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Are brief interventions to increase physical activity cost-effective? A systematic review
Vijay GC1, Edward C F Wilson2, Marc Suhrcke3
1Health Economics Group, Norwich Medical School, University of East Anglia, Norwich Research Park, Norwich, UK.
British Journal of Sports Medicine
|October 7, 2015
Summary
Brief interventions promoting physical activity are cost-effective in primary care and community settings. These interventions are generally inexpensive compared to usual care, offering good value for money.
Area of Science:
- Public Health
- Health Economics
- Preventive Medicine
Background:
- Physical inactivity is a global health concern, necessitating cost-effective interventions.
- Primary care and community settings are key locations for implementing health promotion strategies.
Purpose of the Study:
- To evaluate the cost-effectiveness of brief interventions designed to increase physical activity.
- To assess these interventions within primary care and community contexts.
Main Methods:
- Systematic review of economic evaluations of brief physical activity interventions.
- Searched multiple databases (MEDLINE, EMBASE, PsycINFO, etc.) up to August 2014.
- Assessed methodological quality using Drummond's checklist; extracted data using a standardized pro forma.
Main Results:
- Included 13 studies describing 14 brief interventions.
- Incremental costs ranged from £96 to £986 per inactive person moved to an active state.
- Cost-utility varied widely, from £57 to £14,002 per quality-adjusted life year (QALY).
Conclusions:
- Brief physical activity interventions in primary care and community settings are generally inexpensive compared to usual care.
- These interventions appear cost-effective based on commonly accepted thresholds.
- Significant variation in cost-effectiveness was observed across studies.
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