Summary of results of the trial and model-based economic evaluations investigating fall prevention exercise programs in older adults living in aged care facilities
| Author/country (income)/campaign | Perspective/horizon | Population | Exercise description* | US$†/QALY, 95% CI or UI | US$†/fall prevented, 95% CI or UI | Level of certainty‡ |
| Trial-based | ||||||
| Balance/functional | ||||||
| Hewitt et al
10, Strength and balance exercise programme | Healthcare system 12 months |
| Strength and balance exercises Progressive training: 2 days/wk for 60 min/session over 26 wks Maintenance phase: 30 /min session over 26 wks | NR | US$22/fall prevented (95% CI −380 to 418) US$56/injurious fall avoided (UI NR) | Moderate |
| Model-based | ||||||
| 3D (tai chi) | ||||||
| Wilson et al
56, Tai chi | Societal 12 months |
| Tai chi 2 days/wk for 60 min/session over 52 wks | NR | Dominant (net cost-saving: US$1834) | Low |
Dominant indicates that the intervention was less costly and more effective.
*Salient details only; a full description of each intervention is available in online supplemental table 1
†In 2020 US
‡Overall judgement of certainty of each economic model for WHO decision-making according to a GRADE style rating (see online supplemental material 12 for more details).
NR, not reported; QALY, quality-adjusted life year; UI, uncertainty interval; wk(s), week(s).