IDEAS home Printed from https://ideas.repec.org/a/spr/eujoag/v21y2024i1d10.1007_s10433-024-00828-8.html
   My bibliography  Save this article

Cost-effectiveness analysis of the digital fall preventive intervention Safe Step among community-dwelling older people aged 70 and older

Author

Listed:
  • Saranda Bajraktari

    (Umeå University)

  • Marlene Sandlund

    (Umeå University)

  • Beatrice Pettersson

    (Umeå University)

  • Erik Rosendahl

    (Umeå University)

  • Magnus Zingmark

    (Umeå University
    Municipality of Östersund, Health and Social Care Administration)

Abstract

Falls are the most common cause of injury in older people, with consequences for the individual and society. With an increasing population of older people, falls and related costs are expected to increase. It is crucial to identify scalable and cost-effective interventions and subsequently reduce fall-related costs. The aim was to evaluate the cost-effectiveness of the Safe Step digital fall preventive exercise intervention over a period of 12 years and, in addition, to evaluate the impact of increased recruitment cost and decreased intervention effect. The intervention was evaluated in an observational study in a municipality context targeting community-dwelling older people of age 70 + . A Markov model with five states was used to model the cost-effectiveness of the Safe Step intervention and evaluate quality-adjusted life years (QALYs) and fall-related costs from a societal perspective. By using data from a meta-analysis as basis for the estimated intervention effect, the Safe Step intervention was compared with a no-intervention alternative. The results showed that the Safe Step intervention dominated no intervention. In the sensitivity analysis with the most conservative estimate of intervention effect, the ICER was €7 616 per QALY gained. Hence, Safe Step showed to be a cost-saving fall preventive intervention in older people at risk of falling and potentially cost-effective even with a low estimated intervention effect. Future studies on efficacy of fall preventive digital interventions will contribute in precising effect estimates and enhance the validity of these cost-effectiveness results.

