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Willingness to pay for a group and an individual version of the Lifestyle-integrated Functional Exercise program from a participant perspective

Willingness to pay for a group and an individual version of the Lifestyle-integrated Functional Exercise program from a participant perspective

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GOTTSCHALK, Sophie, Hans-Helmut KÖNIG, Michael SCHWENK, Corinna NERZ, Clemens BECKER, Jochen KLENK, Carl-Philipp JANSEN, Judith DAMS, 2022. Willingness to pay for a group and an individual version of the Lifestyle-integrated Functional Exercise program from a participant perspective. In: BMC Public Health. BioMed Central. 22, 1934. eISSN 1471-2458. Available under: doi: 10.1186/s12889-022-14322-2

@article{Gottschalk2022-10-18Willi-59024, title={Willingness to pay for a group and an individual version of the Lifestyle-integrated Functional Exercise program from a participant perspective}, year={2022}, doi={10.1186/s12889-022-14322-2}, volume={22}, journal={BMC Public Health}, author={Gottschalk, Sophie and König, Hans-Helmut and Schwenk, Michael and Nerz, Corinna and Becker, Clemens and Klenk, Jochen and Jansen, Carl-Philipp and Dams, Judith}, note={Article Number: 1934} }

Becker, Clemens Nerz, Corinna 2022-10-18 Schwenk, Michael Dams, Judith 2022-11-04T08:33:59Z Klenk, Jochen Willingness to pay for a group and an individual version of the Lifestyle-integrated Functional Exercise program from a participant perspective Jansen, Carl-Philipp 2022-11-04T08:33:59Z Attribution 4.0 International Schwenk, Michael Nerz, Corinna König, Hans-Helmut König, Hans-Helmut Background<br />Perceived benefits of intervention programs from a participant perspective can be examined by assessing their willingness to pay (WTP). Aiming to support decision-makers in their decision to implement a fall prevention program, this study examined (1) the WTP for a group-based and an individually delivered fall prevention program, (2) which factors influence WTP, and (3) whether the WTP exceeds the intervention costs.<br /><br />Methods<br />WTP was elicited using Payment Cards from 237 individuals who participated in a randomized non-inferiority trial (LiFE-is-LiFE) comparing a group version of the Lifestyle-integrated Functional Exercise program (gLiFE) with the individually delivered version (LiFE). Linear regression models were used to examine factors associated with WTP. The net benefit for (g)LiFE was calculated as the difference between WTP and intervention costs, assuming different scenarios of intervention costs (varying group sizes of gLiFE) and hypothetical subsidy levels by a payer (€0, €50, or €75).<br /><br />Results<br />The mean WTP was €196 (95% CI [172, 221]) for gLiFE and €228 (95% CI [204, 251]) for LiFE. In the linear regression model, WTP was significantly associated with delivery format (−€32, 95% CI [− 65, − 0.2], for gLiFE) and net household income (+ 68€, 95% CI [23, 113], for ≥€3000 compared to <€2000). The net benefit for gLiFE was positive in most cases. Due to higher intervention costs of LiFE compared to gLiFE (€298 vs. €113), the net benefit for LiFE was negative for the majority of the sample, even at a subsidy of €75.<br /><br />Conclusion<br />The results provide insight into how valuable the interventions are perceived by the participants and thereby may be used by decision-makers as complement to cost-effectiveness analyses. WTP for both programs was generally high, probably indicating that participants perceived the intervention as quite valuable. However, further research is needed on the WTP and net benefit of fall prevention programs, as results relied on the specific context of the LiFE-is-LiFE trial. Becker, Clemens Jansen, Carl-Philipp Gottschalk, Sophie Gottschalk, Sophie eng Dams, Judith Klenk, Jochen

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