RESPOND: A programme to prevent secondary falls in older people presenting to the emergency department with a fall: Protocol for an economic evaluation
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Background Falls remain common for communitydwelling older people and impose a substantial economic burden to the healthcare system. RESPOND is a novel falls prevention programme that aims to reduce secondary falls and fall injuries among older people who present to a hospital emergency department (ED) with a fall. The present protocol describes a prospective economic evaluation examining the incremental costeffectiveness of the RESPOND programme, compared with usual care practice, from the Australian health system perspective. Methods and design This economic evaluation will recruit 528 participants from two major tertiary hospital EDs in Australia and will be undertaken alongside a multisite randomised controlled trial. Outcome and costing data will be collected for all participants over the 12-month trial. It will compare the RESPOND falls prevention programme with usual care practice (current community-based falls prevention practices) to determine its incremental cost-effectiveness according to three intermediate clinical outcomes: (1) falls prevented, (2) fall injuries prevented and (3) injurious falls prevented. In addition, utilities will be derived from a generic qualityof- life measure (EQ-5D-5L) and used to calculate the 'incremental cost per quality-adjusted life years gained'. Discussion The results of this study will provide healthcare decision makers with evidence to assist with setting spending thresholds for preventive health programmes and inform selection of emergency and community service models of care. Trial registration number The protocol for this study is registered with the Australian New Zealand Clinical Trials Registry (ACTRN12614000336684); Pre-results.
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The 6-PACK programme to decrease falls and fall-related injuries in acute hospitals: protocol for an economic evaluation alongside a cluster randomised controlled trialMorello, R.; Barker, A.; Zavarsek, S.; Watts, J.; Haines, T.; Hill, Keith; Sherrington, C.; Brand, C.; Jolley, D.; Stoelwinder, J. (2012)Falls are a common hospital occurrence complicating the care of patients. From an economic perspective, the impact of in-hospital falls and related injuries is substantial. However, few studies have examined the economic ...
It promoted a positive culture around falls prevention': Staff response to a patient education programme-a qualitative evaluationHill, Anne-Marie; Waldron, N.; Francis-Coad, J.; Haines, T.; Etherton-Beer, C.; Flicker, L.; Ingram, K.; McPhail, S. (2016)Objectives: The purpose of this study was to understand how staff responded to individualised patient falls prevention education delivered as part of a cluster randomised trial, including how they perceived the education ...
RESPOND: a patient-centred programme to prevent secondary falls in older people presenting to the emergency department with a fall-protocol for a mixed methods programme evaluationMorris, R.; Brand, C.; Hill, Keith; Ayton, D.; Redfern, J.; Nyman, S.; Lowthian, J.; Hill, A.; Etherton-Beer, C.; Flicker, L.; Hunter, P.; Barker, A. (2014)BACKGROUND: Programme evaluations conducted alongside randomised controlled trials (RCTs) have potential to enhance understanding of trial outcomes. This paper describes a multi-level programme evaluation to be conducted ...