RT Journal Article
T1 Cost-Effectiveness of an Exercise Programme That Provided Group or Individual Training to Reduce the Fall Risk in Healthy Community-Dwelling People Aged 65-80: A Secondary Data Analysis
A1 Aranda-Reneo, Isaac
A1 Albornos-Muñoz, Laura
A1 Rich-Ruiz, Manuel
A1 Cidoncha-Moreno, María Ángeles
A1 Pastor-López, Ángeles
A1 Moreno-Casbas, Teresa
K1 Cost-effectiveness
K1 Risk fall
K1 Older adults
K1 Randomized controlled trial
K1 Otago Exercise Program
K1 Tinetti
K1 Timed up and go
K1 Short physical performance battery
K1 Direct healthcare costs
K1 Análisis costo-beneficio
K1 Anciano frágil
K1 Ensayo clínico controlado aleatorio
K1 Pruebas neuropsicológicas
K1 Costes de la atención a la salud
AB Research has demonstrated that some exercise programs are effective for reducing fall rates in community-dwelling older people; however, the literature is limited in providing clear recommendations of individual or group training as a result of economic evaluation. The objective of this study was to assess the cost-effectiveness of the Otago Exercise Program (OEP) for reducing the fall risk in healthy, non-institutionalized older people. An economic evaluation of a multicenter, blinded, randomized, non-inferiority clinical trial was performed on 498 patients aged over 65 in primary care. Participants were randomly allocated to the treatment or control arms, and group or individual training. The program was delivered in primary healthcare settings and comprised five initial sessions, ongoing encouragement and support to exercise at home, and a reinforcement session after six months. Our hypothesis was that the patients who received the intervention would achieve better health outcomes and therefore need lower healthcare resources during the follow-up, thus, lower healthcare costs. The primary outcome was the incremental cost-effectiveness ratio, which used the timed up and go test results as an effective measure for preventing falls. The secondary outcomes included differently validated tools that assessed the fall risk. The cost per patient was USD 51.28 lower for the group than the individual sessions in the control group, and the fall risk was 10% lower when exercises had a group delivery. The OEP program delivered in a group manner was superior to the individual method. We observed slight differences in the incremental cost estimations when using different tools to assess the risk of fall, but all of them indicated the dominance of the intervention group. The OEP group sessions were more cost-effective than the individual sessions, and the fall risk was 10% lower.
PB MDPI
YR 2021
FD 2021-06-10
LK http://hdl.handle.net/10668/4431
UL http://hdl.handle.net/10668/4431
LA en
NO Aranda-Reneo I, Albornos-Muñoz L, Rich-Ruiz M, Cidoncha-Moreno MÁ, Pastor-López Á, Moreno-Casbas T. Cost-Effectiveness of an Exercise Programme That Provided Group or Individual Training to Reduce the Fall Risk in Healthy Community-Dwelling People Aged 65-80: A Secondary Data Analysis. Healthcare. 2021 Jun 10;9(6):714
DS RISalud
RD Apr 11, 2025