Physical activity coaching by Australian Exercise Physiologists is cost effective for patients referred from general practice
Physical activity coaching by Australian Exercise Physiologists is cost effective for patients referred from general practice
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DOI：
10.1111/1753-6405.12733
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发表时间：
2018-02-01
影响因子：
3.5
通讯作者：
James, Erica L.
中科院分区：
文献类型：
--
作者：
Ewald, Ben;Stacey, Fiona;James, Erica L.
目的：通过干预措施促进全科久坐患者的体力活动，可能是减轻慢性病负担的一种方式。在澳大利亚，运动生理学家的指导是由公共资金资助的，但成本效益还没有记录在案。方法：在一项三臂随机对照试验中，面对面辅导和电话辅导超过12周，并与对照组进行比较，使用基线一周、三个月和十二个月的步数结果。考虑了项目成本和基于时间的成本。生活质量被作为次要结果进行测量。结果：在12个月时，干预组比对照组每天更活跃1002步(95%可信区间244,1759)。这是以每人245澳元的费用实现的。报告的生活质量或效用价值没有变化。结论：教练实现了相当于每天步行10分钟的活动量的适度增加，每人的成本为245澳元。面对面和电话咨询都很有效。对公众健康的影响：在教练结束后九个月持续增加表明它创造了长期的变化，是一种很有价值的健康干预措施。
Objective: Interventions to promote physical activity for sedentary patients seen in general practice may be a way to reduce the burden of chronic disease. Coaching by an exercise physiologist is publicly funded in Australia, but cost effectiveness has not been documented. Methods: In a three-arm randomised controlled trial, face-to-face coaching and telephone coaching over 12 weeks were compared with a control group using the outcome of step count for one week at baseline, three months and twelve months. Program costs and time-based costs were considered. Quality of life was measured as a secondary outcome. Results: At 12 months, the intervention groups were more active than controls by 1,002 steps per day (95%CI 244, 1,759). This was achieved at a cost of AUD$245 per person. There was no change in reported quality of life or utility values. Conclusion: Coaching achieved a modest increase in activity equivalent to 10 minutes walking per day, at a cost of AUD$245 per person. Face-to-face and telephone counselling were both effective. Implication for public health: Persistence of increases nine months after the end of coaching suggests it creates long-term change and is a good value health intervention.