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Cost-Effectiveness of a Community Exercise and Nutrition Program for Older Adults: Texercise Select

Author

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  • Olufolake (Odufuwa) Akanni

    (Department of Economics, University of New Mexico, Albuquerque, NM 87131, USA)

  • Matthew Lee Smith

    (Institute of Gerontology, College of Public Health, The University of Georgia, Athens, GA 30606, USA
    Center for Population Health and Aging, Texas A&M School of Public Health, College Station, TX 77842, USA)

  • Marcia G. Ory

    (Institute of Gerontology, College of Public Health, The University of Georgia, Athens, GA 30606, USA)

Abstract

The wide-spread dissemination of evidence-based programs that can improve health outcomes among older populations often requires an understanding of factors influencing community adoption of such programs. One such program is Texercise Select , a community-based health promotion program previously shown to improve functional health, physical activity, nutritional habits and quality of the life among older adults. This paper assesses the cost-effectiveness of Texercise Select in the context of supportive environments to facilitate its delivery and statewide sustainability. Participants were surveyed using self-reported instruments distributed at program baseline and conclusion. Program costs were based on actual direct costs of program implementation and included costs of recruitment and outreach, personnel costs and participant incentives. Program effectiveness was measured using quality-adjusted life year (QALY) gained, as well as health outcomes, such as healthy days, weekly physical activity and Timed Up-and-Go (TUG) test scores. Preference-based EuroQol (EQ-5D) scores were estimated from the number of healthy days reported by participants and converted into QALYs. There was a significant increase in the number of healthy days ( p < 0.05) over the 12-week program. Cost-effectiveness ratios ranged from $1374 to $1452 per QALY gained. The reported cost-effective ratios are well within the common cost-effectiveness threshold of $50,000 for a gained QALY. Some sociodemographic differences were also observed in program impact and cost. Non-Hispanic whites experienced significant improvements in healthy days from baseline to the follow-up period and had higher cost-effectiveness ratios. Results indicate that the Texercise Select program is a cost-effective strategy for increasing physical activity and improving healthy dietary practices among older adults as compared to similar health promotion interventions. In line with the significant improvement in healthy days, physical activity and nutrition-related outcomes among participants, this study supports the use of Texercise Select as an intervention with substantial health and cost benefits.

Suggested Citation

  • Olufolake (Odufuwa) Akanni & Matthew Lee Smith & Marcia G. Ory, 2017. "Cost-Effectiveness of a Community Exercise and Nutrition Program for Older Adults: Texercise Select," IJERPH, MDPI, vol. 14(5), pages 1-16, May.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:5:p:545-:d:99205
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    References listed on IDEAS

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    1. Haomiao Jia & Erica I. Lubetkin, 2008. "Estimating EuroQol EQ-5D Scores from Population Healthy Days Data," Medical Decision Making, , vol. 28(4), pages 491-499, July.
    2. Henry Saffer & Dhaval Dave & Michael Grossman & Leigh Ann Leung, 2013. "Racial, Ethnic, and Gender Differences in Physical Activity," Journal of Human Capital, University of Chicago Press, vol. 7(4), pages 378-410.
    3. Thomas Prohaska & Elaine Belansky & Basia Belza & David Buchner & Victor Marshall & Kathleen McTigue & William Satariano & Sara Wilcox, 2006. "Physical Activity, Public Health, and Aging: Critical Issues and Research Priorities," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 61(5), pages 267-273.
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    1. Nina van der Vliet & Anita W.M. Suijkerbuijk & Adriana T. de Blaeij & G. Ardine de Wit & Paul F. van Gils & Brigit A.M. Staatsen & Rob Maas & Johan J. Polder, 2020. "Ranking Preventive Interventions from Different Policy Domains: What Are the Most Cost-Effective Ways to Improve Public Health?," IJERPH, MDPI, vol. 17(6), pages 1-24, March.
    2. Elaine Yee-Sing Wong & Andy H. Lee & Anthony P. James & Jonine Jancey, 2019. "Recreational Centres’ Facilities and Activities to Support Healthy Ageing in Singapore," IJERPH, MDPI, vol. 16(18), pages 1-15, September.
    3. Marcia G. Ory & Matthew Lee Smith, 2017. "What If Healthy Aging Is the ‘New Normal’?," IJERPH, MDPI, vol. 14(11), pages 1-5, November.

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