Hartfiel Ned, Gladman John, Harwood Rowan, Tudor Edwards Rhiannon
Bangor University, Bangor, UK.
University of Nottingham, Nottingham, UK.
Gerontol Geriatr Med. 2022 Jun 3;8:23337214221106839. doi: 10.1177/23337214221106839. eCollection 2022 Jan-Dec.
Exercise can improve physical function and slow the progression of dementia. However, uncertainty exists around the costeffectiveness of exercise programmes for people with early dementia. The aim of this study was to determine whether a home-based supervised exercise programme (PrAISED - promoting activity, independence, and stability in early dementia) could generate a positive social return on investment (SROI). SROI analysis was conducted as part of a randomised controlled feasibility trial comparing PrAISED with usual care. Wellbeing valuation was used to compare the costs of the programme with the monetised benefits to participants, carers, and healthcare service providers. The PrAISED programme generated SROI ratios ranging from £3.46 to £5.94 for every £1 invested. Social value was created from improved physical activity, increased confidence, more social connection and PrAISED participants using healthcare services less often than usual care. This study found that home-based supervised exercise programmes could generate a positive SROI for people with early dementia. Trial registration: ClinicalTrials.gov: NCT02874300 (first posted 22 August 2016), ISRCTN: 10,550,694 (date assigned 31 August 2016).
运动可以改善身体机能并减缓痴呆症的发展。然而，针对早期痴呆症患者的运动项目的成本效益仍存在不确定性。本研究的目的是确定一项居家监督运动项目（PrAISED——促进早期痴呆症患者的活动、独立性和稳定性）是否能产生积极的社会投资回报（SROI）。作为一项将PrAISED与常规护理进行比较的随机对照可行性试验的一部分，进行了SROI分析。福祉估值用于将该项目的成本与给参与者、护理人员和医疗服务提供者带来的货币化收益进行比较。PrAISED项目每投入1英镑，产生的SROI比率在3.46英镑至5.94英镑之间。通过改善身体活动、增强信心、增加社交联系以及PrAISED参与者比常规护理参与者更少使用医疗服务创造了社会价值。本研究发现，居家监督运动项目可为早期痴呆症患者带来积极的SROI。试验注册：ClinicalTrials.gov：NCT02874300（首次发布于2016年8月22日），ISRCTN：10550694（于2016年8月31日分配日期）。
