caregivers '  knowledge , attitudes and oral health care performance for elderly , functionally dependent clients
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 .