Five-year cost-effectiveness analysis of the European Fans in Training (EuroFIT) physical activity intervention for men versus no intervention
Abstract Objectives Increasing physical activity reduces the risk of chronic illness including Type 2 diabetes, cardiovascular disease and certain types of cancer. Lifestyle interventions can increase physical activity but few successfully engage men. This study aims to investigate the 5 year cost-e...
| Main Authors: | , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-03-01
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| Series: | International Journal of Behavioral Nutrition and Physical Activity |
| Online Access: | http://link.springer.com/article/10.1186/s12966-020-00934-7 |
| _version_ | 1818368854520233984 |
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| author | Spyros Kolovos Aureliano P. Finch Hidde P. van der Ploeg Femke van Nassau Hana M. Broulikova Agni Baka Shaun Treweek Cindy M. Gray Judith G. M. Jelsma Christopher Bunn Glyn C. Roberts Marlene N. Silva Jason M. R. Gill Øystein Røynesdal Willem van Mechelen Eivind Andersen Kate Hunt Sally Wyke Judith E. Bosmans |
| author_facet | Spyros Kolovos Aureliano P. Finch Hidde P. van der Ploeg Femke van Nassau Hana M. Broulikova Agni Baka Shaun Treweek Cindy M. Gray Judith G. M. Jelsma Christopher Bunn Glyn C. Roberts Marlene N. Silva Jason M. R. Gill Øystein Røynesdal Willem van Mechelen Eivind Andersen Kate Hunt Sally Wyke Judith E. Bosmans |
| author_sort | Spyros Kolovos |
| collection | DOAJ |
| description | Abstract Objectives Increasing physical activity reduces the risk of chronic illness including Type 2 diabetes, cardiovascular disease and certain types of cancer. Lifestyle interventions can increase physical activity but few successfully engage men. This study aims to investigate the 5 year cost-effectiveness of EuroFIT, a program to improve physical activity tailored specifically for male football (soccer) fans compared to a no intervention comparison group. Methods We developed a Markov cohort model in which the impact of improving physical activity on five chronic health conditions (colorectal cancer, Type 2 diabetes, coronary heart disease, stroke and depression) and mortality was modelled. We estimated costs from a societal perspective and expressed benefits as quality adjusted life years (QALYs). We obtained data from a 4-country (England, Netherlands, Portugal and Norway) pragmatic randomised controlled trial evaluating EuroFIT, epidemiological and cohort studies, and meta-analyses. We performed deterministic and probabilistic sensitivity analyses to assess the impact of uncertainty in the model’s parameter values on the cost-effectiveness results. We used Monte Carlo simulations to estimate uncertainty and presented this using cost-effectiveness acceptability curves (CEACs). We tested the robustness of the base case analysis using five scenario analyses. Results Average costs over 5 years per person receiving EuroFIT were €14,663 and per person receiving no intervention €14,598. Mean QALYs over 5 years were 4.05 per person for EuroFIT and 4.04 for no intervention. Thus, the average incremental cost per person receiving EuroFIT was €65 compared to no intervention, while the average QALY gain was 0.01. This resulted in an ICER of €5206 per QALY gained. CEACs show that the probability of EuroFIT being cost-effective compared to no intervention is 0.53, 0.56 and 0.58 at thresholds of €10,000, €22,000 and €34,000 per QALY gained, respectively. When using a time horizon of 10 years, the results suggest that EuroFIT is more effective and less expensive compared to (i.e. dominant over) no intervention with a probability of cost-effectiveness of 0.63 at a threshold of €22,000 per QALY gained. Conclusions We conclude the EuroFIT intervention is not cost-effective compared to no intervention over a period of 5 years from a societal perspective, but is more effective and less expensive (i.e. dominant) after 10 years. We thus suggest that EuroFIT can potentially improve public health in a cost-effective manner in the long term. |
| first_indexed | 2024-12-13T23:14:34Z |
| format | Article |
| id | doaj.art-e7ab7eb290b64603a2cbf632c122927f |
| institution | Directory Open Access Journal |
| issn | 1479-5868 |
| language | English |
| last_indexed | 2024-12-13T23:14:34Z |
| publishDate | 2020-03-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal of Behavioral Nutrition and Physical Activity |
| spelling | doaj.art-e7ab7eb290b64603a2cbf632c122927f2022-12-21T23:27:59ZengBMCInternational Journal of Behavioral Nutrition and Physical Activity1479-58682020-03-0117111310.1186/s12966-020-00934-7Five-year cost-effectiveness analysis of the European Fans in Training (EuroFIT) physical activity intervention for men versus no interventionSpyros Kolovos0Aureliano P. Finch1Hidde P. van der Ploeg2Femke van Nassau3Hana M. Broulikova4Agni Baka5Shaun Treweek6Cindy M. Gray7Judith G. M. Jelsma8Christopher Bunn9Glyn C. Roberts10Marlene N. Silva11Jason M. R. Gill12Øystein Røynesdal13Willem van Mechelen14Eivind Andersen15Kate Hunt16Sally Wyke17Judith E. Bosmans18Department of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam Public Health research instituteDepartment of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam Public Health research instituteAmsterdam UMC, VU medical center, Department of Public and Occupational Health, Amsterdam Public Health research instituteAmsterdam UMC, VU medical center, Department of Public and Occupational Health, Amsterdam Public Health research