Author Year Country Study quality | Objective economic perspective | Study type Economic analysis type | Intervention | Participants | Follow-up duration | Effectiveness established | Outcome | |
Incremental monthly intervention costs per participant | Annual costs per participant to become active† | |||||||
Elley et al 2004New Zealand High | Primary care exercise counselling/prescription | RCT | Intervention (I): Green prescription, counselling in GP | Less active primary care patients (40–79 years) | 12 months | Yes |
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Health funder’s and social perspective | CEA | Control (C): usual care | I: n = 451 | |||||
C: n = 427 | ||||||||
Groups comparable: Yes | ||||||||
Sevick et al 2007 USA High | Community-based | RCT | Intervention 1(I1): phone-delivered intervention messages | Sedentary adults (18–65 years) | 12 months | Yes |
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Payer’s perspective | CEA | Intervention 2(I2): print material | I1: n = 80 |
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Control (C): contact control | I2: n = 81 | |||||||
C: n = 78 | ||||||||
Groups comparable: Yes | ||||||||
Sevick et al 2000 USA Good | Community-based | RCT | Lifestyle (I1): centre-based behavioural skill training | Less active adults (35–60 years) | 24 months | Limited (no-intervention control group not available but compared with baseline) |
| I1: 1962 € |
Payer’s perspective | CEA | Standard (I2): centre-based supervised exercise training | n = 235 |
| I2: 3924 € (Activity level: 5 × 30 minutes per week) | |||
Groups comparable: n.a. | ||||||||
Stevens et al 1998 UK Good | Primary care-based | RCT | Intervention (I): PA consultation with exercise development officer | Less active adults (45–74 years) | 8 months | Yes |
| 5358 € (Activity level: 5 × 30 minutes per week) |
Payer’s perspective | CEA | Control (C): mailed information package | I: n = 363 | |||||
C: n = 351 | ||||||||
Groups comparable: Yes | ||||||||
Proper et al 2004 Netherlands Good | Worksite physical activity counselling | RCT | Intervention (I): seven counselling sessions over 9 months | Civil servants‡ (mean age: 44 years) | 9 months | Limited (variable effectiveness over different outcome measures) |
| No significant effect difference between groups observed regarding the activity level: ⩾5 × 30 minutes per week |
Company perspective | CBE | Control (C): no intervention | I: n = 131 | |||||
CEA | C: n = 168 | |||||||
Groups comparable: No | ||||||||
Dzator et al 2004 Australia Fair | Physical activity/nutrition programme in community setting | RCT | Intervention 1 (I1): high-level, interactive intervention | Couples‡ (mean age: 28–31 years) | 12 months | Limited (internal validity, costing and the role of control group questionable) |
| No significant effect difference between groups observed regarding the activity level: exercise days per week |
Direct programme costs | CEA | Intervention 2 (I2): low-level, mailed intervention material | I1: n = 47 |
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Control (C): no intervention | I2: n = 47 | |||||||
C: n = 43 | ||||||||
Groups comparable: No | ||||||||
Wang et al 2004 USA Fair | Trail development | Cross-sectional | Intervention: development of four trails | 3986 trail users | Time horizon: 12 months | Limited (no control group) |
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Payer’s perspective | CEA |
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Sims et al 2004 Australia Fair | Primary care-based | RCT-based economic modelling | Active script programme (I): improving systematic PA advice by GPs | 670 GPs advising sedentary patients | – | Limited (uptake assumption of GP advice to become active questionable) | – |
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Health service’s perspective | CEA | Control (C): usual care | Groups comparable: | |||||
CUA | – |
*Compared with control group (if no controls available, compared with alternative “no intervention”)
†As defined in the study (activity measure)
‡Variable proportion of participants reported as sufficiently active at baseline
CBA, cost benefit analysis; CEA, cost effectiveness analysis; CUA, cost utility analysis; GP, general practitioner; n.a., not available; PA, physical activity; RCT, randomised controlled trial.