{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T12:48:24Z","timestamp":1791982104331,"version":"4.4.0"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2022,6,1]],"date-time":"2022-06-01T00:00:00Z","timestamp":1654041600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Australian National Health and Medical Research Council"},{"name":"University of Sydney Robinson Fellowship"},{"name":"National Heart Foundation Postdoctoral Fellowship","award":["101956"],"award-info":[{"award-number":["101956"]}]},{"name":"NHMRC Early Career Fellowship","award":["APP1141392"],"award-info":[{"award-number":["APP1141392"]}]},{"name":"Human Frontier Science Program Fellowship","award":["LT001080\/2017"],"award-info":[{"award-number":["LT001080\/2017"]}]},{"name":"NeuRA Foundation"},{"name":"Gandel Philanthropy"},{"name":"Australian National Health and Medical Research Council","award":["APP1105106"],"award-info":[{"award-number":["APP1105106"]}]},{"name":"Australian National Health and Medical Research Council","award":["APP1084739"],"award-info":[{"award-number":["APP1084739"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>globally, falls and fall-related injuries are the leading cause of injury-related morbidity and mortality in older people. In our ageing society healthcare costs are increasing, therefore programmes that reduce falls and are considered value for money are needed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>to complete an economic evaluation of an e-Health balance exercise programme that reduced falls and injurious falls in community-dwelling older people compared to usual care from a health and community-care funder perspective.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>a within-trial economic evaluation of an assessor-blinded randomised controlled trial with 2\u00a0years of follow-up.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Setting<\/jats:title>\n                  <jats:p>StandingTall was delivered via tablet-computer at home to older community-dwelling people in Sydney, Australia.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Participants<\/jats:title>\n                  <jats:p>five hundred and three individuals aged 70+ years who were independent in activities of daily living, without cognitive impairment, progressive neurological disease or any other unstable or acute medical condition precluding exercise.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Main outcome measures<\/jats:title>\n                  <jats:p>cost-effectiveness was measured as the incremental cost per fall and per injurious fall prevented. Cost-utility was measured as the incremental cost per quality-adjusted life year (QALY) gained.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Main results<\/jats:title>\n                  <jats:p>the total average cost per patient for programme delivery and care resource cost was $8,321 (standard deviation [SD] 18,958) for intervention participants and $6,829 (SD 15,019) for control participants. The incremental cost per fall prevented was $4,785 and per injurious fall prevented was $6,585. The incremental cost per QALY gained was $58,039 (EQ5D-5L) and $110,698 (AQoL-6D).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>this evaluation found that StandingTall has the potential to be cost-effective in specific subpopulations of older people, but not necessarily the whole older population.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Trial registration<\/jats:title>\n                  <jats:p>ACTRN12615000138583.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ageing\/afac130","type":"journal-article","created":{"date-parts":[[2022,6,9]],"date-time":"2022-06-09T16:19:39Z","timestamp":1654791579000},"source":"Crossref","is-referenced-by-count":18,"title":["Economic evaluation of the e-Health <i>StandingTall<\/i> balance exercise programme for fall prevention in people aged 70\u00a0years and over"],"prefix":"10.1093","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9117-7722","authenticated-orcid":false,"given":"Meghan","family":"Ambrens","sequence":"first","affiliation":[{"name":"School of Health, Medicine and Applied Science, Appleton Institute, CQUniversity , Melbourne, VIC, Australia"},{"name":"Falls, Balance and Injury Research Centre, Neuroscience Research Australia , Randwick, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberley S","family":"van Schooten","sequence":"additional","affiliation":[{"name":"Falls, Balance and Injury Research Centre, Neuroscience Research Australia , Randwick, NSW, Australia"},{"name":"School of Population Health, University of New South Wales , Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Lung","sequence":"additional","affiliation":[{"name":"The George Institute for Global Health, University of New South Wales , Newtown, NSW, Australia"},{"name":"Sydney School of Health Sciences , Faculty of Medicine and Health, , Sydney, NSW, Australia"},{"name":"The University of Sydney , Faculty of Medicine and Health, , Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindy","family":"Clemson","sequence":"additional","affiliation":[{"name":"Sydney School of Health Sciences , Faculty of Medicine and Health, , Sydney, NSW, Australia"},{"name":"The University of Sydney , Faculty of Medicine and Health, , Sydney, NSW, Australia"},{"name":"Centre for Excellence in Population Ageing Research, The University of Sydney , Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline C T","family":"Close","sequence":"additional","affiliation":[{"name":"Falls, Balance and Injury Research Centre, Neuroscience Research Australia , Randwick, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirsten","family":"Howard","sequence":"additional","affiliation":[{"name":"School of Public Health , Faculty of Medicine and Health, , Sydney, Australia"},{"name":"The University of Sydney , Faculty of Medicine and Health, , Sydney, Australia"},{"name":"Menzies Centre for Health Policy and Economics , Faculty of Medicine and Health, , Sydney, Australia"},{"name":"The University of Sydney , Faculty of Medicine and Health, , Sydney, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen R","family":"Lord","sequence":"additional","affiliation":[{"name":"Falls, Balance and Injury Research Centre, Neuroscience Research Australia , Randwick, NSW, Australia"},{"name":"School of Population Health, University of New South Wales , Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G A Rixt","family":"Zijlstra","sequence":"additional","affiliation":[{"name":"Care and Public Health Research Institute , Department of Health Services Research, , Maastricht, The Netherlands"},{"name":"Maastricht University , Department of Health Services Research, , Maastricht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Tiedemann","sequence":"additional","affiliation":[{"name":"School of Public Health , Faculty of Medicine and Health, , Sydney, Australia"},{"name":"The University of Sydney , Faculty of Medicine and Health, , Sydney, Australia"},{"name":"Institute for Musculoskeletal Health, The University of Sydney , Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trinidad","family":"Valenzuela","sequence":"additional","affiliation":[{"name":"Physical Activity , Lifestyle, Ageing and Wellbeing Faculty Research Group, Faculty of Medicine and Health Sciences, , Sydney NSW 2141, Australia"},{"name":"The University of Sydney , Lifestyle, Ageing and Wellbeing Faculty Research Group, Faculty of Medicine and Health Sciences, , Sydney NSW 2141, Australia"},{"name":"Exercise Science Laboratory, School of Kinesiology, Faculty of Medicine, Universidad Finis Terrae , Santiago, Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corneel","family":"Vandelanotte","sequence":"additional","affiliation":[{"name":"Appleton Institute, CQUniversity , Rockhampton, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Chow","sequence":"additional","affiliation":[{"name":"Falls, Balance and Injury Research Centre, Neuroscience Research Australia , Randwick, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Garth","family":"McInerney","sequence":"additional","affiliation":[{"name":"Falls, Balance and Injury Research Centre, Neuroscience Research Australia , Randwick, NSW, 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