当前位置： SCI文献检索 > BMC PUBLIC HEALTH期刊下所有文献 > The cost of changing physical activity behaviour: evidence from a "physical activity pathway" in the primary care setting.

The cost of changing physical activity behaviour: evidence from a "physical activity pathway" in the primary care setting.

Abstract：

BACKGROUND:The 'Physical Activity Care Pathway' (a Pilot for the 'Let's Get Moving' policy) is a systematic approach to integrating physical activity promotion into the primary care setting. It combines several methods reported to support behavioural change, including brief interventions, motivational interviewing, goal setting, providing written resources, and follow-up support. This paper compares costs falling on the UK National Health Service (NHS) of implementing the care pathway using two different recruitment strategies and provides initial insights into the cost of changing physical activity behaviour. METHODS:A combination of a time driven variant of activity based costing, audit data through EMIS and a survey of practice managers provided patient-level cost data for 411 screened individuals. Self reported physical activity data of 70 people completing the care pathway at three month was compared with baseline using a regression based 'difference in differences' approach. Deterministic and probabilistic sensitivity analyses in combination with hypothesis testing were used to judge how robust findings are to key assumptions and to assess the uncertainty around estimates of the cost of changing physical activity behaviour. RESULTS:It cost £53 (SD 7.8) per patient completing the PACP in opportunistic centres and £191 (SD 39) at disease register sites. The completer rate was higher in disease register centres (27.3% vs. 16.2%) and the difference in differences in time spent on physical activity was 81.32 (SE 17.16) minutes/week in patients completing the PACP; so that the incremental cost of converting one sedentary adult to an 'active state' of 150 minutes of moderate intensity physical activity per week amounts to £ 886.50 in disease register practices, compared to opportunistic screening. CONCLUSIONS:Disease register screening is more costly than opportunistic patient recruitment. However, additional costs come with a higher completion rate and better outcomes in terms of behavioural change in patients completing the care pathway. Further research is needed to rigorously evaluate intervention efficiency and to assess the link between behavioural change and changes in quality adjusted life years (QALYs).

journal_name

BMC Public Health

journal_title

BMC public health

authors

Boehler CE,Milton KE,Bull FC,Fox-Rushby JA

doi

10.1186/1471-2458-11-370

subject

Has Abstract

pub_date

2011-05-23 00:00:00

pages

370

issn

1471-2458

pii

1471-2458-11-370

journal_volume

pub_type

杂志文章

在线工具

The cost of changing physical activity behaviour: evidence from a "physical activity pathway" in the primary care setting.