Economic Evaluation of Self-Administered Dual-Task Training Reducing Falls in Community-Dwelling Older Adults: Cost-Effectiveness Analysis of a Multicenter Randomized Control Trial.
Mohammad Jobair Khan, Kenneth N K Fong, Thomson Wai-Lung Wong et al.
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In 30 seconds
This multicenter randomized controlled trial evaluated the cost-effectiveness of self-administered dual-task training (sDT) versus single-task training (sST) in preventing falls among 216 community-dwelling older adults aged over 65 with a history of falls. The sDT group demonstrated significantly lower hospitalization costs and improved quality-adjusted life years, indicating it is a highly cost-effective intervention.
Key findings
- sDT group had significantly lower hospitalization costs (mean = US$34, coef. = -169,262; P < .0001) compared to sST.
- sDT showed a cost saving of $696 compared to sST ($1995 vs $2692).
- sDT improved quality-adjusted life years (sDT = 8.67, sST = 8.39; difference: -0.29).
- sDT meets the highly cost-effective healthcare approach criterion with an incremental cost-effectiveness ratio of -$737,347.
Why it matters
Understanding the cost-effectiveness of fall prevention strategies is crucial for healthcare providers and policymakers, especially in managing resources for older adults at risk of falls. Effective interventions can lead to better health outcomes and reduced healthcare costs.