Cost-effectiveness of a proportionate universal offer of free exercise: Leeds Let's Get Active.
J Public Health (Oxf)
; 43(4): 876-886, 2021 12 10.
Article
em En
| MEDLINE
| ID: mdl-32756917
ABSTRACT
BACKGROUND:
The purpose of this paper is to assess the cost-effectiveness of a proportionate universal programme to reduce physical inactivity (Leeds Let us Get Active (LLGA)) in adults.METHODS:
A continuous-time Markov chain model was developed to assess the cost implications and QALY gains associated with increases in physical activity levels across the adult population. A parametric survival analysis approach was applied to estimate the decay of intervention effect over time. Baseline model data were obtained from previous economic models, population-based surveys and other published literature. A cost-utility analysis was conducted from a health care sector perspective over the programme duration (39 months). Scenario and probabilistic sensitivity analyses were performed to test the robustness of cost-effectiveness results.RESULTS:
In total, 51 874 adult residents registered to the programme and provided baseline data,19.5% of which were living in deprived areas. Under base case assumptions, LLGA was found to be likely to be cost-effective. However, variations in key structural assumptions showed sensitivity of the results.CONCLUSIONS:
Results from this study suggest a non-negligible level of uncertainty regarding the effectiveness, and therefore, cost-effectiveness of a universal offer of free leisure centre-based exercise that targets hard to reach groups. Further data collection and a shift towards prospective evaluations are needed.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Exercício Físico
/
Atividades de Lazer
Tipo de estudo:
Health_economic_evaluation
Limite:
Adult
/
Humans
Idioma:
En
Revista:
J Public Health (Oxf)
Ano de publicação:
2021
Tipo de documento:
Article
País de afiliação:
Reino Unido