OBJECTIVES: To evaluate the cost-effectiveness of a 9-month preventive occupational therapy (OT) program in the Well-Elderly Study: a randomized trial in independent-living older adults that found significant health, function, and quality of life benefits attributable to preventive OT. DESIGN: A randomized trial. SETTING: Two government-subsidized apartment complexes. PARTICIPANTS: One hundred sixty-three culturally diverse volunteers aged 60 and older. INTERVENTION: An OT group, a social activity group (active control), and a nontreatment group (passive control). MEASUREMENTS: Use of healthcare services was determined by telephone interview during and after the treatment phase. A conversion algorithm was applied to the RAND 36-item Short Form Health Survey to derive a preference-based health-related quality of life index, quality-adjusted life years (QALYs), and the incremental cost-effectiveness ratio for preventive OT relative to the combined control group. RESULTS: Costs for the 9-month OT program averaged $548 per subject. Postintervention healthcare costs were lower for the OT group ($967) than for the active control group ($1,726), the passive control group ($3,334), or a combination of the control groups ($2,593). The quality of life index showed a 4.5% QALY differential (OT vs combined control), P <.001. The cost per QALY estimates for the OT group was $10,666 (95% confidence interval = $6,747-$25,430). For the passive and active control groups, the corresponding costs per QALY were $13,784 and $7,820, respectively. CONCLUSION: In this study, preventive OT demonstrated cost-effectiveness in conjunction with a trend toward decreased medical expenditures.
RCT Entities:
OBJECTIVES: To evaluate the cost-effectiveness of a 9-month preventive occupational therapy (OT) program in the Well-Elderly Study: a randomized trial in independent-living older adults that found significant health, function, and quality of life benefits attributable to preventive OT. DESIGN: A randomized trial. SETTING: Two government-subsidized apartment complexes. PARTICIPANTS: One hundred sixty-three culturally diverse volunteers aged 60 and older. INTERVENTION: An OT group, a social activity group (active control), and a nontreatment group (passive control). MEASUREMENTS: Use of healthcare services was determined by telephone interview during and after the treatment phase. A conversion algorithm was applied to the RAND 36-item Short Form Health Survey to derive a preference-based health-related quality of life index, quality-adjusted life years (QALYs), and the incremental cost-effectiveness ratio for preventive OT relative to the combined control group. RESULTS: Costs for the 9-month OT program averaged $548 per subject. Postintervention healthcare costs were lower for the OT group ($967) than for the active control group ($1,726), the passive control group ($3,334), or a combination of the control groups ($2,593). The quality of life index showed a 4.5% QALY differential (OT vs combined control), P <.001. The cost per QALY estimates for the OT group was $10,666 (95% confidence interval = $6,747-$25,430). For the passive and active control groups, the corresponding costs per QALY were $13,784 and $7,820, respectively. CONCLUSION: In this study, preventive OT demonstrated cost-effectiveness in conjunction with a trend toward decreased medical expenditures.
Authors: Elizabeth A Pyatak; Kristine Carandang; Cheryl Vigen; Jeanine Blanchard; Paola A Sequeira; Jamie R Wood; Donna Spruijt-Metz; Robin Whittemore; Anne L Peters Journal: Contemp Clin Trials Date: 2017-01-05 Impact factor: 2.226
Authors: Florence Clark; Elizabeth A Pyatak; Mike Carlson; Erna Imperatore Blanche; Cheryl Vigen; Joel Hay; Trudy Mallinson; Jeanine Blanchard; Jennifer B Unger; Susan L Garber; Jesus Diaz; Lucia I Florindez; Michal Atkins; Salah Rubayi; Stanley Paul Azen Journal: Clin Trials Date: 2014-02-26 Impact factor: 2.486
Authors: Maud J L Graff; Eddy M M Adang; Myrra J M Vernooij-Dassen; Joost Dekker; L Jönsson; Marjolein Thijssen; Willibrord H L Hoefnagels; Marcel G M Olde Rikkert Journal: BMJ Date: 2008-01-02
Authors: Florence Clark; Jeanne Jackson; Mike Carlson; Chih-Ping Chou; Barbara J Cherry; Maryalice Jordan-Marsh; Bob G Knight; Deborah Mandel; Jeanine Blanchard; Douglas A Granger; Rand R Wilcox; Mei Ying Lai; Brett White; Joel Hay; Claudia Lam; Abbey Marterella; Stanley P Azen Journal: J Epidemiol Community Health Date: 2011-06-02 Impact factor: 3.710