改善心理健康的以体育活动为导向的干预措施的成本效益:系统性审查
Noara Alhusseini1, Tracy Kuo Lin2, Kalin Werner3
1College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
BMC public health
|May 13, 2025
概括
身体活动干预措施显示了改善心理健康成本效益的潜力,但证据仍然不足. 需要更多的研究来证实它们与标准护理相比的价值.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 心理健康研究 心理健康研究
背景情况:
- 心理健康状况是一个重大的全球负担.
- 身体活动干预越来越多地被视为补充治疗方法.
- 这些干预措施的成本效益需要彻底评估.
研究的目的:
- 系统地审查和综合有关身体活动干预心理健康状况的成本效益的证据.
- 为了确定文献中报道的成本效益比率的范围.
- 评估关于这些干预措施的成本效益的总体结论.
主要方法:
- 在四个主要数据库 (PubMed/Medline,Science Direct,PsychArticles,PsychINFO) 进行系统的文献搜索.
- 纳入标准:身体活动干预心理健康,全面的经济评估 (成本效益或成本效益分析),以及英语.
- 通过Covidence软件使用32项矩阵提取数据.
主要成果:
- 综述中包括了11项研究.
- 增量成本效益比率差异很大,从119英到152,822英,每获得的质量调整寿命年 (QALY).
- 虽然舞蹈,步行和个性化支持等一些干预措施是具有成本效益的,但55%的干预措施不是.
结论:
- 目前的证据不足以确定身体活动干预措施对心理健康的成本效益与标准护理相比.
- 需要进一步的精心设计的研究,专注于特定的条件和干预措施.
- 未来的干预措施应考虑低成本实施和行为经济学原则.
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