Cost-effectiveness of the HiBalance training program for elderly with Parkinson’s disease: analysis of data from a randomized controlled trial

Joseph, Conran; Brodin, Nina; Leavy, Breiffni; Hagströmer, María; Löfgren, Niklas; Franzén, Erika

doi:10.1177/0269215518800832

Cited by 9 publications

(16 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One study published cost-effectiveness data, 127 noting that balance intervention provided in a group setting was more costly than the usual care control group but yielded greater gains in balance, gait, and quality-adjusted life years for individuals with PD.…”

Section: Balance Training ♦♦♦♦mentioning

confidence: 99%

Physical Therapist Management of Parkinson Disease: A Clinical Practice Guideline From the American Physical Therapy Association

Osborne

Botkin²,

Colón-Semenza

et al. 2021

Physical Therapy

View full text Add to dashboard Cite

A clinical practice guideline on Parkinson disease was developed by an American Physical Therapy Association (APTA) volunteer guideline development group that consisted of physical therapists and a neurologist. The guideline was based on systematic reviews of current scientific and clinical information and accepted approaches for management of Parkinson disease. The Spanish version of this clinical practice guideline is available as a supplement. (Suppl. Appendix 1).

show abstract

Section: Balance Training ♦♦♦♦mentioning

confidence: 99%

Physical Therapist Management of Parkinson Disease: A Clinical Practice Guideline From the American Physical Therapy Association

Osborne

Botkin²,

Colón-Semenza

et al. 2021

Physical Therapy

View full text Add to dashboard Cite

show abstract

“…This reflects direct and indirect expenses considered startup activities, including intervention development and piloting, which have not been reported by existing boxing training studies. The cost is higher than a previous study 23 of a 10‐week balance program for people with PD that estimated the cost per participant to be $2490. This did not consider startup activities, including intervention development and piloting, as part of expenses.…”

Section: Discussionmentioning

confidence: 68%

FIGHT‐PD: A feasibility study of periodized boxing training for Parkinson disease

Blacker

Fazio

Tucak

et al. 2023

PM&R

View full text Add to dashboard Cite

BackgroundBoxing training has become a popular form of exercise for people with Parkinson disease (PD). There is a dearth of high‐quality feasibility, safety, and efficacy data on boxing training for PD. Feasibility of Instituting Graduated High‐intensity Training (FIGHT‐PD) aimed to examine these features in a periodized boxing training program featuring high‐intensity physical and cognitive demands.ObjectiveTo conduct a feasibility study, aiming to address deficiencies in the current knowledge base and to provide data for future studies.DesignSingle‐arm, open‐label feasibility.SettingUniversity department and medical research institute.ParticipantsTen people with early stage PD without contraindications to intense exercise, identified from a database of participants interested in boxing training.InterventionsA 15‐week exercise program with three 1‐hour sessions per week, with each session including warmup and then rounds of noncontact boxing using a training device. Three distinct blocks of 5 weeks including active rest. Boxers Development: focus on training technique Boxers Cardio: increasing intensity, including high‐intensity interval training Boxers Brain: focus on cognitively challenging dual task training Main Outcome MeasuresProcess, resource, and management measures including recruitment and retention rates, timelines and costs, and compliance with prescribed exercise targets. Clinical outcomes were safety (adverse events), training intensity (using heart rate and perceived exertion monitoring), tolerability (pain, fatigue, and sleep scores), and pre‐ and postprogram Unified Parkinson Disease Rating Scale (UPDRS‐III).ResultsAmong 10 participants from a pool of 82 (recruitment rate = 12%), there were no withdrawals; 348/360 workouts were completed (adherence = 97.7%); 4/348 (1.1%) workouts were missed due to minor injury. Nine of 10 participants showed improvement in UPDRS motor score.ConclusionsFIGHT‐PD provides a depth of feasibility and safety data, methodological detail, and preliminary results that is not described elsewhere and could provide a useful basis for future studies of boxing training for PD.

show abstract

“…It is important to evaluate the economics of our smart systems. Cost-effectiveness21 is used to assess how much it costs that intelligent systems and doctors to diagnose each gait disorder. To evaluate the cost-effectiveness from the healthcare system and the societal perspectives, we will collect the data of unit costs and utilisations of the equipment, medications and labour hours taken to deliver each individual diagnosis, as well as the additional cost of patients’ accommodations, transportation and productivity losses due to their disease.…”

Section: Methods and Analysismentioning

confidence: 99%

“…The secondary outcomes are as follows: (1) the specificity and the Youden index22 (calculate as sensitivity plus specificity minus one) of the intelligent system and clinicians to screen for gait disorders; (2) the positive and negative predictive values of the intelligent system and clinicians at different levels to screen for gait disorders and (3) healthcare costs of intelligent systems and clinicians to screen for gait disorders, and the incremental cost effectiveness ratio21 will be estimated by cost per additional true case detected using an intelligent system vs clinicians.…”

Section: Assessmentsmentioning

confidence: 99%

Randomised parallel trial on the effectiveness and cost-effectiveness in screening gait disorder of silent cerebrovascular disease assisted by artificial intelligent system versus clinical doctors (ACCURATE-1): study protocol

Fei

Zhao

et al. 2022

BMJ Open

View full text Add to dashboard Cite

IntroductionSilent cerebrovascular disease (SCD), which is a common disease in the elderly, leads to cognitive decline, gait disorders, depression and urination dysfunction, and increases the risk of cerebrovascular events. Our study aims to compare the accuracy of the diagnosis of SCD-related gait disorders between the intelligent system and the clinician. Our team have developed an intelligent evaluation system for gait. This study will evaluate whether the intelligent system can help doctors make clinical decisions and predictions, which aids the early prevention and treatment of SCD.Methods and analysisThis study is a multi-centred, prospective, randomised and controlled trial.SCD subjects aged 60–85 years in Shanghai and Guizhou will be recruited continuously. All subjects will randomly be divided into a doctor with intelligence assistance group or a doctor group, at a 1:1 ratio. The doctor and intelligent assistant group will accept the intelligent system evaluation. The intelligent system obtains gait parameters by an Red-Green-Blue-depth camera and computer vision algorithm. The doctor group will accept the clinicians’ routine treatment procedures. Meanwhile, all subjects will accept the panel’s gait assessment and recognition rating scale as the gold standard. The primary outcome is the sensitivity of the intelligent system and clinicians to screen for gait disorders. The secondary outcomes include the healthcare costs and the incremental cost effectiveness ratio of intelligent systems and clinicians to screen for gait disorders.Ethics and disseminationApproval was granted by the Ethics Committee of Zhongshan Hospital affiliated with Fudan University on 26 November 2019. The approval number is B2019-027(2) R. All subjects will sign an informed consent form before enrolment. Serious adverse events will be reported to the main researchers and ethics committees. The subjects’ data will be kept strictly confidential. The results will be disseminated in peer-reviewed journals.Trial registration numberNCT04457908

show abstract

Cost-effectiveness of the HiBalance training program for elderly with Parkinson’s disease: analysis of data from a randomized controlled trial

Cited by 9 publications

References 29 publications

Physical Therapist Management of Parkinson Disease: A Clinical Practice Guideline From the American Physical Therapy Association

Physical Therapist Management of Parkinson Disease: A Clinical Practice Guideline From the American Physical Therapy Association

FIGHT‐PD: A feasibility study of periodized boxing training for Parkinson disease

Randomised parallel trial on the effectiveness and cost-effectiveness in screening gait disorder of silent cerebrovascular disease assisted by artificial intelligent system versus clinical doctors (ACCURATE-1): study protocol

Contact Info

Product

Resources

About