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

Article

Hetherington, Sharon, Swinton, Paul, Henwood, Tim, Keogh, Justin, Gardiner, Paul, Tuckett, Anthony, Rouse, Kevin and Comans, Tracy. 2020. "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." Journal of Aging and Physical Activity. 28 (3), pp. 352-359. https://doi.org/10.1123/JAPA.2019-0085
Article Title

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

ERA Journal ID9765
Article CategoryArticle
AuthorsHetherington, Sharon (Author), Swinton, Paul (Author), Henwood, Tim (Author), Keogh, Justin (Author), Gardiner, Paul (Author), Tuckett, Anthony (Author), Rouse, Kevin (Author) and Comans, Tracy (Author)
Journal TitleJournal of Aging and Physical Activity
Journal Citation28 (3), pp. 352-359
Number of Pages8
Year2020
Place of PublicationChampaign, IL, United States
ISSN1063-8652
1543-267X
Digital Object Identifier (DOI)https://doi.org/10.1123/JAPA.2019-0085
Web Address (URL)https://journals.humankinetics.com/view/journals/japa/28/3/article-p352.xml
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 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. © 2020 Human Kinetics, Inc.

Keywordscost-utility; effectiveness; exercise
ANZSRC Field of Research 2020420603. Health promotion
380108. Health economics
420702. Exercise physiology
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Byline AffiliationsChermside Senior Citizens Centre, Australia
Robert Gordon University, United Kingdom
University of Queensland
Bond University
Institution of OriginUniversity of Southern Queensland
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Henwood, T., Neville, C., Baguley, C., Clifton, K. and Beattie, E.. 2015. "Physical and functional implications of aquatic exercise for nursing home residents with dementia." Geriatric Nursing. 36 (1), pp. 35-39. https://doi.org/10.1016/j.gerinurse.2014.10.009
Achieving ethics approval in residential aged care research: a protective process or barrier
Henwood, T., Baguley, C. and Neville, C.. 2015. "Achieving ethics approval in residential aged care research: a protective process or barrier." Australasian Journal on Ageing. 34 (3), pp. 201-201. https://doi.org/10.1111/ajag.12202
Relative and absolute reliability of functional performance measures for adults with dementia living in residential aged care
Fox, Benjamin, Henwood, Timothy, Neville, Christine and Keogh, Justin. 2014. "Relative and absolute reliability of functional performance measures for adults with dementia living in residential aged care." International Psychogeriatrics. 26 (10), pp. 1659-1667. https://doi.org/10.1017/S1041610214001124
Transition to practice programs: what Australian and New Zealand nursing and midwifery graduates said. A Graduate eCohort Sub-Study
Tuckett, Anthony, Eley, Robert and Ng, Linda. 2017. "Transition to practice programs: what Australian and New Zealand nursing and midwifery graduates said. A Graduate eCohort Sub-Study." Collegian: The Australian Journal of Nursing Practice, Scholarship and Research. 24 (2), pp. 101-108. https://doi.org/10.1016/j.colegn.2015.10.002
Financial capacity in older adults: a growing concern for clinicians
Gardiner, Paul A., Byrne, Gerard J., Mitchell, Leander K. and Pachana, Nancy A.. 2015. "Financial capacity in older adults: a growing concern for clinicians." Medical Journal of Australia. 202 (2), pp. 82-86. https://doi.org/10.5694/mja14.00201
A comparative study of Australian and New Zealand male and female nurses’ health: a sex comparison and gender analysis
Tuckett, Anthony, Henwood, Tim, Oliffe, John L., Kolbe-Alexander, Tracy L. and Rin Kim, Jae. 2016. "A comparative study of Australian and New Zealand male and female nurses’ health: a sex comparison and gender analysis." American Journal of Men's Health. 10 (6), pp. 450-458. https://doi.org/10.1177/1557988314567222
Mitii™ ABI: study protocol of a randomised controlled trial of a web-based multi-modal training program for children and adolescents with an acquired brain injury (ABI)
