Economic evaluation of a randomized controlled trial of an intervention to reduce office workers’ sitting time: the "Stand Up Victoria" trial
OBJECTIVES: This study aimed to assess the economic credentials of a workplace-delivered intervention to reduce sitting time among desk-based workers. METHODS: We performed within-trial cost-efficacy analysis and long-term cost-effectiveness analysis (CEA) and recruited 231 desk-based workers, aged...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Nordic Association of Occupational Safety and Health (NOROSH)
2018-09-01
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| Series: | Scandinavian Journal of Work, Environment & Health |
| Subjects: | |
| Online Access: |
https://www.sjweh.fi/show_abstract.php?abstract_id=3740
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| _version_ | 1818454523765587968 |
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| author | Lan Gao Anna Flego David W Dunstan Elisabeth AH Winkler Genevieve N Healy Elizabeth G Eakin Lisa Willenberg Neville Owen Anthony D LaMontagne Anita Lal Glen H Wiesner Nyssa T Hadgraft Marj L Moodie |
| author_facet | Lan Gao Anna Flego David W Dunstan Elisabeth AH Winkler Genevieve N Healy Elizabeth G Eakin Lisa Willenberg Neville Owen Anthony D LaMontagne Anita Lal Glen H Wiesner Nyssa T Hadgraft Marj L Moodie |
| author_sort | Lan Gao |
| collection | DOAJ |
| description | OBJECTIVES: This study aimed to assess the economic credentials of a workplace-delivered intervention to reduce sitting time among desk-based workers. METHODS: We performed within-trial cost-efficacy analysis and long-term cost-effectiveness analysis (CEA) and recruited 231 desk-based workers, aged 24–65 years, across 14 worksites of one organization. Multicomponent workplace-delivered intervention was compared to usual practice. Main outcome measures including total device-measured workplace sitting time, body mass index (BMI), self-reported health-related quality of life (Assessment of Quality of Life-8D, AQoL-8D), and absenteeism measured at 12 months. RESULTS: Compared to usual practice, the intervention was associated with greater cost (AU$431/person), benefits in terms of reduced workplace sitting time [-46.8 minutes/8-hour workday, 95% confidence interval (CI): -69.9– -23.7] and increased workplace standing time (42.2 minutes/8-hour workday, 95% CI 23.8–60.6). However, there were no significant benefits for BMI [0.148 kg/m^2 (95% CI-1.407–1.703)], QoL-8D [-0.006 (95% CI -0.074–0.063)] and absenteeism [2.12 days (95% CI -2.01–6.26)]. The incremental cost-efficacy ratios (ICER) ranged from AU$9.94 cost/minute reduction in workplace sitting time to AU$13.37/minute reduction in overall sitting time. CEA showed the intervention contributed to higher life year (LY) gains [0.01 (95% CI 0.009–0.011)], higher health-adjusted life year (HALY) gains [0.012 (95% CI 0.0105 – 0.0135)], and higher net costs [AU$344 (95% CI $331–358)], with corresponding ICER of AU$34 443/LY and AU$28 703/HALY if the intervention effects were to be sustained for five-years. CEA results were sensitive to assumptions surrounding intervention-effect decay rate and discount rate. CONCLUSIONS: The intervention was cost-effective over the lifetime of the cohort when scaled up to the national workforce and provides important |
| first_indexed | 2024-12-14T21:56:14Z |
| format | Article |
| id | doaj.art-de5ff0ddb5154e89a04e25d34d83b7ff |
| institution | Directory Open Access Journal |
| issn | 0355-3140 1795-990X |
| language | English |
| last_indexed | 2024-12-14T21:56:14Z |
| publishDate | 2018-09-01 |
| publisher | Nordic Association of Occupational Safety and Health (NOROSH) |
| record_format | Article |
| series | Scandinavian Journal of Work, Environment & Health |
