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Systematic review of the methods used in economic evaluations of targeted physical activity and sedentary behaviour interventions

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  • Cochrane, M.
  • Watson, P.M.
  • Timpson, H.
  • Haycox, A.
  • Collins, B.
  • Jones, L.
  • Martin, A.
  • Graves, L.E.F.

Abstract

The burden of noncommunicable diseases (NCD) on health systems worldwide is substantial. Physical inactivity and sedentary behaviour are major risk factors for NCD. Previous attempts to understand the value for money of preventative interventions targeting physically inactive individuals have proved to be challenging due to key methodological challenges associated with the conduct of economic evaluations in public health. A systematic review was carried out across six databases (Medline, SPORTSDiscus, EconLit, PsychINFO, NHS EED, HTA) along with supplementary searches. The review examines how economic evaluations published between 2009-March 2017 have addressed methodological challenges with the aim of bringing to light examples of good practice for future studies. Fifteen economic evaluations from four high-income countries were retrieved; there is a dearth of studies targeting sedentary behaviour as an independent risk factor from physical activity. Comparability of studies from the healthcare and societal perspectives were limited due to analysts’ choice in cost categories, valuation technique and time horizon differing substantially. The scarcity of and inconsistencies across economic evaluations for these two behaviours have exposed a mismatch between calls for more preventative action to tackle NCD and the lack of information available on how resources may be optimally allocated in practice. Consequently, this paper offers a table of recommendations on how future studies can be improved.

Suggested Citation

  • Cochrane, M. & Watson, P.M. & Timpson, H. & Haycox, A. & Collins, B. & Jones, L. & Martin, A. & Graves, L.E.F., 2019. "Systematic review of the methods used in economic evaluations of targeted physical activity and sedentary behaviour interventions," Social Science & Medicine, Elsevier, vol. 232(C), pages 156-167.
    • Handle: RePEc:eee:socmed:v:232:y:2019:i:c:p:156-167
    DOI: 10.1016/j.socscimed.2019.04.040
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    1. Candio, Paolo & Meads, David & Hill, Andrew J. & Bojke, Laura, 2022. "Does providing everyone with free-of-charge organised exercise opportunities work in public health?," Health Policy, Elsevier, vol. 126(2), pages 129-142.
    2. Candio, Paolo & Meads, David & Hill, Andrew J. & Bojke, Laura, 2020. "Modelling the impact of physical activity on public health: A review and critique," Health Policy, Elsevier, vol. 124(10), pages 1155-1164.

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