instituteDepartment of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam Public Health research instituteDepartment of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam Public Health research instituteHealth Services Research Unit, University of AberdeenInstitute of Health and Wellbeing, College of Social Sciences, University of GlasgowAmsterdam UMC, VU medical center, Department of Public and Occupational Health, Amsterdam Public Health research instituteInstitute of Health and Wellbeing, College of Social Sciences, University of GlasgowDepartment of coaching and psychology, Norwegian School of Sport ScienceCIPER, Faculdade de Motricidade Humana, Universidade de LisboaInstitute of Cardiovascular and Medical Sciences, College of Medical, Veterinary and Life Sciences, University of GlasgowDepartment of coaching and psychology, Norwegian School of Sport ScienceAmsterdam UMC, VU medical center, Department of Public and Occupational Health, Amsterdam Public Health research instituteDepartment of coaching and psychology, Norwegian School of Sport ScienceInstitute for Social Marketing and Health, University of StirlingInstitute of Health and Wellbeing, College of Social Sciences, University of GlasgowDepartment of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam Public Health research instituteAbstract Objectives Increasing physical activity reduces the risk of chronic illness including Type 2 diabetes, cardiovascular disease and certain types of cancer. Lifestyle interventions can increase physical activity but few successfully engage men. This study aims to investigate the 5 year cost-effectiveness of EuroFIT, a program to improve physical activity tailored specifically for male football (soccer) fans compared to a no intervention comparison group. Methods We developed a Markov cohort model in which the impact of improving physical activity on five chronic health conditions (colorectal cancer, Type 2 diabetes, coronary heart disease, stroke and depression) and mortality was modelled. We estimated costs from a societal perspective and expressed benefits as quality adjusted life years (QALYs). We obtained data from a 4-country (England, Netherlands, Portugal and Norway) pragmatic randomised controlled trial evaluating EuroFIT, epidemiological and cohort studies, and meta-analyses. We performed deterministic and probabilistic sensitivity analyses to assess the impact of uncertainty in the model’s parameter values on the cost-effectiveness results. We used Monte Carlo simulations to estimate uncertainty and presented this using cost-effectiveness acceptability curves (CEACs). We tested the robustness of the base case analysis using five scenario analyses. Results Average costs over 5 years per person receiving EuroFIT were €14,663 and per person receiving no intervention €14,598. Mean QALYs over 5 years were 4.05 per person for EuroFIT and 4.04 for no intervention. Thus, the average incremental cost per person receiving EuroFIT was €65 compared to no intervention, while the average QALY gain was 0.01. This resulted in an ICER of €5206 per QALY gained. CEACs show that the probability of EuroFIT being cost-effective compared to no intervention is 0.53, 0.56 and 0.58 at thresholds of €10,000, €22,000 and €34,000 per QALY gained, respectively. When using a time horizon of 10 years, the results suggest that EuroFIT is more effective and less expensive compared to (i.e. dominant over) no intervention with a probability of cost-effectiveness of 0.63 at a threshold of €22,000 per QALY gained. Conclusions We conclude the EuroFIT intervention is not cost-effective compared to no intervention over a period of 5 years from a societal perspective, but is more effective and less expensive (i.e. dominant) after 10 years. We thus suggest that EuroFIT can potentially improve public health in a cost-effective manner in the long term.http://link.springer.com/article/10.1186/s12966-020-00934-7 |
| spellingShingle | Spyros Kolovos Aureliano P. Finch Hidde P. van der Ploeg Femke van Nassau Hana M. Broulikova Agni Baka Shaun Treweek Cindy M. Gray Judith G. M. Jelsma Christopher Bunn Glyn C. Roberts Marlene N. Silva Jason M. R. Gill Øystein Røynesdal Willem van Mechelen Eivind Andersen Kate Hunt Sally Wyke Judith E. Bosmans Five-year cost-effectiveness analysis of the European Fans in Training (EuroFIT) physical activity intervention for men versus no intervention International Journal of Behavioral Nutrition and Physical Activity |
| title | Five-year cost-effectiveness analysis of the European Fans in Training (EuroFIT) physical activity intervention for men versus no intervention |
| title_full | Five-year cost-effectiveness analysis of the European Fans in Training (EuroFIT) physical activity intervention for men versus no intervention |
| title_fullStr | Five-year cost-effectiveness analysis of the European Fans in Training (EuroFIT) physical activity intervention for men versus no intervention |
| title_full_unstemmed | Five-year cost-effectiveness analysis of the European Fans in Training (EuroFIT) physical activity intervention for men versus no intervention |
| title_short | Five-year cost-effectiveness analysis of the European Fans in Training (EuroFIT) physical activity intervention for men versus no intervention |
| title_sort | five year cost effectiveness analysis of the european fans in training eurofit physical activity intervention for men versus no intervention |
| url | http://link.springer.com/article/10.1186/s12966-020-00934-7 |
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