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 .
Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls. 1: Randomised controlled trial
Abstract Objectives : To assess the effectiveness of a trained district nurse individually prescribing a home based exercise programme to reduce  falls and injuries in elderly people and to estimate the cost effectiveness of the programme . Design : R and omised controlled trial with one year 's follow up . Setting : Community health service at a New Zeal and hospital . Participants : 240 women and men aged 75 years and older . Intervention : 121 participants received the exercise programme ( exercise group ) and 119 received usual care ( control group )  ; 90 % ( 211 of 233 ) completed the trial . Main outcome measures : Number of falls , number of injuries result ing from falls , costs of implementing the programme , and hospital costs as a result of falls . Results : Falls were reduced by 46 % ( incidence rate ratio 0.54 , 95 % confidence interval 0.32 to 0.90 ) . Five hospital admissions were due to injuries caused by falls in the control group and none in the exercise group . The programme cost $ NZ1803 ( £ 523 ) ( at 1998 prices ) per fall prevented for delivering the programme and $ NZ155 per fall prevented when hospital costs averted were considered . Conclusion : A home exercise programme , previously shown to be successful when delivered by a physiotherapist , was also effective in reducing falls when delivered by a trained nurse from within a home health service . Serious injuries and hospital admissions due to falls were also reduced . The programme was cost effective in participants aged 80 years and older compared with younger participants
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 .