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dc.contributor.authorAranda-Reneo, Isaac
dc.contributor.authorAlbornos-Muñoz, Laura
dc.contributor.authorRich Ruiz, Manuel
dc.contributor.authorCidoncha-Moreno, María Ángeles
dc.contributor.authorPastor López, Ángeles
dc.contributor.authorMoreno-Casbas, María Teresa
dc.contributor.authorOtago Project Working Group
dc.date.accessioned2021-06-11T06:48:04Z
dc.date.available2021-06-11T06:48:04Z
dc.date.issued2021
dc.identifier.urihttp://hdl.handle.net/10396/21415
dc.description.abstractResearch 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.es_ES
dc.format.mimetypeapplication/pdfes_ES
dc.language.isoenges_ES
dc.publisherMDPIes_ES
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/4.0/es_ES
dc.sourceHealthcare 9(6), 714 (2021)es_ES
dc.subjectCost-effectivenesses_ES
dc.subjectRisk falles_ES
dc.subjectOlder adultses_ES
dc.subjectRandomized controlled triales_ES
dc.subjectOtago Exercise Programes_ES
dc.subjectTinetties_ES
dc.subjectTimed up and goes_ES
dc.subjectShort physical performance batteryes_ES
dc.subjectDirect healthcare costses_ES
dc.titleCost-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 Analysises_ES
dc.typeinfo:eu-repo/semantics/articlees_ES
dc.relation.publisherversionhttp://dx.doi.org/10.3390/healthcare9060714es_ES
dc.relation.projectIDInstituto de Salud Carlos III. PI16CIII/00031es_ES
dc.relation.projectIDInstituto de Salud Carlos III. PI16/01520es_ES
dc.relation.projectIDInstituto de Salud Carlos III. PI16/00821es_ES
dc.relation.projectIDInstituto de Salud Carlos III. PI16/01316es_ES
dc.relation.projectIDInstituto de Salud Carlos III. PI16/01649es_ES
dc.relation.projectIDInstituto de Salud Carlos III. PI16/01042es_ES
dc.relation.projectIDInstituto de Salud Carlos III. PI16/01159es_ES
dc.relation.projectIDInstituto de Salud Carlos III. PI16/01312es_ES
dc.rights.accessRightsinfo:eu-repo/semantics/openAccesses_ES


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