Cost-effectiveness of physical fitness training for stroke survivors

M. Collins*, E. Clifton, F. van Wijck, G.E. Mead

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

14 Citations (Scopus)
252 Downloads (Pure)


Background: Physical fitness is impaired after stroke, yet fitness training after stroke reduces disability. Several international guidelines recommend that fitness training be incorporated as part of stroke rehabilitation. However, information about cost-effectiveness is limited.

Methods: A decision tree model was used to estimate the cost-effectiveness of a fitness programme for stroke survivors vs. relaxation (control group). This was based on a published randomised controlled trial, from which evidence about quality of life was used to estimate Quality Adjusted Life Years. Costs were based on the cost of the provision of group fitness classes within local community centres and a cost per Quality Adjusted Life Year was calculated.

Results: The results of the base case analysis found an incremental cost per Quality Adjusted Life Year of £2,343.

Conclusions: Physical fitness sessions after stroke are a cost-effective intervention for stroke survivors. This information will help make the case for the development of new services.
Original languageEnglish
Pages (from-to)62-68
Number of pages7
JournalJournal of the Royal College of Physicians of Edinburgh
Issue number1
Publication statusPublished - 31 Mar 2018


  • economic evaluation
  • stroke
  • rehabilitation
  • fitness
  • exercise
  • Stroke
  • Exercise
  • Economic evaluation
  • Rehabilitation
  • Fitness

ASJC Scopus subject areas

  • Education


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