| spelling | doaj.art-de5ff0ddb5154e89a04e25d34d83b7ff2022-12-21T22:46:07ZengNordic Association of Occupational Safety and Health (NOROSH)Scandinavian Journal of Work, Environment & Health0355-31401795-990X2018-09-0144550351110.5271/sjweh.37403740Economic evaluation of a randomized controlled trial of an intervention to reduce office workers’ sitting time: the "Stand Up Victoria" trialLan Gao0Anna FlegoDavid W DunstanElisabeth AH WinklerGenevieve N HealyElizabeth G EakinLisa WillenbergNeville OwenAnthony D LaMontagneAnita LalGlen H WiesnerNyssa T HadgraftMarj L MoodieDeakin Health Economics, Centre for Population Health Research, Faculty of Health, Deakin University, 221 Burwood Hwy, Burwood, Melbourne, Australia.OBJECTIVES: This study aimed to assess the economic credentials of a workplace-delivered intervention to reduce sitting time among desk-based workers. METHODS: We performed within-trial cost-efficacy analysis and long-term cost-effectiveness analysis (CEA) and recruited 231 desk-based workers, aged 24–65 years, across 14 worksites of one organization. Multicomponent workplace-delivered intervention was compared to usual practice. Main outcome measures including total device-measured workplace sitting time, body mass index (BMI), self-reported health-related quality of life (Assessment of Quality of Life-8D, AQoL-8D), and absenteeism measured at 12 months. RESULTS: Compared to usual practice, the intervention was associated with greater cost (AU$431/person), benefits in terms of reduced workplace sitting time [-46.8 minutes/8-hour workday, 95% confidence interval (CI): -69.9– -23.7] and increased workplace standing time (42.2 minutes/8-hour workday, 95% CI 23.8–60.6). However, there were no significant benefits for BMI [0.148 kg/m^2 (95% CI-1.407–1.703)], QoL-8D [-0.006 (95% CI -0.074–0.063)] and absenteeism [2.12 days (95% CI -2.01–6.26)]. The incremental cost-efficacy ratios (ICER) ranged from AU$9.94 cost/minute reduction in workplace sitting time to AU$13.37/minute reduction in overall sitting time. CEA showed the intervention contributed to higher life year (LY) gains [0.01 (95% CI 0.009–0.011)], higher health-adjusted life year (HALY) gains [0.012 (95% CI 0.0105 – 0.0135)], and higher net costs [AU$344 (95% CI $331–358)], with corresponding ICER of AU$34 443/LY and AU$28 703/HALY if the intervention effects were to be sustained for five-years. CEA results were sensitive to assumptions surrounding intervention-effect decay rate and discount rate. CONCLUSIONS: The intervention was cost-effective over the lifetime of the cohort when scaled up to the national workforce and provides important https://www.sjweh.fi/show_abstract.php?abstract_id=3740 sittinginterventionevaluationrandomized controlled trialproductivityworkplace interventionoffice workereconomic evaluationrctsitting timecost-effectiveness analysisstand-up victoriasit-stand workstationcost-efficacy |
| spellingShingle | Lan Gao Anna Flego David W Dunstan Elisabeth AH Winkler Genevieve N Healy Elizabeth G Eakin Lisa Willenberg Neville Owen Anthony D LaMontagne Anita Lal Glen H Wiesner Nyssa T Hadgraft Marj L Moodie Economic evaluation of a randomized controlled trial of an intervention to reduce office workers’ sitting time: the "Stand Up Victoria" trial Scandinavian Journal of Work, Environment & Health sitting intervention evaluation randomized controlled trial productivity workplace intervention office worker economic evaluation rct sitting time cost-effectiveness analysis stand-up victoria sit-stand workstation cost-efficacy |
| title | Economic evaluation of a randomized controlled trial of an intervention to reduce office workers’ sitting time: the "Stand Up Victoria" trial |
| title_full | Economic evaluation of a randomized controlled trial of an intervention to reduce office workers’ sitting time: the "Stand Up Victoria" trial |
| title_fullStr | Economic evaluation of a randomized controlled trial of an intervention to reduce office workers’ sitting time: the "Stand Up Victoria" trial |
| title_full_unstemmed | Economic evaluation of a randomized controlled trial of an intervention to reduce office workers’ sitting time: the "Stand Up Victoria" trial |
| title_short | Economic evaluation of a randomized controlled trial of an intervention to reduce office workers’ sitting time: the "Stand Up Victoria" trial |
| title_sort | economic evaluation of a randomized controlled trial of an intervention to reduce office workers sitting time the stand up victoria trial |
| topic | sitting intervention evaluation randomized controlled trial productivity workplace intervention office worker economic evaluation rct sitting time cost-effectiveness analysis stand-up victoria sit-stand workstation cost-efficacy |
| url |
https://www.sjweh.fi/show_abstract.php?abstract_id=3740
|
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