2026-06-14T03:43:22Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/132392025-05-26T14:54:46Zcom_20.500.12105_15322com_20.500.12105_2051com_20.500.12105_2052col_20.500.12105_16982col_20.500.12105_19618
Repisalud
author
Aranda-Reneo, Isaac
author
Albornos-Muñoz, Laura
author
Rich-Ruiz, Manuel
author
Cidoncha-Moreno, María Ángeles
author
Pastor-López, Ángeles
author
Moreno-Casbas, Teresa
author
Otago Project Working Group
funder
Instituto de Salud Carlos III
funder
Gobierno de la Región de Murcia (España)
funder
Basque Government (España)
2021-07-07T09:27:10Z
2021-07-07T09:27:10Z
2021-06-10
Healthcare (Basel). 2021 Jun 10;9(6):714.
10.3390/healthcare9060714
2227-9032
Healthcare (Basel, Switzerland)
34200873
http://hdl.handle.net/20.500.12105/13239
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.
eng
Otago Exercise Program
Tinetti
Direct healthcare costs
Older adults
Randomized controlled trial
Risk fall
Short physical performance battery
Timed up and go
Cost-effectiveness
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
research article
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CostEffectivenessOfAn_2021.pdf
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text/plain
CostEffectivenessOfAn_2021.pdf.txt