Suggested Citation

  • Saranda Bajraktari & Marlene Sandlund & Beatrice Pettersson & Erik Rosendahl & Magnus Zingmark, 2024. "Cost-effectiveness analysis of the digital fall preventive intervention Safe Step among community-dwelling older people aged 70 and older," European Journal of Ageing, Springer, vol. 21(1), pages 1-10, December.
    • Handle: RePEc:spr:eujoag:v:21:y:2024:i:1:d:10.1007_s10433-024-00828-8
    DOI: 10.1007/s10433-024-00828-8
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s10433-024-00828-8
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.
    File URL: https://libkey.io/10.1007/s10433-024-00828-8?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Glasgow, R.E. & Vogt, T.M. & Boles, S.M., 1999. "Evaluating the public health impact of health promotion interventions: The RE-AIM framework," American Journal of Public Health, American Public Health Association, vol. 89(9), pages 1322-1327.
    2. Culyer, Anthony J., 2016. "Cost-effectiveness thresholds in health care: a bookshelf guide to their meaning and use," Health Economics, Policy and Law, Cambridge University Press, vol. 11(4), pages 415-432, October.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Jungyoon Kim & Valerie Pacino & Hongmei Wang & April Recher & Isha Jain & Vaibhavi Mone & Jihyun Ma & Mary Jo Spurgin & Daniel Jeffrey & Stephen Mohring & Jane Potter, 2021. "System Redesign: The Value of a Primary Care Liaison Model to Address Unmet Social Needs among Older Primary Care Patients," IJERPH, MDPI, vol. 18(21), pages 1-11, October.
    2. Gonot-Schoupinsky, Freda N. & Garip, Gulcan, 2019. "A flexible framework for planning and evaluating early-stage health interventions: FRAME-IT," Evaluation and Program Planning, Elsevier, vol. 77(C).
    3. Javad Moradpour & Aidan Hollis, 2021. "The economic theory of cost‐effectiveness thresholds in health: Domestic and international implications," Health Economics, John Wiley & Sons, Ltd., vol. 30(5), pages 1139-1151, May.
    4. Chelsea M. Cooper & Mary Drake & Justine A. Kavle & Joyce Nyoni & Ruth Lemwayi & Lemmy Mabuga & Anne Pfitzer & Mary Makungu & Elizabeth Massawe & John George, 2021. "Implementing a Novel Facility-Community Intervention for Strengthening Integration of Infant Nutrition and Family Planning in Mara and Kagera, Tanzania," IJERPH, MDPI, vol. 18(8), pages 1-21, April.
    5. Francisco Javier de la Garza Iga & Marinés Mejía Alvarez & Joshua D Cockroft & Julia Rabin & Ana Cordón & Dina Maria Elias Rodas & Maria del Pilar Grazioso & Maria Espinola & Christine O’Dea & Ch, 2023. "Using the project ECHO™ model to teach mental health topics in rural Guatemala: An implementation science-guided evaluation," International Journal of Social Psychiatry, , vol. 69(8), pages 2031-2041, December.
    6. Eugenio Zucchelli & Andrew M Jones & Nigel Rice, 2012. "The evaluation of health policies through dynamic microsimulation methods," International Journal of Microsimulation, International Microsimulation Association, vol. 5(1), pages 2-20.
    7. Gabrielle Scronce & Wanqing Zhang & Matthew Lee Smith & Vicki Stemmons Mercer, 2020. "Characteristics Associated with Improved Physical Performance among Community-Dwelling Older Adults in a Community-Based Falls Prevention Program," IJERPH, MDPI, vol. 17(7), pages 1-12, April.
    8. Saria Hassan & Alexis Cooke & Haneefa Saleem & Dorothy Mushi & Jessie Mbwambo & Barrot H. Lambdin, 2019. "Evaluating the Integrated Methadone and Anti-Retroviral Therapy Strategy in Tanzania Using the RE-AIM Framework," IJERPH, MDPI, vol. 16(5), pages 1-15, February.
    9. Julie Cowie & Eileen Calveley & Gillian Bowers & John Bowers, 2018. "Evaluation of a Digital Consultation and Self-Care Advice Tool in Primary Care: A Multi-Methods Study," IJERPH, MDPI, vol. 15(5), pages 1-23, May.
    10. Melissa D. Olfert & Rebecca L. Hagedorn & Makenzie L. Barr & Oluremi A. Famodu & Jessica M. Rubino & Jade A. White, 2018. "eB4CAST: An Evidence-Based Tool to Promote Dissemination and Implementation in Community-Based, Public Health Research," IJERPH, MDPI, vol. 15(10), pages 1-13, September.
    11. Siverskog, Jonathan & Henriksson, Martin, 2022. "The health cost of reducing hospital bed capacity," Social Science & Medicine, Elsevier, vol. 313(C).
    12. Sebastian-Ion Ceptureanu & Eduard-Gabriel Ceptureanu & Mihai Cristian Orzan & Irinel Marin, 2017. "Toward a Romanian NPOs Sustainability Model: Determinants of Sustainability," Sustainability, MDPI, vol. 9(6), pages 1-26, June.
    13. Michelle Nichols & Ronald Teufel & Sarah Miller & Mohan Madisetti & Christine San Giovanni & Katherine Chike-Harris & Lacy Jones & Margaret Prentice & Kenneth Ruggiero & Teresa Kelechi, 2020. "Managing Asthma and Obesity Related Symptoms (MATADORS): An mHealth Intervention to Facilitate Symptom Self-Management among Youth," IJERPH, MDPI, vol. 17(21), pages 1-15, October.
    14. Natalie Bradford & Shirley Chambers & Adrienne Hudson & Jacqui Jauncey‐Cooke & Robyn Penny & Carol Windsor & Patsy Yates, 2019. "Evaluation frameworks in health services: An integrative review of use, attributes and elements," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(13-14), pages 2486-2498, July.
    15. Seonad K. Madden & Helen Skouteris & Cate Bailey & Andrew P. Hills & Kiran D. K. Ahuja & Briony Hill, 2020. "Women in the Workplace: Promoting Healthy Lifestyles and Mitigating Weight Gain during the Preconception, Pregnancy, and Postpartum Periods," IJERPH, MDPI, vol. 17(3), pages 1-7, January.
    16. Kristen C. Reilly & Patricia Tucker & Jennifer D. Irwin & Andrew M. Johnson & Erin S. Pearson & Dirk E. Bock & Shauna M. Burke, 2018. "“C.H.A.M.P. Families”: Description and Theoretical Foundations of a Paediatric Overweight and Obesity Intervention Targeting Parents—A Single-Centre Non-Randomised Feasibility Study," IJERPH, MDPI, vol. 15(12), pages 1-23, December.
    17. Benjamin L. Robinson & Mike J. Clifford & Sarah Jewitt, 2021. "TIME to Change: An Evaluation of Practical Action Nepal’s Results Based Finance Program," Energies, MDPI, vol. 14(10), pages 1-18, May.
    18. Floor A. van den Brand & Tessa Magnée & Lotte de Haan-Bouma & Cas Barendregt & Niels H. Chavannes & Onno C. P. van Schayck & Gera E. Nagelhout, 2019. "Implementation of Financial Incentives for Successful Smoking Cessation in Real-Life Company Settings: A Qualitative Needs Assessment among Employers," IJERPH, MDPI, vol. 16(24), pages 1-16, December.
    19. Prosser, Brenton & Clark, Shannon & Davey, Rachel & Parker, Rhian, 2013. "Developing a public health policy-research nexus: An evaluation of Nurse Practitioner models in aged care," Evaluation and Program Planning, Elsevier, vol. 40(C), pages 55-63.
    20. Currie, Melissa & King, Gillian & Rosenbaum, Peter & Law, Mary & Kertoy, Marilyn & Specht, Jacqueline, 2005. "A model of impacts of research partnerships in health and social services," Evaluation and Program Planning, Elsevier, vol. 28(4), pages 400-412, November.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:eujoag:v:21:y:2024:i:1:d:10.1007_s10433-024-00828-8. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.