Cost-effectiveness of the HiBalance training program for elderly with Parkinson’s disease: analysis of data from a randomized controlled trial

Simple item page
dc.contributor.authorJoseph, Conran
dc.contributor.authorBrodin, Nina
dc.contributor.authorLeavy, Breiffni
dc.contributor.authorHagstromer, Maria
dc.contributor.authorLofgren, Niklas
dc.contributor.authorFranzén, Erika
dc.date.accessioned2018-10-01T09:17:16Z
dc.date.available2018-10-01T09:17:16Z
dc.date.issued2018
dc.description.abstractOBJECTIVE: To determine the cost-effectiveness of the HiBalance training program for managing Parkinson’s disease (PD)-related balance and gait disorders. DESIGN: Cost comparison design following the randomized controlled trial comparing a novel balance training intervention with care as usual. SUBJECTS: A total of 100 participants with mild–moderate PD were randomized to either the intervention (n = 51) or the control group (n = 49). INTERVENTION: A 10-week (three times per week), group-based, progressive balance training program, led by two physical therapists. MAIN OUTCOMES: All program costs were collected for both groups. Cost-utility was evaluated using quality-adjusted life years (QALYs) and cost-effectiveness measures were the Mini Balance Evaluation Systems Test (Mini-BESTest; assessing balance performance) and gait velocity. Incremental cost-effectiveness ratios were calculated and a probabilistic sensitivity analysis was conducted. RESULTS: The between-group difference in QALYs was 0.043 (95% confidence interval (CI): 0.011–0.075), favoring the intervention group. Between-group differences in balance performance and gait velocity were 2.16 points (95% CI: 1.19–3.13) and 8.2 cm/second (95% CI: 2.9–13.6), respectively, favoring the intervention group. The mean cost per participant in the intervention group was 16,222 SEK (€1649) compared to 2696 SEK (€274) for controls. The estimated incremental cost-effectiveness ratios were 314,558 SEK (€31,969) for an additional QALY, 6262 SEK (€631) for one point improvement in balance performance, and 1650 SEK (€166) for 1 cm/second increase in gait velocity. Sensitivity analyses indicated a high probability (85%) of program success. CONCLUSION: In terms of QALYs, the HiBalance program demonstrated a high probability of cost-effectiveness in the short-term perspective when considering the willingness-to-pay thresholds used in Europe.en_US
dc.identifier.citationJoseph, C. et al. (2018). Cost-effectiveness of the HiBalance training program for elderly with Parkinson’s disease: analysis of data from a randomized controlled trial. Clinical Rehabilitation, 2018: 1-11.en_US
dc.identifier.issn0269-2155
dc.identifier.urihttp://dx.doi.org/10.1177/0269215518800832
dc.identifier.urihttp://hdl.handle.net/10566/4078
dc.language.isoenen_US
dc.privacy.showsubmitterFALSE
dc.publisherSAGE Publicationsen_US
dc.rightsThis is the author-version of the article published online at: http://dx.doi.org/10.1177/0269215518800832
dc.status.ispeerreviewedTRUE
dc.subjectParkinson’s diseaseen_US
dc.subjectHiBalance trainingen_US
dc.subjectCost-effectivenessen_US
dc.subjectEconomic evaluationen_US
dc.subjectQuality-adjusted life yearsen_US
dc.titleCost-effectiveness of the HiBalance training program for elderly with Parkinson’s disease: analysis of data from a randomized controlled trialen_US
dc.typeArticleen_US

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Joseph_Cost-effectiveness_2018.pdf
Size:
1.8 MB
Format:
Adobe Portable Document Format
Description:
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

Research Articles (Physiotherapy)