Cost-effectiveness of a community-based physical activity programme for adults (Be Active) in the UK: an economic analysis within a natural experiment
Frew EJ, Bhatti M, Win K, et al British Journal of Sports Medicine, 48, 207-212. 2014
|Project ID (Internal)||73|
|Full Reference (text)||Frew EJ, Bhatti M, Win K, , et al (2014) Cost-effectiveness of a community-based physical activity programme for adults (Be Active) in the UK: an economic analysis within a natural experiment. Br J Sports Med. 48:207-12. [The abstract can be accessed here]|
|Full Reference (URL)||https://www.ncbi.nlm.nih.gov/pubmed/22797421|
|Summary / Abstract|
To determine the cost-effectiveness of a physical activity programme (Be Active) aimed at city-dwelling adults living in Birmingham, UK.
Very little is known about the cost-effectiveness of public health programmes to improve city-wide physical activity rates. This paper presents a cost-effectiveness analysis that compares a physical activity intervention (Be Active) with no intervention (usual care) using an economic model to quantify the reduction in disease risk over a lifetime. Metabolic equivalent minutes achieved per week, quality-adjusted life years (QALYs) gained and healthcare costs were all included as the main outcome measures in the model. A cost-benefit analysis was also conducted using ‘willingness-to-pay’ as a measure of value.
Under base-case assumptions-that is, assuming that the benefits of increased physical activity are sustained over 5 years, participation in the Be Active programme increased quality-adjusted life expectancy by 0.06 years, at an expected discounted cost of £3552, and thus the cost-effectiveness of Be Active is £400 per QALY. When the start-up costs of the programme are removed from the economic model, the cost-effectiveness is further improved to £16 per QALY. The societal value placed on the Be Active programme was greater than the operation cost therefore the Be Active physical activity intervention results in a net benefit to society.
Participation in Be Active appeared to be cost-effective and cost-beneficial. These results support the use of Be Active as part of a public health programme to improve physical activity levels within the Birmingham-wide population.
|Publication Title||Cost-effectiveness of a community-based physical activity programme for adults (Be Active) in the UK: an economic analysis within a natural experiment|
|Author(s)||Frew EJ, Bhatti M, Win K, et al|
|Publication Details||British Journal of Sports Medicine, 48, 207-212.|
|Publication Year / End of Project||2014|
|Last Accessed||03/01/2019 12:00 am|
NIHR School for
Social Care Research