Cost-Effectiveness of the ENJOY Seniors Exercise Park for Older People: A Pre-Post Intervention Study
Open accessAbstract
Background : The Exercise interveNtion outdoor proJect in the cOmmunitY (ENJOY) Seniors Exercise Park program uses specialized outdoor equipment and a physical activity program to engage older people in physical activity, with multiple health benefits. We determined the cost-effectiveness of the ENJOY program. Methods : The economic evaluation compared health care utilization costs 6 months prior to and 6 months post ENJOY program participation. Incremental cost-utility analysis for the primary aim (quality of life) and incremental cost-effectiveness analysis for the secondary aim (falls) were used. Analyses took a societal perspective inclusive of Australian government-funded health care and pharmaceuticals in addition to hospitalizations, community-based nursing and allied health, and community services. Productivity costs were also calculated. Results : Fifty participants (average age 72.8 y [SD 7.4] and 78.0% [n = 39/50] women) were included. Participation in the ENJOY program reduced health care costs in the 6 months following the program: preintervention, $9764.49 (SD $26,033.35); postintervention, $5179.30 (SD $3826.64); observed postintervention reduction −$4.585.20 (95% confidence interval, −$12,113.99 to $2943.59; P = .227) without compromising quality of life (mean difference [MD] 0.011; 95% confidence interval, −0.034 to 0.056; P = .631) or increasing the likelihood of a fall (−0.5; 95% confidence interval, 0.00 to −0.50; P = .160). The ENJOY intervention is likely cost-effective. Conclusions : Planning for shared community spaces should consider the benefits of a Seniors Exercise Park as part of the built environment.
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Outdoor PA interventions aimed at fall prevention in community-dwelling older adults resulted in reduced healthcare costs, fewer acute care and rehabilitation admissions, and lower expenditures on allied health and community services.
“This aligns with earlier findings that reported reduced healthcare costs in community-dwelling older adults participating in outdoor PA interventions aimed at fall prevention, which resulted in fewer acute care and rehabilitation admissions and lower expenditures on allied health and community services [683].”
From Global consensus on optimal exercise recommendations for enhancing healthy longevity in older adults (ICFSR) (2025) · cites this paper as [683]
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Self-citation
- Authors
- Brusco, N. K., Hill, K. D., Haines, T., Dunn, J., Panisset, M. G., Dow, B., Batchelor, F., Biddle, S. J. H., Duque, G., & Levinger, P.
- Affiliations
- Monash University (AU)
- National Ageing Research Institute (AU)
- The University of Melbourne (AU)
- Deakin University (AU)
- University of Southern Queensland (AU)
- ORCID
- Venue
- Journal of Physical Activity and Health
- Publisher
- Human Kinetics
- Published
- 2023-06-01
- Volume
- 20
- Issue
- 6
- Pages
- 555-565
- ISSN
- 1543-3080 (ISSN-L)
- 1543-5474
- OpenAlex
- W4362686419
- Cited by
- 18
- References
- 23
- Citations by year
- 2026: 3 · 2025: 5 · 2024: 9 · 2023: 1
- FWCI
- 3.18
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Physical Activity and Health (publishedVersion)
- PubMed (publishedVersion)
- Victoria University Research Repository (Victoria University) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Minerva Access (University of Melbourne) (submittedVersion)
- Funders
- Gandel Philanthropy
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Keywords
- older adults, outdoor exercise, community-based physical activity, cost-effectiveness, health care costs, falls, quality of life, built environment, productivity costs
- MeSH terms
- Aged, Australia, Cost-Benefit Analysis, Exercise Therapy, Female, Humans, Quality of Life, Exercise
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