Effectiveness and Estimation of Cost-Effectiveness of a Group-Based Multicomponent Physical Exercise Programme on Risk of Falling and Frailty in Community-Dwelling Older Adults

Tamara Alhambra-Borrás, Estrella Durá-Ferrandis and Maite Ferrando-García
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Tamara Alhambra-Borrás: Polibienestar Research Institute, Universitat de València, 46022 Valencia, Spain
Estrella Durá-Ferrandis: Polibienestar Research Institute, Universitat de València, 46022 Valencia, Spain
Maite Ferrando-García: Kveloce I+D+i, R&D+i Consultancy, 46002 Valencia, Spain

IJERPH, 2019, vol. 16, issue 12, 1-15

Abstract: This study analyses the effectiveness and cost-effectiveness of a group-based multicomponent physical exercise programme aimed at reducing the risk of falling and frailty in community-dwelling older adults. This is a pretest–posttest non-equivalent control group design, with an intervention group and a comparison group. Participants were evaluated at baseline and after 9 months. The effectiveness analyses showed significant reduction in the risk of falling (−45.5%; p = 0.000) and frailty (−31%; p = 0.000) after the intervention for the participants in the physical exercise programme. Moreover, these participants showed an improvement in limitations in activities of daily living, self-care ability and the use of health resources, physical performance, balance and body mass index. The cost-effectiveness analyses showed that the intervention was cost-saving and more effective than usual care scenario. A novel group-based multicomponent physical exercise programme showed to be more effective and cost-effective than usual care for older adults suffering from risk of falling and frailty.

Keywords: risk of falling; frailty; falls; older adults; physical exercise; ageing (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
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