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. 2: Controlled trial in multiple centres
Abstract Objectives : To assess the effectiveness of trained nurses based in general practice s individually prescribing a home exercise programme to reduce  falls and injuries in elderly people and to estimate the cost effectiveness of the programme . Design : Controlled trial with one year 's follow up . Setting : 32 general practice s in seven southern New Zeal and centres . Participants : 450 women and men aged 80 years and older . Intervention : 330 participants received the  exercise programme ( exercise centres ) and 120 received usual care ( control centres ) ; 87 % ( 371 of 426 ) 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 30 % in the exercise centres ( incidence rate ratio 0.70 , 95 % confidence interval 0.59 to 0.84 ) . The programme was equally effective in men and women . The programme cost $ NZ418 ( £ 121 ) ( at 1998 prices ) per person to deliver for one year or $ NZ1519 ( £ 441 ) per fall prevented . Fewer participants had falls result ing in injuries , but there was no difference in the number who had serious injuries and no difference in hospital costs result ing from falls in exercise centres compared with control centres . Conclusions : An individually tailored exercise programme , delivered by trained nurses from within general practice s , was effective in reducing falls in three different centres . This strategy should be combined with other successful interventions to form part of home programmes to prevent falls in elderly people
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 .