@article{ref1,
title="Economic evaluation of a home-based programme to reduce concerns about falls in frail, independently-living older people",
journal="Expert review of pharmacoeconomics and outcomes research",
year="2019",
author="Evers, Silvia Maa and Dorresteijn, Tanja Ac and Wijnen, Ben Fm and van Haastregt, Jolanda Cm and Kempen, Gertrudis Ijm and Zijlstra, Ga Rixt",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Background Concerns about falls, or fear of falling, are frequently reported by older people and can have serious consequences. Aim of this study was to evaluate the cost-effectiveness of a home-based, cognitive behavioural programme for independently-living, frail older people in comparison with usual care from a societal perspective. <br><br>METHODS This economic evaluation was embedded in a randomised-controlled trial with a follow-up of 12-months. In the trial 389 people aged 70 years or older were allocated to usual care (n=195) or the intervention group (n=194). The intervention group received a home-based, cognitive behavioural programme. Main outcome measures were concerns about falls and Quality Adjusted Life Years (QALYs). <br><br>RESULTS Average total costs per participant in the usual care group were 8,094 Euros and 7,890 Euros for participants in the intervention group. The intervention group showed a significant decrease in concerns about falls and a non-significant increase in QALYS in comparison with the usual care group. The probability that the intervention was cost-effective was 75% at a willingness to pay of 20,000 Euros per QALY. <br><br>DISCUSSION The programme is likely to be cost-effective, and therefore a useful addition to current geriatric care, particularly for those persons who are not able or willing to attend group programmes. <b>Trial registration</b>: NCT01358032.<p /> <p>Language: en</p>",
language="en",
issn="1473-7167",
doi="10.1080/14737167.2019.1666714",
url="http://dx.doi.org/10.1080/14737167.2019.1666714"
}