Journal article
Cost-effectiveness of a proportionate universal offer of free exercise: Leeds Let’s Get Active
- Abstract:
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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.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
Actions
Access Document
- Files:
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(Preview, Accepted manuscript, 215.2KB, Terms of use)
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- Publisher copy:
- 10.1093/pubmed/fdaa113
Authors
- Publisher:
- Oxford University Press
- Journal:
- Journal of Public Health More from this journal
- Volume:
- 43
- Issue:
- 4
- Pages:
- 876–886
- Publication date:
- 2020-08-05
- Acceptance date:
- 2020-06-24
- DOI:
- EISSN:
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1741-3850
- ISSN:
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1741-3842
- Language:
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English
- Keywords:
- Pubs id:
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1108874
- Local pid:
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pubs:1108874
- Deposit date:
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2020-08-01
Terms of use
- Copyright holder:
- Candio et al.
- Copyright date:
- 2020
- Rights statement:
- © The Author(s) 2020. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model.
- Notes:
- This is the accepted manuscript version of the article. The final version is available online from Oxford University Press at: https://doi.org/10.1093/pubmed/fdaa113
- Licence:
- Other
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