Cost-analysis and cost-effectiveness of physical activity interventions in brazilian primary health care: A randomised feasibility study
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1590/1413-812320212611.27142020 http://hdl.handle.net/11449/233904 |
Resumo: | Physical exercise programs have been carried out in primary health care in Brazil and have provided good results in terms of effective-ness, their economic contribution has not been investigated yet. The aim of the study is to verify the feasibility of brief counseling physical activity intervention and to compare its economic cost and cost-effectiveness with supervised physical exercise intervention in primary care. A multi-arm parallel feasibility trial, with equal randomization [1:1:1] was conducted in Basic Health Units in Brazil. 61 participants were randomized in Brief Counseling Intervention (BCI), Supervised Physical Exercise Intervention (SPEI) and Control Group (CG). Interventions lasted one year. The BCI is more economical than the SPEI, costing around 50% less in the economic comparisons (session cost, annual cost and cost per participant annually). At leisure time, the cost to move one person to the physically active category at 12 months is estimated in R$369.00 for BCI and R$426.21 for the SPEI. The Incremental Cost-effectiveness Ratio (ICER) is R$310.32. The BCI is feasible and more economic, however, the cost effective is not that different. Thus, it is strongly recommended that the two interventions be offered at primary care in Brazil. |
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Cost-analysis and cost-effectiveness of physical activity interventions in brazilian primary health care: A randomised feasibility studyAnálise de custo e custo-efetividade de intervenções de atividade física na atenção primária à saúde no brasil: Um estudo de viabilidade randomizadoBrief counselingPhysical exercisePublic healthPhysical exercise programs have been carried out in primary health care in Brazil and have provided good results in terms of effective-ness, their economic contribution has not been investigated yet. The aim of the study is to verify the feasibility of brief counseling physical activity intervention and to compare its economic cost and cost-effectiveness with supervised physical exercise intervention in primary care. A multi-arm parallel feasibility trial, with equal randomization [1:1:1] was conducted in Basic Health Units in Brazil. 61 participants were randomized in Brief Counseling Intervention (BCI), Supervised Physical Exercise Intervention (SPEI) and Control Group (CG). Interventions lasted one year. The BCI is more economical than the SPEI, costing around 50% less in the economic comparisons (session cost, annual cost and cost per participant annually). At leisure time, the cost to move one person to the physically active category at 12 months is estimated in R$369.00 for BCI and R$426.21 for the SPEI. The Incremental Cost-effectiveness Ratio (ICER) is R$310.32. The BCI is feasible and more economic, however, the cost effective is not that different. Thus, it is strongly recommended that the two interventions be offered at primary care in Brazil.Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Departamento de Ciências do Esporte Universidade Federal do Triângulo Mineiro (UFTM), Av. do Tutunas 490, Vila Celeste, MGPrograma de Pós-Graduação em Educação Física Universidade Estadual Paulista (UNESP), SPInstituto Federal de Ciência Educação e Tecnologia do Sul de Minas Gerais, MGPrograma de Pós-Graduação em Educação Física UFTM, MGDepartamento de Educação Física UNESP, SPPrograma de Pós-Graduação em Educação Física Universidade Estadual Paulista (UNESP), SPDepartamento de Educação Física UNESP, SPUniversidade Federal do Triângulo Mineiro (UFTM)Universidade Estadual Paulista (UNESP)Educação e Tecnologia do Sul de Minas GeraisUFTMPapini, Camila Bosquierode Campos, Leonardo [UNESP]Nakamura, Priscila Missakide Brito, Bruna Thaís GomesKokubun, Eduardo [UNESP]2022-05-01T11:23:37Z2022-05-01T11:23:37Z2021-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article5711-5726http://dx.doi.org/10.1590/1413-812320212611.27142020Ciencia e Saude Coletiva, v. 26, n. 11, p. 5711-5726, 2021.1678-45611413-8123http://hdl.handle.net/11449/23390410.1590/1413-812320212611.271420202-s2.0-85121306420Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengCiencia e Saude Coletivainfo:eu-repo/semantics/openAccess2022-05-01T11:23:37Zoai:repositorio.unesp.br:11449/233904Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T21:29:09.766437Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Cost-analysis and cost-effectiveness of physical activity interventions in brazilian primary health care: A randomised feasibility study Análise de custo e custo-efetividade de intervenções de atividade física na atenção primária à saúde no brasil: Um estudo de viabilidade randomizado |
