Preventing autonomy loss with multicomponent geriatric interventions: A resource-saving strategy? Evidence from the SPRINT-T study
Background: 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: We compare the economic impact of two...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | SSM: Population Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352827323001726 |
| _version_ | 1797429983685115904 |
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| author | Thomas Rapp Jonathan Sicsic Jérôme Ronchetti Americo Cicchetti |
| author_facet | Thomas Rapp Jonathan Sicsic Jérôme Ronchetti Americo Cicchetti |
| author_sort | Thomas Rapp |
| collection | DOAJ |
| description | Background: 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: 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: 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: Our results show the need to implement healthy aging strategies that are more focused on people's interests. |
| first_indexed | 2024-03-09T09:21:09Z |
| format | Article |
| id | doaj.art-66699f183d0446afb2cba64497edfafc |
| institution | Directory Open Access Journal |
| issn | 2352-8273 |
| language | English |
| last_indexed | 2024-03-09T09:21:09Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | SSM: Population Health |
| spelling | doaj.art-66699f183d0446afb2cba64497edfafc2023-12-02T07:00:37ZengElsevierSSM: Population Health2352-82732023-12-0124101507Preventing autonomy loss with multicomponent geriatric interventions: A resource-saving strategy? Evidence from the SPRINT-T studyThomas Rapp0Jonathan Sicsic1Jérôme Ronchetti2Americo Cicchetti3Université Paris Cité, Chaire AgingUP! and LIRAES (URP 4470), F-75006, Paris, France; LIEPP Sciences Po Paris, France; Corresponding author. Université Paris Cité, Chaire AgingUP! and LIRAES (URP 4470), F-75006, 45 rue des Saints-Pères, Paris, France.Université Paris Cité, Chaire AgingUP! and LIRAES (URP 4470), F-75006, Paris, France; LIEPP Sciences Po Paris, FranceLaboratoire de Recherche Magellan (EA 3713), Université Lyon 3, FranceUniversità Cattolica del Sacro Cuore, ALTEMS, Faculty of Economics, Rome, ItalyBackground: 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: 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: 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: Our results show the need to implement healthy aging strategies that are more focused on people's interests.http://www.sciencedirect.com/science/article/pii/S2352827323001726Long-term careAgingNursing homeHome care |
| spellingShingle | Thomas Rapp Jonathan Sicsic Jérôme Ronchetti Americo Cicchetti Preventing autonomy loss with multicomponent geriatric interventions: A resource-saving strategy? Evidence from the SPRINT-T study SSM: Population Health Long-term care Aging Nursing home Home care |
| title | Preventing autonomy loss with multicomponent geriatric interventions: A resource-saving strategy? Evidence from the SPRINT-T study |
| title_full | Preventing autonomy loss with multicomponent geriatric interventions: A resource-saving strategy? Evidence from the SPRINT-T study |
| title_fullStr | Preventing autonomy loss with multicomponent geriatric interventions: A resource-saving strategy? Evidence from the SPRINT-T study |
| title_full_unstemmed | Preventing autonomy loss with multicomponent geriatric interventions: A resource-saving strategy? Evidence from the SPRINT-T study |
| title_short | Preventing autonomy loss with multicomponent geriatric interventions: A resource-saving strategy? Evidence from the SPRINT-T study |
| title_sort | preventing autonomy loss with multicomponent geriatric interventions a resource saving strategy evidence from the sprint t study |
| topic | Long-term care Aging Nursing home Home care |
| url | http://www.sciencedirect.com/science/article/pii/S2352827323001726 |
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