Rapp Thomas, Sicsic Jonathan, Ronchetti Jérôme, Cicchetti Americo
Université Paris Cité, Chaire AgingUP! and LIRAES (URP 4470), F-75006, Paris, France.
LIEPP Sciences Po Paris, France.
SSM Popul Health. 2023 Oct 5;24:101507. doi: 10.1016/j.ssmph.2023.101507. eCollection 2023 Dec.
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.
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.
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.
Our results show the need to implement healthy aging strategies that are more focused on people's interests.
健康老龄化策略的目标是支持旨在预防自主性丧失的干预措施，前提是这些干预措施通过同时改善临床结果和节省成本可能是有效的。
我们比较了针对欧洲老年人群预防衰弱的两种干预措施的经济影响：一种多成分干预措施，包括身体活动监测、营养管理、信息和通信技术使用，以及一个基于一系列研讨会的相对简单的健康老龄化生活方式教育项目。我们的样本包括来自11个欧洲国家的1519名年龄在70岁及以上的男性和女性参与者。我们的计量经济学模型探讨了根据基线时接受干预情况和衰弱状态的几种结果的趋势。
在体弱的老年人中实施多成分干预措施并不会导致护理使用减少，也无法预防与衰老相关的生活质量下降。然而，它会影响老年人的优先事项感和对未来的兴趣。我们发现这两种干预措施之间没有统计学上的显著差异，这表明实施多成分干预措施可能不是最有效的策略。干预措施的影响在基线时的衰弱状态方面没有差异。
我们的结果表明需要实施更关注人们兴趣的健康老龄化策略。
