Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/35507
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dc.contributor.authorBurge, Angela T-
dc.contributor.authorCox, Narelle S-
dc.contributor.authorHolland, Anne E-
dc.contributor.authorMcDonald, Christine F-
dc.contributor.authorAlison, Jennifer A-
dc.contributor.authorWootton, Richard-
dc.contributor.authorHill, Catherine J-
dc.contributor.authorZanaboni, Paolo-
dc.contributor.authorO'Halloran, Paul-
dc.contributor.authorBondarenko, Janet-
dc.contributor.authorMacdonald, Heather-
dc.contributor.authorBarker, Kathryn-
dc.contributor.authorCrute, Hayley-
dc.contributor.authorMellerick, Christie-
dc.contributor.authorWageck, Bruna-
dc.contributor.authorBoursinos, Helen-
dc.contributor.authorLahham, Aroub-
dc.contributor.authorNichols, Amanda-
dc.contributor.authorCorbett, Monique-
dc.contributor.authorHandley, Emma-
dc.contributor.authorMahal, Ajay-
dc.date2024-
dc.date.accessioned2024-10-21T03:41:10Z-
dc.date.available2024-10-21T03:41:10Z-
dc.date.issued2024-09-23-
dc.identifier.citationAnnals of the American Thoracic Society 2024-09-23en_US
dc.identifier.issn2325-6621-
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/35507-
dc.description.abstractNew pulmonary rehabilitation models can improve access to this effective but underutilised treatment for people with chronic respiratory disease, however cost effectiveness has not been determined. To compare the cost effectiveness of telerehabilitation, including videoconferencing and synchronous supervision, to standard center-based pulmonary rehabilitation. Prospective economic analyses were undertaken from a societal perspective alongside a randomised controlled equivalence trial in which adults with stable chronic respiratory disease undertook an 8-week outpatient center-based program or telerehabilitation. Clinical assessment for effectiveness (Chronic Respiratory Disease Questionnaire dyspnoea domain [CRQ-D] score) was undertaken at baseline, following pulmonary rehabilitation and 12-month follow-up. Individual-level administrative and self-report healthcare cost data were collected over 12 months following the program (Australian dollars, 2020) Results: There were no between-group differences for effectiveness (CRQ-D MD -0.2 [SE 1.0], p=0.61) or total costs ($565 [5452], p=0.92) over 12 months. On the cost effectiveness plane, 97.4% of estimates fell between the equivalence margins for effectiveness. Application of a range of values for cost margin demonstrated a 95% probability that telerehabilitation was equivalent to center-based pulmonary rehabilitation when the threshold was $11,000. Results were robust to approach, sensitivity and subgroup analyses. The internal rate of return was 134% over 5 years. Program completion (regardless of model) was associated with a significant reduction in total costs in the following 12 months (β $-17,960, 95%CI -29,967 to -5952). Conclusions This study supports delivery of telerehabilitation as a cost-effective alternative model of pulmonary rehabilitation for people with chronic respiratory disease.en_US
dc.language.isoeng-
dc.titleTelerehabilitation Compared to Center-based Pulmonary Rehabilitation for People with Chronic Respiratory Disease: Economic Analysis of a Randomized, Controlled Clinical Trial.en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleAnnals of the American Thoracic Societyen_US
dc.identifier.affiliationMonash University, School of Translational Medicine, Melbourne, Victoria, Australia.;Institute for Breathing and Sleep, Melbourne, Victoria, Australia.;Alfred Health, Physiotherapy, Melbourne, Victoria, Australia.en_US
dc.identifier.affiliationInstitute for Breathing and Sleepen_US
dc.identifier.affiliationRespiratory and Sleep Medicineen_US
dc.identifier.affiliationThe University of Sydney, School of Health Sciences, Lidcombe, New South Wales, Australia.;Sydney Local Health District, Allied Health Research and Education Unit, Camperdown, New South Wales, Australia.en_US
dc.identifier.affiliationUniversity Hospital of North Norway, Norwegian Centre for E-health Research, Tromso, Norway.en_US
dc.identifier.affiliationAustin Health, Physiotherapy, Heidelberg, Victoria, Australia.en_US
dc.identifier.affiliationUniversity Hospital of North Norway, Norwegian Centre for E-health Research, Tromsø, Norway.;UiT The Arctic University of Norway, Department of Clinical Medicine, Tromso, Norway.en_US
dc.identifier.affiliationLa Trobe University, School of Psychology and Public Health, Melbourne, Victoria, Australia.en_US
dc.identifier.affiliationAlfred Health, Physiotherapy, Melbourne, Victoria, Australia.;Monash University, School of Translational Medicine, Melbourne, Victoria, Australia.en_US
dc.identifier.affiliationGrampians Health, Ballarat, Australia.en_US
dc.identifier.affiliationWestern Health, Physiotherapy, Melbourne, Victoria, Australia.en_US
dc.identifier.affiliationWimmera Health Care Group, Physiotherapy, Horsham, Victoria, Australia.en_US
dc.identifier.affiliationUniversity of Melbourne, Melbourne School of Population and Global Health, Melbourne, Victoria, Australia.en_US
dc.identifier.doi10.1513/AnnalsATS.202405-549OCen_US
dc.type.contentTexten_US
dc.identifier.orcid0000-0002-6977-1028en_US
dc.identifier.orcid0000-0002-5469-092Xen_US
dc.identifier.pubmedid39311774-
item.languageiso639-1en-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.openairetypeJournal Article-
crisitem.author.deptInstitute for Breathing and Sleep-
crisitem.author.deptInstitute for Breathing and Sleep-
crisitem.author.deptInstitute for Breathing and Sleep-
crisitem.author.deptPhysiotherapy-
crisitem.author.deptInstitute for Breathing and Sleep-
crisitem.author.deptRespiratory and Sleep Medicine-
crisitem.author.deptInstitute for Breathing and Sleep-
crisitem.author.deptPhysiotherapy-
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