umu.sePublications
Change search
ReferencesLink to record
Permanent link

Direct link
Occupation-focused health promotion for well older people: a cost-effectiveness analysis
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy. Umeå University, Faculty of Social Sciences, Centre for Demographic and Ageing Research (CEDAR).
Umeå University, Faculty of Social Sciences, Centre for Demographic and Ageing Research (CEDAR). Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Occupational Therapy.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Occupational and Environmental Medicine. Department of Occupational Therapy, College of Health and Human Sciences, Colorado State University, Fort Collins, USA.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.
2016 (English)In: British Journal of Occupational Therapy, ISSN 0308-0226, E-ISSN 1477-6006, Vol. 79, no 3, 153-162 p.Article in journal (Refereed) PublishedText
Abstract [en]

Introduction The aim of this study was to evaluate three occupational therapy interventions, focused on supporting continued engagement in occupation among older people, to determine which intervention was most cost effective, evaluated as the incremental cost/quality adjusted life year gained. Method The study was based on an exploratory randomized controlled trial. Participants were 77-82 years, single living and without home help. One hundred and seventy seven persons were randomized to an individual intervention, an activity group, a discussion group or a no intervention control group. All interventions focused on supporting the participants to maintain or improve occupational engagement. Outcomes were evaluated at baseline, three and 12 months and included general health and costs (intervention, municipality and health care). Based on linear regression models, we evaluated how outcomes had changed at each follow-up for each intervention group in relation to the control group. Results Both group interventions resulted in quality adjusted life years gained at three months. A sustained effect on quality adjusted life years gained and lower total costs indicated that the discussion group was the most cost-effective intervention. Conclusion Short-term, occupation-focused occupational therapy intervention delivered in group formats for well older people resulted in quality-adjusted life years gained. A one-session discussion group was most cost effective.

Place, publisher, year, edition, pages
2016. Vol. 79, no 3, 153-162 p.
Keyword [en]
Occupational therapy, occupational engagement, activity limitations, participation restrictions, health omotion, self-rated health, quality-adjusted life years, cost effectiveness
National Category
Occupational Therapy
Identifiers
URN: urn:nbn:se:umu:diva-119071DOI: 10.1177/0308022615609623ISI: 000372175200004OAI: oai:DiVA.org:umu-119071DiVA: diva2:921014
Available from: 2016-04-19 Created: 2016-04-11 Last updated: 2016-04-19Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full text

Search in DiVA

By author/editor
Zingmark, MagnusNilsson, IngeborgFisher, Anne G.Lindholm, Lars
By organisation
Occupational TherapyCentre for Demographic and Ageing Research (CEDAR)Occupational and Environmental MedicineEpidemiology and Global Health
In the same journal
British Journal of Occupational Therapy
Occupational Therapy

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 97 hits
ReferencesLink to record
Permanent link

Direct link