Cost-Utility of A Lifestyle Intervention in Adolescents and Young Adults with Spastic Cerebral Palsy

J. Slaman, R. van den Berg-Emons, S.S. Tan, H. Russchen, J. van Meeteren, A.J. Dallmeijer, H. Stam, M. Roebroeck

    Research output: Contribution to JournalArticleAcademicpeer-review


    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.
    Original languageEnglish
    Pages (from-to)338-345
    JournalJournal of Rehabilitation Medicine
    Issue number4
    Publication statusPublished - 2015


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