Cost-Effectiveness of the ENJOY Seniors Exercise Park for Older People: A Pre–Post Intervention Study
Article
Article Title | Cost-Effectiveness of the ENJOY Seniors Exercise Park for Older People: A Pre–Post Intervention Study |
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ERA Journal ID | 9773 |
Article Category | Article |
Authors | Brusco, Natasha K., Hill, Keith D., Haines, Terry, Dunn, Jeremy, Panisset, Maya G., Dow, Briony, Batchelor, Frances, Biddle, Stuart J.H., Duque, Gustavo and Levinger, Pazit |
Journal Title | Journal of Physical Activity and Health |
Journal Citation | 20 (6), pp. 555-565 |
Number of Pages | 11 |
Year | 2023 |
Publisher | Human Kinetics Publishers |
Place of Publication | United States |
ISSN | 1543-3080 |
1543-5474 | |
Digital Object Identifier (DOI) | https://doi.org/10.1123/jpah.2022-0380 |
Web Address (URL) | https://journals.humankinetics.com/view/journals/jpah/aop/article-10.1123-jpah.2022-0380/article-10.1123-jpah.2022-0380.xml |
Abstract | Background: The Exercise interveNtion outdoor proJect in the cOmmunitY (ENJOY) Seniors Exercise Park program uses specialized outdoor equipment and a physical activity program to engage older people in physical activity, with multiple health benefits. We determined the cost-effectiveness of the ENJOY program. Methods: The economic evaluation compared health care utilization costs 6 months prior to and 6 months post ENJOY program participation. Incremental cost-utility analysis for the primary aim (quality of life) and incremental cost-effectiveness analysis for the secondary aim (falls) were used. Analyses took a societal perspective inclusive of Australian government-funded health care and pharmaceuticals in addition to hospitalizations, community-based nursing and allied health, and community services. Productivity costs were also calculated. Results: Fifty participants (average age 72.8 y [SD 7.4] and 78.0% [n = 39/50] women) were included. Participation in the ENJOY program reduced health care costs in the 6 months following the program: preintervention, $9764.49 (SD $26,033.35); postintervention, $5179.30 (SD $3826.64); observed postintervention reduction −$4.585.20 (95% confidence interval, −$12,113.99 to $2943.59; P = .227) without compromising quality of life (mean difference [MD] 0.011; 95% confidence interval, −0.034 to 0.056; P = .631) or increasing the likelihood of a fall (−0.5; 95% confidence interval, 0.00 to −0.50; P = .160). The ENJOY intervention is likely cost-effective. Conclusions: Planning for shared community spaces should consider the benefits of a Seniors Exercise Park as part of the built environment. |
Keywords | economic; cost-utility; falls; quality of life |
ANZSRC Field of Research 2020 | 420799. Sports science and exercise not elsewhere classified |
420603. Health promotion | |
420301. Aged health care | |
Public Notes | Files associated with this item cannot be displayed due to copyright restrictions. |
Byline Affiliations | Monash University |
National Ageing Research Institute, Australia | |
University of Melbourne | |
Deakin University | |
Centre for Health Research | |
Victoria University |
https://research.usq.edu.au/item/y9yy6/cost-effectiveness-of-the-enjoy-seniors-exercise-park-for-older-people-a-pre-post-intervention-study
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