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  • Progressive Resistance Plus Balance Training for Older Australians Receiving In-Home Care Services: Cost-Effectiveness Analyses Alongside the Muscling Up Against Disability Stepped-Wedge Randomized Control Trial

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    Accepted Manuscript (AM)
    Author(s)
    Hetherington, Sharon
    Swinton, Paul
    Henwood, Tim
    Keogh, Justin
    Gardiner, Paul
    Tuckett, Anthony
    Rouse, Kevin
    Comans, Tracy
    Griffith University Author(s)
    Comans, Tracy
    Year published
    2019
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    Abstract
    In this article, the authors assessed the cost-effectiveness of center-based exercise training for older Australians. The participants were recipients of in-home care services, and they completed 24 weeks of progressive resistance plus balance training. Transport was offered to all participants. A stepped-wedge randomized control trial produced pre-, post-, and follow-up outcomes and cost data, which were used to calculate incremental cost-effectiveness ratios per quality-adjusted life year gained. Analyses were conducted from a health provider perspective and from a government perspective. From a health-service provider ...
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    In this article, the authors assessed the cost-effectiveness of center-based exercise training for older Australians. The participants were recipients of in-home care services, and they completed 24 weeks of progressive resistance plus balance training. Transport was offered to all participants. A stepped-wedge randomized control trial produced pre-, post-, and follow-up outcomes and cost data, which were used to calculate incremental cost-effectiveness ratios per quality-adjusted life year gained. Analyses were conducted from a health provider perspective and from a government perspective. From a health-service provider perspective, the direct cost of program provision was $303 per person, with transport adding an additional $1,920 per person. The incremental cost-utility ratio of the program relative to usual care was $70,540 per quality-adjusted life year over 6 months, decreasing to $37,816 per quality-adjusted life year over 12 months. The findings suggest that Muscling Up Against Disability offers good value for the money within commonly accepted threshold values.
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    Journal Title
    Journal of Aging and Physical Activity
    Volume
    28
    Issue
    3
    DOI
    https://doi.org/10.1123/japa.2019-0085
    Copyright Statement
    © 2020 Human Kinetics. This is the author-manuscript version of this paper. Reproduced in accordance with the copyright policy of the publisher. Please refer to the journal website for access to the definitive, published version.
    Subject
    Sports science and exercise
    cost–utility
    effectiveness
    exercise
    Publication URI
    http://hdl.handle.net/10072/396062
    Collection
    • Journal articles

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