TY - JOUR
T1 - Cost-Utility of A Lifestyle Intervention in Adolescents and Young Adults with Spastic Cerebral Palsy
AU - Slaman, J.
AU - van den Berg-Emons, R.
AU - Tan, S.S.
AU - Russchen, H.
AU - van Meeteren, J.
AU - Dallmeijer, A.J.
AU - Stam, H.
AU - Roebroeck, M.
PY - 2015
Y1 - 2015
N2 - Objective: To evaluate the cost-utility of a lifestyle intervention among adolescents and young adults with cerebral palsy. Design: Single-blind, randomized controlled trial. Setting: Six university hospital/clinics in the Netherlands. Participants: Fifty-seven adolescents and young adults with spastic cerebral palsy classified as Gross Motor Functioning Classification System (GMFCS) level I-IV. Intervention: A 6-month lifestyle intervention consisting of physical fitness training combined with counselling sessions focusing on physical behaviour and sports participation. Main outcome measures: Data on quality of life, direct medical costs and productivity costs were collected using standardized questionnaires. Quality adjusted life years (QALYs) were derived from the Short-Form 36 questionnaire using the Short-Form 6D. Results: Quality of life remained stable over time for both groups. No significant differences between groups were found for direct medical costs or productivity costs. A costutility ratio of -€23,664 per QALY was found for the lifestyle intervention compared with no treatment. Conclusion: The results of this study are exploratory, but indicate that implementing a lifestyle intervention for the cerebral palsy population might be cost-effective or cost-saving compared with offering no intervention to improve physical behaviour and fitness. However, the large range of uncertainty for the cost-utility ratio should be taken into account and the results interpreted with caution.
AB - Objective: To evaluate the cost-utility of a lifestyle intervention among adolescents and young adults with cerebral palsy. Design: Single-blind, randomized controlled trial. Setting: Six university hospital/clinics in the Netherlands. Participants: Fifty-seven adolescents and young adults with spastic cerebral palsy classified as Gross Motor Functioning Classification System (GMFCS) level I-IV. Intervention: A 6-month lifestyle intervention consisting of physical fitness training combined with counselling sessions focusing on physical behaviour and sports participation. Main outcome measures: Data on quality of life, direct medical costs and productivity costs were collected using standardized questionnaires. Quality adjusted life years (QALYs) were derived from the Short-Form 36 questionnaire using the Short-Form 6D. Results: Quality of life remained stable over time for both groups. No significant differences between groups were found for direct medical costs or productivity costs. A costutility ratio of -€23,664 per QALY was found for the lifestyle intervention compared with no treatment. Conclusion: The results of this study are exploratory, but indicate that implementing a lifestyle intervention for the cerebral palsy population might be cost-effective or cost-saving compared with offering no intervention to improve physical behaviour and fitness. However, the large range of uncertainty for the cost-utility ratio should be taken into account and the results interpreted with caution.
U2 - 10.2340/16501977-1929
DO - 10.2340/16501977-1929
M3 - Article
SN - 1650-1977
VL - 47
SP - 338
EP - 345
JO - Journal of Rehabilitation Medicine
JF - Journal of Rehabilitation Medicine
IS - 4
ER -