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A Review of the Cost-Effectiveness of Face-to-Face Behavioural Interventions for Smoking, Physical Activity, Diet and Alcohol

Gordon, Louisa S., Graves, Nicholas, Hawkes, Anna L., & Eakin, Elizabeth G. (2007) A Review of the Cost-Effectiveness of Face-to-Face Behavioural Interventions for Smoking, Physical Activity, Diet and Alcohol. Chronic Illness, 3(2), pp. 101-129.

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Abstract

Objective: This review assesses the evidence for the cost-effectiveness of health behaviour interventions that address the major behavioural risk factors for chronic disease including; smoking, physical inactivity, poor diet and alcohol misuse. Methods: Medical and economic databases were searched for relevant economic evaluations. Studies were critically appraised using a published 35-point checklist, and the results are described using a narrative approach, noting methodological limitations. The review included 64 studies from 1995-2005, including 17 reports on multiple behaviour interventions. Results: There was considerable variation among the studies by target populations, intervention components, primary outcomes and economic methods, yet the reported incremental cost-effectiveness ratios were consistently low (e.g., <€14,000 per quality-adjusted life year gained for smoking-cessation programs in 2006 Euros) compared to certain preventive pharmaceutical and invasive interventions. Interventions targeting high-risk population sub-groups were relatively better value for money compared to those targeting general populations. Discussion: In general, results of this review demonstrate favourable cost-effectiveness for smoking interventions, physical activity interventions and multiple behaviour interventions in high-risk groups. For alcohol and dietary interventions, although appearing economically favourable, conclusions are difficult due to the variety in study outcomes. However, methodological limitations weaken the generalisability of findings, and suggest that the results of any given study be considered carefully when being used to inform resource allocation.

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ID Code: 13962
Item Type: Journal Article
Keywords: cost, effectiveness, smoking cessation, physical activity, diet, alcohol intake
DOI: 10.1177/1742395307081732
ISSN: 1742-3953
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Health Counselling (111710)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NUTRITION AND DIETETICS (111100) > Nutrition and Dietetics not elsewhere classified (111199)
Divisions: Current > Research Centres > Centre for Health Research
Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2007 Sage Publications
Copyright Statement: The final, definitive version of this article has been published in the Journal, <Chronic Illness 3(2):pp. 101-129., © <SAGE Publications Ltd
Deposited On: 03 Jul 2008
Last Modified: 29 Feb 2012 23:39

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