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Cost-Effectiveness of Prolonged Physical Activity on Prescription in Previously Non-Complying Patients: Impact of Physical Activity Mediators

Author

Listed:
  • Linda Ryen

    (University Health Care Research Center, Faculty of Medicine and Health, Örebro University, 701 82 Örebro, Sweden)

  • Stefan Lundqvist

    (Department of Health and Rehabilitation, Unit of Physiotherapy, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, 405 30 Gothenburg, Sweden
    Center for Physical Activity Gothenburg, Region Västra Götaland, 413 45 Gothenburg, Sweden)

  • Åsa Cider

    (Department of Health and Rehabilitation, Unit of Physiotherapy, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, 405 30 Gothenburg, Sweden
    Department of Occupational Therapy and Physiotherapy, Sahlgrenska University Hospital/Östra, 416 85 Gothenburg, Sweden)

  • Mats Börjesson

    (Center for Health and Performance (CHP), University of Gothenburg, 405 30 Gothenburg, Sweden
    Department of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, 405 30 Gothenburg, Sweden
    Department of MGA, Sahlgrenska University Hospital, Region Västra Götaland, 416 50 Gothenburg, Sweden)

  • Maria E. H. Larsson

    (Department of Health and Rehabilitation, Unit of Physiotherapy, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, 405 30 Gothenburg, Sweden
    Research, Education, Development and Innovation, Primary Health Care, Region Västra Götaland, 411 18 Gothenburg, Sweden
    Centre of Clinical Research and Education, Region Värmland, 651 82 Karlstad, Sweden)

  • Lars Hagberg

    (University Health Care Research Center, Faculty of Medicine and Health, Örebro University, 701 82 Örebro, Sweden)

Abstract

In Sweden, physical activity on prescription (PAP) is used to support patients in increasing their levels of physical activity (PA). The role of healthcare professionals in supporting PA behavior change requires optimization in terms of knowledge, quality and organization. This study aims to evaluate the cost-effectiveness of support from a physiotherapist (PT) compared to continued PAP at a healthcare center (HCC) for patients who remained insufficiently active after 6-month PAP treatment at the HCC. The PT strategy was constituted by a higher follow-up frequency as well as by aerobic physical fitness tests. The analysis was based on an RCT with a three-year time horizon, including 190 patients aged 27–77 with metabolic risk factors. The cost per QALY for the PT strategy compared to the HCC strategy was USD 16,771 with a societal perspective (including individual PA expenses, production loss and time cost for exercise, as well as healthcare resource use) and USD 33,450 with a healthcare perspective (including only costs related to healthcare resource use). Assuming a willingness-to-pay of USD 57,000 for a QALY, the probability of cost-effectiveness for the PT strategy was 0.5 for the societal perspective and 0.6 for the healthcare perspective. Subgroup analyses on cost-effectiveness based on individual characteristics regarding enjoyment, expectations and confidence indicated potential in identifying cost-effective strategies based on mediating factors. However, this needs to be further explored. In conclusion, both PT and HCC interventions are similar from a cost-effectiveness perspective, indicating that both strategies are equally valuable in healthcare’s range of treatments.

Suggested Citation

  • Linda Ryen & Stefan Lundqvist & Åsa Cider & Mats Börjesson & Maria E. H. Larsson & Lars Hagberg, 2023. "Cost-Effectiveness of Prolonged Physical Activity on Prescription in Previously Non-Complying Patients: Impact of Physical Activity Mediators," IJERPH, MDPI, vol. 20(5), pages 1-14, February.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:5:p:3801-:d:1075386
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    References listed on IDEAS

    as
    1. Kharroubi, Samer & Brazier, John E. & O'Hagan, Anthony, 2007. "Modelling covariates for the SF-6D standard gamble health state preference data using a nonparametric Bayesian method," Social Science & Medicine, Elsevier, vol. 64(6), pages 1242-1252, March.
    2. Špela Bogataj & Maja Pajek & Jadranka Buturović Ponikvar & Jernej Pajek, 2020. "Outcome Expectations for Exercise and Decisional Balance Questionnaires Predict Adherence and Efficacy of Exercise Programs in Dialysis Patients," IJERPH, MDPI, vol. 17(9), pages 1-13, May.
    3. Brazier, John & Roberts, Jennifer & Deverill, Mark, 2002. "The estimation of a preference-based measure of health from the SF-36," Journal of Health Economics, Elsevier, vol. 21(2), pages 271-292, March.
    4. Claxton, Karl, 1999. "The irrelevance of inference: a decision-making approach to the stochastic evaluation of health care technologies," Journal of Health Economics, Elsevier, vol. 18(3), pages 341-364, June.
    5. Takeru Shiroiwa & Yoon‐Kyoung Sung & Takashi Fukuda & Hui‐Chu Lang & Sang‐Cheol Bae & Kiichiro Tsutani, 2010. "International survey on willingness‐to‐pay (WTP) for one additional QALY gained: what is the threshold of cost effectiveness?," Health Economics, John Wiley & Sons, Ltd., vol. 19(4), pages 422-437, April.
    6. Cheng Chen & Susanne Weyland & Julian Fritsch & Alexander Woll & Claudia Niessner & Alexander Burchartz & Steffen C. E. Schmidt & Darko Jekauc, 2021. "A Short Version of the Physical Activity Enjoyment Scale: Development and Psychometric Properties," IJERPH, MDPI, vol. 18(21), pages 1-15, October.
    7. Gray, Alastair M. & Clarke, Philip M. & Wolstenholme, Jane L. & Wordsworth, Sarah, 2010. "Applied Methods of Cost-effectiveness Analysis in Healthcare," OUP Catalogue, Oxford University Press, number 9780199227280.
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