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COST-EFFECTIVENESS OF AN INTERVENTION TO REDUCE FEAR OF FALLING

Published online by Cambridge University Press:  19 June 2013

Jolanda C. M. van Haastregt ,
G.A. Rixt Zijlstra ,
Marike R. C. Hendriks ,
Mariëlle E.J.B. Goossens ,
Jacques Th.M. van Eijk  and
Gertrudis I.J.M. Kempen
Jolanda C. M. van Haastregt
Affiliation:
Maastricht University, Faculty of Health, Medicine and Life Sciences, CAPHRI School for Public Health and Primary Care, Department of Health Services Research
G.A. Rixt Zijlstra
Affiliation:
Maastricht University, Faculty of Health, Medicine and Life Sciences, CAPHRI School for Public Health and Primary Care, Department of Health Services Research
Marike R. C. Hendriks
Affiliation:
Maastricht University, Faculty of Health, Medicine and Life Sciences, School for Nutrition, Toxicology and Metabolism, Maastricht University Medical Centre, Department of Human Movement Science
Mariëlle E.J.B. Goossens
Affiliation:
Maastricht University, Faculty of Health, Medicine and Life Sciences, Department of Rehabilitation Medicine
Jacques Th.M. van Eijk
Affiliation:
Maastricht University, Faculty of Health, Medicine and Life Sciences, Department of Social Medicine, Maastricht, the Netherlands
Gertrudis I.J.M. Kempen
Affiliation:
Maastricht University, Faculty of Health, Medicine and Life Sciences, CAPHRI School for Public Health and Primary Care, Department of Health Services Research, Maastricht, the Netherlands
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Abstract

Objectives: The aim of this study was to assess whether a multicomponent cognitive behavioral group intervention is preferable to usual care in terms of (healthcare) costs and effects on fear of falling and activity avoidance.

Methods: This economic evaluation was embedded in a randomized controlled trial among 540 community-living adults in the Netherlands, aged 70 years and older who reported fear of falling and fear-induced activity avoidance. The participants allocated to the intervention group received a multicomponent cognitive behavioral group intervention consisting of eight weekly sessions and a booster session. The sessions were aimed at instilling realistic views of falls, reducing fall risk, and increasing activity and safe behavior. Participants in the control group received usual care. Cost outcome measures were healthcare costs, and patient and family costs. Clinical outcomes were fear of falling and activity avoidance. All outcomes were assessed at baseline and at 2, 8, and 14 months by means of registration forms, self-administered questionnaires, and interviews by telephone.

Results: Participants were randomly allocated to intervention (n = 280) and control groups (n = 260). Costs for the intervention program were on average €276 per person. Total costs per person were comparable (€4,925 in intervention group and €4,828 in control group). Furthermore, favorable effects of the program were observed for fear of falling and activity avoidance.

Conclusions: This study showed that the intervention program is preferable to usual care in terms of costs and effects. The program had comparable costs and significantly reduced fear of falling and associated activity avoidance among older community-living persons.

Keywords

AgedRandomized controlled trialCost effectivenessAccidental fallsFear
Type
ASSESSMENTS
Information
International Journal of Technology Assessment in Health Care , Volume 29 , Issue 3 , July 2013 , pp. 219 - 226
Copyright
Copyright © Cambridge University Press 2013 

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