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Cost-effectiveness of physical activity counselling in general practice

Elley, Raina, Kerse, Ngaire, Arroll, Bruce, Swinburn, Boyd, Ashton, Toni and Robinson, Elizabeth 2004, Cost-effectiveness of physical activity counselling in general practice, New Zealand medical journal, vol. 117, no. 1207, pp. 1-15.

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Title Cost-effectiveness of physical activity counselling in general practice
Author(s) Elley, Raina
Kerse, Ngaire
Arroll, Bruce
Swinburn, Boyd
Ashton, Toni
Robinson, Elizabeth
Journal name New Zealand medical journal
Volume number 117
Issue number 1207
Start page 1
End page 15
Publisher New Zealand Medical Association
Place of publication Christchurch, N. Z.
Publication date 2004-12-17
ISSN 0028-8446
1175-8716
Summary AIM: To assess the cost-effectiveness of the 'Green Prescription' physical activity counselling programme in general practice.
METHOD: Prospective cost-effectiveness study undertaken as part of a cluster randomised controlled trial with 12-month follow-up of 878 'less-active' patients aged 40-79 years in 42 general practices in the Waikato. The intervention was verbal advice and a written exercise prescription given by general practitioners, with telephone exercise specialist follow-up compared with usual care. Main outcome measures included cost per total and leisure-time physical activity gain from health-funders' and societal perspectives.
RESULTS: Significant increases in physical activity were found in the randomised controlled trial. Programme-cost per patient was NZ170 dollars from a funder's perspective. The monthly cost-effectiveness ratio for total energy expenditure achieved was 11 dollars per kcal/kg/day. The incremental cost of converting one additional 'sedentary' adult to an 'active' state over a twelve-month period was NZ1,756 dollars in programme costs.
CONCLUSION: Verbal and written physical activity advice given in general practice with telephone follow-up is an inexpensive way of increasing activity for sedentary people, and has the potential to have significant economic impact through reduction in cardiovascular and other morbidity and mortality.
Language eng
Field of Research 111716 Preventive Medicine
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2004, NZMA
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30008677

Document type: Journal Article
Collections: School of Exercise and Nutrition Sciences
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.