Cost-effectiveness of physical activity intervention in children – results based on the Physical Activity and Nutrition in Children (PANIC) study
Cost-effectiveness of physical activity intervention in children – results based on the Physical Activity and Nutrition in Children (PANIC) study
Blog Article
Abstract Background We assessed the cost-effectiveness of a 2-year physical activity (PA) intervention combining family-based PA counselling and after-school exercise clubs in primary-school children compared to no intervention from an extended service payer’s perspective.Methods The participants included 506 children (245 girls, 261 boys) allocated to an intervention group (306 children, 60 %) and a control group (200 children, 40 %).The children and their parents in the intervention group had six PA counselling visits, and the children also had the opportunity to participate in after-school exercise clubs.The control group received verbal and written advice on health-improving PA at baseline.
A change in total PA over two years was used as the outcome measure.Intervention costs included those related to the family-based PA counselling, the after-school exercise clubs, and the Perfumes parents’ taking time off to travel to and participate in the counselling.The cost-effectiveness analyses were performed using the intention-to-treat principle.The costs per increased PA hour (incremental cost-effectiveness ratio, ICER) were based on net monetary benefit (NMB) regression adjusted for baseline PA and background variables.
The results are presented with NMB and cost-effectiveness acceptability curves.Results Over two years, total PA increased on average by 108 h in the intervention group (95 % confidence interval [CI] from 95 to 121, p < 0.001) and decreased by 65.5 h (95 % CI from 81.
7 to 48.3, p < 0.001) in the control group, the difference being 173.7 h.
the incremental effectiveness was 87 (173/2) hours.For two years, the intervention costs were €619 without parents’ time use costs and €860 with these costs.The costs per increased PA hour were €6.21 without and €8.
62 with these costs.The willingness to pay required for 95 % probability of cost-effectiveness was €14 and €19 with these costs.The sensitivity analyses revealed that the ICER without assuming this linear change in PA were €3.10 and €4.
31.Conclusions The PA intervention would be cost-effective compared to no intervention among children if the service payer’s willingness-to-pay for a 1-hour increase in PA is €8.62 with parents’ time costs.Trial registration ClinicalTrials.
gov: NCT01803776.Registered Acrylic Shaking Stand 4 March 2013 - Retrospectively registered, https://clinicaltrials.gov/ct2/results?cond=&term=01803776&cntry=&state=&city=&dist=.