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It has become even more pressing with the arrival of the baby-boomer generation. This has given rise to several initiatives. This is the background to the VIVADOM project. The project provides a complete kit for older adults aged 60 years and over living at home. First, the kit includes a technological package (telecare, light path and digital tablet). Then, these older adults benefit from personalised human support provided by postal workers trained in gerontology. The aim of this study will be to carry out a health economic assessment (HEA) of the VIVADOM project as part of the prevention of frailty and\/or dependency (by comparing beneficiaries of the complete kit with non-beneficiaries). The comparator will be the fact of not benefiting from the complete kit. In addition, the efficiency of the project in preventing falls and cognitive problems will be studied. We will calculate three incremental cost-effectiveness ratios (ICER) for these three issues.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and analysis<\/jats:title>\n                  <jats:p>The economic model used will be the Markov model. Transition probabilities, average costs and average quality-adjusted life year (QALY) will be calculated for the two groups being compared. The ICER will be obtained by dividing the difference in average costs by the difference in average QALYs. Finally, ICERs will be compared with willingness-to-pay (WTP) to assess the efficiency of the system. Thus, the VIVADOM project will be efficient when these ICERs are lower than the WTP. Univariate and probabilistic sensitivity analysis will be carried out to ensure the robustness of the analysis results.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Ethics and dissemination<\/jats:title>\n                  <jats:p>The HEA of the VIVADOM project has been approved by the research unit of the University of Limoges in France. The results will be published in a peer-reviewed journal and presented at relevant national and international conferences.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-102907","type":"journal-article","created":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T03:01:56Z","timestamp":1758682916000},"page":"e102907","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Health economic assessment of the Landes public service \u2018Vivre \u00e0 Domicile (VIVADOM)\u2019 (Living at Home) based on personalised care for frail older adults with human support and digital solutions (telecare, tablet, home automation and connected objects): a Markov model study protocol"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7068-8945","authenticated-orcid":false,"given":"Abdoul Razak","family":"Sawadogo","sequence":"first","affiliation":[{"name":"UR 24134 | Vieillissement, Fragilit\u00e9, Pr\u00e9vention, e-Sant\u00e9 | Institut OMEGA HEALTH, Universit\u00e9 de Limoges, Limoges, Nouvelle-Aquitaine, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Gayot","sequence":"additional","affiliation":[{"name":"Laboratoire Vie Sant\u00e9 UR 24134 | Vieillissement, Fragilit\u00e9, Pr\u00e9vention, e-Sant\u00e9 | Institut OMEGA HEALTH, Universit\u00e9 de Limoges, Limoges, Nouvelle-Aquitaine, France"},{"name":"Unit\u00e9 de Recherche Clinique et d\u2019Innovation (URCI) en G\u00e9rontologie, Centre Hospitalier Universitaire de Limoges, Limoges, Nouvelle-Aquitaine, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean Fran\u00e7ois","family":"Nys","sequence":"additional","affiliation":[{"name":"Laboratoire Vie Sant\u00e9 UR 24134 | Vieillissement, Fragilit\u00e9, Pr\u00e9vention, e-Sant\u00e9 | Institut OMEGA HEALTH, Universit\u00e9 de Limoges, Limoges, Nouvelle-Aquitaine, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Myriam","family":"Le Goff-Pronost","sequence":"additional","affiliation":[{"name":"Laboratoire de traitement de l\u2019information m\u00e9dicale (LATIM), INSERM U650, UMR 1101, Universit\u00e9 de Bretagne Occidentale, Brest, Brittany, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Achille","family":"Tchalla","sequence":"additional","affiliation":[{"name":"Laboratoire Vie Sant\u00e9 UR 24134 | Vieillissement, Fragilit\u00e9, Pr\u00e9vention, e-Sant\u00e9 | Institut OMEGA HEALTH, Universit\u00e9 de Limoges, Limoges, Nouvelle-Aquitaine, France"},{"name":"2Unit\u00e9 de Recherche Clinique et d\u2019Innovation (URCI) en G\u00e9rontologie, P\u00f4le G\u00e9rontologie Clinique, Centre Hospitalier Universitaire de Limoges, Limoges, Nouvelle-Aquitaine, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,9,23]]},"reference":[{"key":"2025092320001498000_15.9.e102907.1","unstructured":"Monirijavid La . 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