Cost-effectiveness of physical activity intervention in children – results based on the Physical Activity and Nutrition in Children (PANIC) study

Autor: Virpi Kuvaja-Köllner, Niina Lintu, Virpi Lindi, Elisa Rissanen, Aino-Maija Eloranta, Sanna Kiiskinen, Janne Martikainen, Eila Kankaanpää, Hannu Valtonen, Timo A. Lakka
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: International Journal of Behavioral Nutrition and Physical Activity, Vol 18, Iss 1, Pp 1-11 (2021)
Druh dokumentu: article
ISSN: 1479-5868
DOI: 10.1186/s12966-021-01181-0
Popis: 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 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
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