Boyd, Roslyn B, Baque, Emmah, Piovesana, Adina, Ross, Stephanie, Ziviani, Jenny, Sakzewski, Leanne, Barber, Lee, Lloyd, Owen, McKinlay, Lynne, Whittingham, Koa, Smith, Anthony C., Rose, Stephen, Fiori, Simona, Cunnington, Ross, Ware, Robert, Lewis, Melinda, Comans, Tracy A. and Scuffham, Paul. A. 2015. "Mitii™ ABI: study protocol of a randomised controlled trial of a web-based multi-modal training program for children and adolescents with an acquired brain injury (ABI)." BMC Neurology. 15 (140). https://doi.org/10.1186/s12883-015-0381-6
Exploring registered nurses’ attitudes towards postgraduate education in Australia: an overview of the literature
Ng, Linda, Tuckett, Anthony, Fox-Young, Stephanie and Kain, Victoria. 2014. "Exploring registered nurses’ attitudes towards postgraduate education in Australia: an overview of the literature." Journal of Nursing Education and Practice. 4 (2), pp. 162-170. https://doi.org/10.5430/jnep.v4n3p20
I love nursing, but.. - qualitative findings from Australian aged-care nurses about their intrinsic, extrinsic and social work values
Tuckett, Anthony, Parker, Deborah, Eley, Robert and Hegney, Desley. 2009. "I love nursing, but.. - qualitative findings from Australian aged-care nurses about their intrinsic, extrinsic and social work values." International Journal of Older People Nursing. 4 (4), pp. 307-317. https://doi.org/10.1111/j.1748-3743.2009.00184.x
Regional differences among employed nurses: a Queensland study
Henwood, Tim, Eley, Robert, Parker, Deborah, Tuckett, Anthony and Hegney, Desley. 2009. "Regional differences among employed nurses: a Queensland study." Australian Journal of Rural Health. 17 (4), pp. 201-207. https://doi.org/10.1111/j.1440-1584.2009.01072.x
The top eight issues Queensland Australia's aged-care nurses and assistants-in-nursing worried about outside their workplace: a qualitative snapshot
Tuckett, Anthony, Hegney, Desley, Parker, Deborah, Eley, Robert M. and Dickie, Robyn. 2011. "The top eight issues Queensland Australia's aged-care nurses and assistants-in-nursing worried about outside their workplace: a qualitative snapshot." International Journal of Nursing Practice. 17 (5), pp. 444-454. https://doi.org/10.1111/j.1440-172X.2011.01966.x
Construct validity and reliability of the practice environment scale of the nursing work index for Queensland nurses
Parker, Deborah, Tuckett, Anthony, Eley, Robert and Hegney, Desley. 2010. "Construct validity and reliability of the practice environment scale of the nursing work index for Queensland nurses." International Journal of Nursing Practice. 16 (4), pp. 352-358. https://doi.org/10.1111/j.1440-172X.2010.01851.x
Workplace violence: differences in perceptions of nursing work between those exposed and those not exposed: a cross-sector analysis
Hegney, Desley, Tuckett, Anthony, Parker, Deborah and Eley, Robert. 2010. "Workplace violence: differences in perceptions of nursing work between those exposed and those not exposed: a cross-sector analysis ." International Journal of Nursing Practice. 16 (2), pp. 188-202. https://doi.org/10.1111/j.1440-172X.2010.01829.x
Access to and support for continuing professional education amongst Queensland nurses: 2004 and 2007
Hegney, Desley, Tuckett, Anthony, Parker, Deborah and Eley, Robert. 2010. "Access to and support for continuing professional education amongst Queensland nurses: 2004 and 2007." Nurse Education Today. 30 (2), pp. 142-149. https://doi.org/10.1016/j.nedt.2009.06.015
Career breaks and intentions for retirement by Queensland's nurses - a sign of the times?
Eley, Robert, Parker, Deborah, Tuckett, Anthony and Hegney, Desley. 2010. "Career breaks and intentions for retirement by Queensland's nurses - a sign of the times? " Collegian: The Australian Journal of Nursing Practice, Scholarship and Research. 17 (1), pp. 38-42. https://doi.org/10.1016/j.colegn.2009.10.004