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
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.
Hetherington and Rouse are with Burnie Brae, Brisbane, QLD, Australia. Swinton is with the School of Health Sciences, Robert Gordon University, Aberdeen, United Kingdom. Henwood is with Southern Cross Care SA & NT, Adelaide, SA, Australia; and The University of Queensland, Brisbane, QLD, Australia. Keogh is with the Bond Institute of Health and Sport, Bond University, Gold Coast, QLD, Australia. Gardiner and Comans are with the Centre for Health Services Research, The University of Queensland, Brisbane, QLD, Australia. Tuckett is with the School of Nursing, Midwifery and Social Work, The University of Queensland, Brisbane, QLD, Australia.