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.
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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|Item Type:||Journal Article|
|Keywords:||cost, effectiveness, smoking cessation, physical activity, diet, alcohol intake|
|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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