Cost-Effectiveness and Value of Information Analysis of an Ambient Intelligent Geriatric Management (AmbIGeM) System Compared to Usual Care to Prevent Falls in Older People in Hospitals

Pham, Clarabelle T.; Visvanathan, Renuka; Strong, Mark; Wilson, Elaine; Lange, Kylie; Dollard, Joanne; Ranasinghe, Damith C.; Wilson, Anne; Karnon, Jonathan

doi:10.1007/s40258-022-00773-6

Cited by 4 publications

(3 citation statements)

References 22 publications

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“…In addition to multicomponent programs, single fall prevention interventions have also been found to be cost‐effective in preventing patient falls. In a recent study, Pham et al (2022) assessed the cost‐effectiveness of the Ambient Intelligent Geriatric Management (AmbIGeM) system in preventing falls among geriatric patients. The researchers found that the system was dominantly cost‐effective in preventing falls.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of the cost‐effectiveness of a multicomponent fall prevention program in hospitalized patients

Baris,

Seren Intepeler

2023

Nursing & Health Sciences

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The aim of this pre‐ and post‐interventional study was to analyze the cost‐effectiveness of the multicomponent fall prevention program in hospitalized patients. To achieve this aim, cost‐effectiveness analysis performed using decision tree modeling was compared with the implementation of the fall prevention program and usual care. The primary outcome was the number of patient falls. The uncertainty in cost and effectiveness data was evaluated using one‐way sensitivity analysis, best–worst‐case scenario analysis, and probabilistic sensitivity analysis. According to cost‐effectiveness analysis, implementation of the fall prevention program was dominantly cost‐effective. As a result of the probabilistic sensitivity analysis, it was revealed that, even if willing‐to‐pay per‐fall prevented value was 0, the probability of being cost‐effective was 54.4% for the fall prevention program. Economic evaluation results showed that implementing the multicomponent fall prevention program was dominantly cost‐effective in hospitalized patients. Nurses and nurse managers can benefit from economic evaluations in their decision‐making processes to implement fall prevention programs.

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Section: Discussionmentioning

confidence: 99%

“…Clinicians and managers face resource limitations when providing healthcare services. Consequently, they seek cost‐effective fall prevention interventions (Nuckols et al, 2017; Pham et al, 2022). This necessitates the use of cost‐effectiveness analysis as a crucial decision‐making tool (Gupta et al, 2020; Kim & Basu, 2021).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the cost‐effectiveness of a multicomponent fall prevention program in hospitalized patients

Baris,

Seren Intepeler

2023

Nursing & Health Sciences

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“…Fall is a common concern in hospital settings, with studies reporting a fall rate between three and five per 1000 bed days 5 – 7 . A previous meta-analysis showed that the pooled rate of fractures per 1000 person-years was 5.54 in SZ, compared to 3.48 in the general population 8 .…”

Section: Introductionmentioning

confidence: 99%

Dance/movement therapy for improving balance ability and bone mineral density in long-term patients with schizophrenia: a randomized controlled trial

Guan,

Zhou,

et al. 2023

Schizophr

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Fractures are common accidents for long-term hospitalized patients with schizophrenia (SZ) in psychiatric hospitals, and once they occur, patients usually endure the pain of fractures for a long time. Accumulating evidence has supported the implementation of dance/movement therapy (DMT) as a promising intervention for patients with SZ. However, no research has been conducted to investigate its role in balance ability in SZ. This study was designed to investigate the efficacy of a 12-week DMT intervention in bone mineral density and balance ability in patients with SZ using a randomized, controlled trial design. A total of 58 veterans with SZ were randomly assigned to the DMT intervention group (n = 29) and the treatment-as-usual (TAU) group (n = 29). Bone mineral density (BMD) and balance ability were measured in both groups at two measurement points (at baseline and at the end of Week 12). We found that patients in the DMT intervention group had significant improvements in BMD and balance ability compared with the TAU group by using repeated measures analysis of variance. Treatment with DMT demonstrated a significant improvement in BMD from baseline to week 12 (0.03, 95% CI: 0.01–0.05). For the Berg total score and static and dynamic balance, the mean changes in the DMT group were 7.3 (95% CI: 5.6–9.0), 4.0 (95% CI: 0.9–7.1), and 3.7 (95% CI: 2.6–4.8), respectively. Regression analysis showed that baseline BMD was a significant predictor of improvement in BMD from baseline to week 12 in the DMT group (β = 0.58, p < 0.001). Our results suggest for the first time that DMT intervention may be effective in beneficially regulating BMD and balance ability in SZ patients.

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Adding Value to CHEERS: New Reporting Standards for Value of Information Analyses

Karnon,

Pham

2023

Appl Health Econ Health Policy

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Cost-Effectiveness and Value of Information Analysis of an Ambient Intelligent Geriatric Management (AmbIGeM) System Compared to Usual Care to Prevent Falls in Older People in Hospitals

Cited by 4 publications

References 22 publications

Evaluation of the cost‐effectiveness of a multicomponent fall prevention program in hospitalized patients

Evaluation of the cost‐effectiveness of a multicomponent fall prevention program in hospitalized patients

Dance/movement therapy for improving balance ability and bone mineral density in long-term patients with schizophrenia: a randomized controlled trial

Adding Value to CHEERS: New Reporting Standards for Value of Information Analyses

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