{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T18:18:45Z","timestamp":1787768325382,"version":"build-2784847793"},"reference-count":39,"publisher":"Human Kinetics","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,1]]},"abstract":"<jats:p>\n                    <jats:italic>\n                      <jats:bold>Background<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    Uncertainty exists among health practitioners and policymakers regarding the adoption of cost-effective interventions to prevent falls in community-dwelling older adults. This study compares cost-effectiveness of self-administered dual-task training (sDT) with self-administered single-task training (sST) for fall prevention.\n                    <jats:italic>\n                      <jats:bold>Methods<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    This prospective randomized controlled trial included 216 older adults aged over 65\u00a0years with a previous fall history. Assessments were conducted at baseline, postintervention, and a 6-month follow-up, and the study outcomes were measured using fall frequency and quality of life. The association between treatments and prospective fall-related direct medical costs was assessed using 2-part models. A half-cycle corrected Markov model estimated cost-effectiveness over 10\u00a0years and calculated incremental cost-effectiveness ratios and quality-adjusted life years. The strength of the findings was evaluated using deterministic and probabilistic sensitivity analyses.\n                    <jats:italic>\n                      <jats:bold>Results<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    Participants of the sDT group had significantly lower hospitalization costs (mean\u2009=\u2009US$34, coefficient [coef.]\u2009=\u2009\u2212169,262; 95% confidence interval, \u2212173,614.7 to \u2212164,910;\n                    <jats:italic>P<\/jats:italic>\n                    \u2009&lt;\u2009.0001), compared with the sST group (mean\u2009=\u2009$211.31; coef.\u2009=\u200924,724.36). Compared with sST, sDT meets the highly cost-effective healthcare approach criterion with an incremental cost-effectiveness ratio of \u2212$737,347. Base-case analysis reported the cost (sDT\u2009=\u2009$1995, sST\u2009=\u2009$2692; difference: \u2212$696) saving of sDT interventions and improvement in quality-adjusted life years (sDT\u2009=\u20098.67, sST\u2009=\u20098.39; difference: \u22120.29) due to practicing sDT with a health benefit of 0.09 quality-adjusted life years per person per year.\n                    <jats:italic>\n                      <jats:bold>Conclusion<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    Findings of this cost-effective analysis suggest that sDT improves quality of life for participants and reduces healthcare costs due to a lower fall incidence and hospitalization, meeting the cost-effective threshold criteria from a Hong Kong healthcare perspective.\n                  <\/jats:p>","DOI":"10.1123\/jpah.2025-0252","type":"journal-article","created":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T02:07:06Z","timestamp":1780625226000},"page":"1337-1346","source":"Crossref","is-referenced-by-count":0,"title":["Economic Evaluation of Self-Administered Dual-Task Training Reducing Falls in Community-Dwelling Older Adults: Cost-Effectiveness Analysis of a Multicenter Randomized Control Trial"],"prefix":"10.1123","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9418-1759","authenticated-orcid":true,"given":"Mohammad Jobair","family":"Khan","sequence":"first","affiliation":[{"name":"Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth N. 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