Preventing autonomy loss with multicomponent geriatric interventions: A resource-saving strategy? Evidence from the SPRINT-T study.
Aging
Home care
Long-term care
Nursing home
Journal
SSM - population health
ISSN: 2352-8273
Titre abrégé: SSM Popul Health
Pays: England
ID NLM: 101678841
Informations de publication
Date de publication:
Dec 2023
Dec 2023
Historique:
received:
13
04
2023
revised:
24
07
2023
accepted:
29
08
2023
medline:
20
10
2023
pubmed:
20
10
2023
entrez:
20
10
2023
Statut:
epublish
Résumé
The objective of healthy aging strategies is to support interventions targeting autonomy loss prevention, with the assumption that these interventions are likely to be efficient by simultaneously improving clinical outcomes and saving costs. We compare the economic impact of two interventions targeting frailty prevention in older European populations: a multicomponent intervention including physical activity monitoring, nutrition management, information and communications technology use and a relatively simple healthy aging lifestyle education program based on a series of workshops. Our sample includes 1,519 male and female participants from 11 European countries aged 70 years or older. Our econometric model explores trends in several outcomes depending on intervention receipt and frailty status at baseline. Implementing a multicomponent intervention among frail older people does not lead to a lower use of care and do not prevent quality of life losses associated with aging. However, it impacts older people's sense of priorities and interest in the future. We find no statistically significant differences between the two interventions, suggesting that the implementation of a multicomponent intervention may not be the most efficient strategy. The impact of the interventions does not differ by frailty status at baseline. Our results show the need to implement healthy aging strategies that are more focused on people's interests.
Sections du résumé
Background
UNASSIGNED
The objective of healthy aging strategies is to support interventions targeting autonomy loss prevention, with the assumption that these interventions are likely to be efficient by simultaneously improving clinical outcomes and saving costs.
Methods
UNASSIGNED
We compare the economic impact of two interventions targeting frailty prevention in older European populations: a multicomponent intervention including physical activity monitoring, nutrition management, information and communications technology use and a relatively simple healthy aging lifestyle education program based on a series of workshops. Our sample includes 1,519 male and female participants from 11 European countries aged 70 years or older. Our econometric model explores trends in several outcomes depending on intervention receipt and frailty status at baseline.
Results
UNASSIGNED
Implementing a multicomponent intervention among frail older people does not lead to a lower use of care and do not prevent quality of life losses associated with aging. However, it impacts older people's sense of priorities and interest in the future. We find no statistically significant differences between the two interventions, suggesting that the implementation of a multicomponent intervention may not be the most efficient strategy. The impact of the interventions does not differ by frailty status at baseline.
Conclusions
UNASSIGNED
Our results show the need to implement healthy aging strategies that are more focused on people's interests.
Identifiants
pubmed: 37860705
doi: 10.1016/j.ssmph.2023.101507
pii: S2352-8273(23)00172-6
pmc: PMC10582469
doi:
Types de publication
Journal Article
Langues
eng
Pagination
101507Informations de copyright
© 2023 Published by Elsevier Ltd.
Références
Health Serv Res. 2019 Dec;54(6):1305-1315
pubmed: 31571222
BMC Health Serv Res. 2016 Apr 14;16:128
pubmed: 27074800
Health Aff (Millwood). 2017 Dec;36(12):2123-2132
pubmed: 29140737
PLoS One. 2019 Sep 11;14(9):e0222049
pubmed: 31509563
J Frailty Aging. 2021;10(2):103-109
pubmed: 33575698
BMJ. 2022 May 11;377:e068788
pubmed: 35545258
Soc Sci Med. 2016 Jun;158:14-23
pubmed: 27104307
Aging Clin Exp Res. 2017 Feb;29(1):89-100
pubmed: 28144914
JAMA Netw Open. 2020 Feb 5;3(2):e200049
pubmed: 32101308
J Epidemiol Community Health. 2016 Jul;70(7):722-9
pubmed: 26933121
Aging Clin Exp Res. 2017 Feb;29(1):75-79
pubmed: 28160252
Arch Gerontol Geriatr. 2013 Jul-Aug;57(1):16-26
pubmed: 23578847
Eur J Health Econ. 2017 Mar;18(2):243-253
pubmed: 26914932
J Gerontol A Biol Sci Med Sci. 2016 May;71(5):656-62
pubmed: 26888433
Age Ageing. 2017 May 1;46(3):401-407
pubmed: 28064172
Eur J Health Econ. 2021 Apr;22(3):405-423
pubmed: 33587220
J Frailty Aging. 2021;10(3):290-296
pubmed: 34105715
Exp Gerontol. 2018 Nov;113:48-57
pubmed: 30261246
J Gerontol A Biol Sci Med Sci. 2015 Feb;70(2):216-22
pubmed: 25387728
J Am Med Dir Assoc. 2020 Feb;21(2):294.e1-294.e10
pubmed: 31706917
Eur Geriatr Med. 2021 Apr;12(2):303-312
pubmed: 33583000
Soc Sci Med. 2018 Aug;210:2-21
pubmed: 29331519
Health Policy. 2020 Aug;124(8):865-872
pubmed: 32507482
JAR Life. 2021 Mar 11;10:17-18
pubmed: 36923516
J Am Geriatr Soc. 2020 Sep;68(9):2034-2042
pubmed: 32402097