Cost-effectiveness of a programme to address sedentary behaviour in older adults: results from the SITLESS RCT

Autor: Deidda, Manuela, Coll-Planas, Laura, Tully, Marl A., Giné-Garriga, Maria, Kee, Frank, Roqué i Fíguls, Marta, Blackburn, Nicole E., Guerra-Balic, Míriam, Rothenbacher, Dietrich, Dallmeier, Dhayana, Caserotti, Paolo, Skjødt, Mathias, McIntosh, Emma, Universitat Autònoma de Barcelona
Rok vydání: 2022
Předmět:
Zdroj: Deidda, M, Coll-Planas, L, Tully, M A, Giné-Garriga, M, Kee, F, Roqué i Figuls, M, Blackburn, N E, Guerra-Balic, M, Rothenbacher, D, Dallmeier, D, Caserotti, P, Skjødt, M & McIntosh, E 2022, ' Cost-effectiveness of a programme to address sedentary behaviour in older adults: results from the SITLESS RCT ', European journal of public health, vol. 32, no. 3, pp. 415-421 . https://doi.org/10.1093/eurpub/ckac017
EUROPEAN JOURNAL OF PUBLIC HEALTH
r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
instname
ISSN: 1464-360X
1101-1262
DOI: 10.1093/eurpub/ckac017
Popis: Background This study details the within-trial economic evaluation and long-term economic model of SITLESS, a multi-country, three-armed randomized controlled trial comparing a combined intervention of exercise referral schemes (ERS) enhanced by self-management strategies (SMS) against ERS alone and usual care (UC). Methods A cost-utility analysis, conducted from the base-case perspective of the National Health Service and personal and social services, estimated the incremental cost per incremental quality-adjusted life year (QALY) and years in full capability (YFC). A secondary analysis combined the costs with a broad set of outcomes within a cost-consequence framework, from a societal perspective. A Markov-type decision-analytic model was developed to project short-term changes in physical activity to long-term outcomes and costs, over a 5- and 15-year time horizon. Results The results of the within-trial analysis show that SMS+ERS is highly likely to be cost-effective compared to ERS alone (ICER €4270/QALY), but not compared to UC. Participants allocated to the SMS+ERS group also showed an improvement in YFC compared to ERS alone and UC. The long-term analysis revealed that SMS+ERS is likely to be a cost-effective option compared to ERS and UC over a 5-year, but not with a 15-year horizon, being then dominated by ERS alone. Conclusion This research provides new evidence that SMS is a cost-effective add-on to ERS strategies. This economic evaluation informs the case for further, cost-effective, refinement of lifestyle change programmes targeted to older adults, with the aim of ultimately reducing the impact of non-communicable diseases in this population.
Databáze: OpenAIRE
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