Cost Analysis of Internet vs. Print Interventions for Physical Activity Promotion.

University of Minnesota, School of Kinesiology, 209 Cooke Hall, 1900 University Avenue SE, Minneapolis, MN 55455, USA.
Psychology of Sport and Exercise (Impact Factor: 1.77). 05/2010; 11(3):246-249. DOI: 10.1016/j.psychsport.2009.10.002
Source: PubMed

ABSTRACT OBJECTIVE: The objective of this study was to compare the costs associated with Internet and print-based physical activity interventions. METHOD: The costs associated with delivering tailored print and Internet-based interventions were estimated from a randomized controlled physical activity trial (n=167). The estimates were based on research assistant time sampling surveys, web development invoices, and other tracking procedures. RESULTS: Web-development costs for the Internet intervention were $109,564. Taken together with the website hosting fees and staff costs, the cost per participant per month was $122.52 The cost of the print intervention was $35.81 per participant per month. However, in a break-even analysis, the Internet intervention became more cost-efficient, relative to the print intervention, when the total number of participants exceeded 352. CONCLUSIONS: Relative to print-based interventions, Internet-based interventions may be a more cost efficient way to reach a large number of sedentary individuals.

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    ABSTRACT: Physical inactivity is an important risk factor in several highly prevalent diseases, being associated with worse quality of life and higher mortality. Despite the implementation of a several global, national and local policy instruments and strategies to promote physical activity (PA), including Internet platforms and advertising campaign, approximately two thirds of the European adult population reports low adherence to an active lifestyle, impairing health benefits that exercise can provide. Increasing efforts to provide adequate information have been made, and the use of new technologies tools has increased, but little investigation focus on the effect of information exposure on knowledge retention, regarding effects of physical inactivity in health. The objective of the present study is to evaluate differences among people in the use of new information technologies as information source on PA, regarding their perceptions of benefits of an active lifestyle and characteristics of adequate physical activity to health improvement. The study included a randomly recruited sample of 879 subjects (53% males; 47% females), age 42.3±19.4 years old. A survey was designed to (1) identify main information sources; (2) relate perceived knowledge and PA information sources; (3) relate knowledge retention on adequate PA for health benefits and PA information sources; (4) relate perceived necessity of more information regarding PA and information sources and (5) relate PA levels and information sources. Results show that two information sources (teacher and sport professionals) positively influence perception of proper PA information. Results also found teachers, Internet and sport professionals as PA information sources that most influence their users, regarding Knowledge retention. We also found that rely on friends/family; teachers, Internet and sport professionals as PA information sources positively influence the adoption of an active lifestyle.
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    ABSTRACT: Background The adverse health effects of insufficient physical activity (PA) result in high costs to society. The economic burden of insufficient PA, which increases in our aging population, stresses the urgency for cost-effective interventions to promote PA among older adults. The current study provides insight in the cost-effectiveness and cost-utility of different versions of a tailored PA intervention (Active Plus) among adults aged over fifty.Methods The intervention conditions (i.e. print-delivered basic (PB; N¿=¿439), print-delivered environmental (PE; N¿=¿435), Web-based basic (WB; N¿=¿423), Web-based environmental (WE; N¿=¿432) and a waiting-list control group were studied in a clustered randomized controlled trial. Intervention costs were registered during the trial. Health care costs, participant costs and productivity losses were identified and compared with the intervention effects on PA (in MET-hours per week) and quality-adjusted life years (QALYs) 12 months after the start of the intervention. Cost-effectiveness ratios (ICERs) and cost-utility ratios (ICURs) were calculated per intervention condition. Non-parametric bootstrapping techniques and sensitivity analyses were performed to account for uncertainty.ResultsAs a whole (i.e. the four intervention conditions together) the Active Plus intervention was found to be cost-effective. The PB-intervention (ICER¿=¿¿-55/MET-hour), PE-intervention (ICER¿=¿¿-94/MET-hour) and the WE-intervention (ICER¿=¿¿-139/MET-hour) all resulted in higher effects on PA and lower societal costs than the control group. With regard to QALYs, the PB-intervention (ICUR¿=¿¿38,120/QALY), the PE-intervention (ICUR¿=¿¿405,892/QALY) and the WE-intervention (ICUR¿=¿¿-47,293/QALY) were found to be cost-effective when considering a willingness-to-pay threshold of ¿20,000/QALY. In most cases PE had the highest probability to be cost-effective.Conclusions The Active Plus intervention was found to be a cost-effective manner to increase PA in a population aged over fifty when compared to no-intervention. The tailored Active Plus intervention delivered through printed material and with additional environmental information (PE) turned out to be the most cost-effective intervention condition as confirmed by the different sensitivity analyses. By increasing PA at relatively low costs, the Active Plus intervention can contribute to a better public health.Trial registrationDutch Trial Register: NTR2297.
    International Journal of Behavioral Nutrition and Physical Activity 09/2014; 11(1):122. DOI:10.1186/s12966-014-0122-z · 3.68 Impact Factor
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    ABSTRACT: Physical inactivity is a significant predictor of several chronic diseases, becoming more prevalent as people age. Since the aging population increases demands on healthcare budgets, effectively stimulating physical activity (PA) against acceptable costs is of major relevance. This study provides insight into long-term health outcomes and cost-effectiveness of a tailored PA intervention among adults aged over fifty.
    BMC Public Health 10/2014; 14(1):1099. DOI:10.1186/1471-2458-14-1099 · 2.32 Impact Factor


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Jun 1, 2014