title |
Cost-analysis and cost-effectiveness of physical activity interventions in brazilian primary health care: A randomised feasibility study |
spellingShingle |
Cost-analysis and cost-effectiveness of physical activity interventions in brazilian primary health care: A randomised feasibility study Papini, Camila Bosquiero Brief counseling Physical exercise Public health |
title_short |
Cost-analysis and cost-effectiveness of physical activity interventions in brazilian primary health care: A randomised feasibility study |
title_full |
Cost-analysis and cost-effectiveness of physical activity interventions in brazilian primary health care: A randomised feasibility study |
title_fullStr |
Cost-analysis and cost-effectiveness of physical activity interventions in brazilian primary health care: A randomised feasibility study |
title_full_unstemmed |
Cost-analysis and cost-effectiveness of physical activity interventions in brazilian primary health care: A randomised feasibility study |
title_sort |
Cost-analysis and cost-effectiveness of physical activity interventions in brazilian primary health care: A randomised feasibility study |
author |
Papini, Camila Bosquiero |
author_facet |
Papini, Camila Bosquiero de Campos, Leonardo [UNESP] Nakamura, Priscila Missaki de Brito, Bruna Thaís Gomes Kokubun, Eduardo [UNESP] |
author_role |
author |
author2 |
de Campos, Leonardo [UNESP] Nakamura, Priscila Missaki de Brito, Bruna Thaís Gomes Kokubun, Eduardo [UNESP] |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
Universidade Federal do Triângulo Mineiro (UFTM) Universidade Estadual Paulista (UNESP) Educação e Tecnologia do Sul de Minas Gerais UFTM |
dc.contributor.author.fl_str_mv |
Papini, Camila Bosquiero de Campos, Leonardo [UNESP] Nakamura, Priscila Missaki de Brito, Bruna Thaís Gomes Kokubun, Eduardo [UNESP] |
dc.subject.por.fl_str_mv |
Brief counseling Physical exercise Public health |
topic |
Brief counseling Physical exercise Public health |
description |
Physical exercise programs have been carried out in primary health care in Brazil and have provided good results in terms of effective-ness, their economic contribution has not been investigated yet. The aim of the study is to verify the feasibility of brief counseling physical activity intervention and to compare its economic cost and cost-effectiveness with supervised physical exercise intervention in primary care. A multi-arm parallel feasibility trial, with equal randomization [1:1:1] was conducted in Basic Health Units in Brazil. 61 participants were randomized in Brief Counseling Intervention (BCI), Supervised Physical Exercise Intervention (SPEI) and Control Group (CG). Interventions lasted one year. The BCI is more economical than the SPEI, costing around 50% less in the economic comparisons (session cost, annual cost and cost per participant annually). At leisure time, the cost to move one person to the physically active category at 12 months is estimated in R$369.00 for BCI and R$426.21 for the SPEI. The Incremental Cost-effectiveness Ratio (ICER) is R$310.32. The BCI is feasible and more economic, however, the cost effective is not that different. Thus, it is strongly recommended that the two interventions be offered at primary care in Brazil. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-01-01 2022-05-01T11:23:37Z 2022-05-01T11:23:37Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/1413-812320212611.27142020 Ciencia e Saude Coletiva, v. 26, n. 11, p. 5711-5726, 2021. 1678-4561 1413-8123 http://hdl.handle.net/11449/233904 10.1590/1413-812320212611.27142020 2-s2.0-85121306420 |
url |
http://dx.doi.org/10.1590/1413-812320212611.27142020 http://hdl.handle.net/11449/233904 |
identifier_str_mv |
Ciencia e Saude Coletiva, v. 26, n. 11, p. 5711-5726, 2021. 1678-4561 1413-8123 10.1590/1413-812320212611.27142020 2-s2.0-85121306420 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Ciencia e Saude Coletiva |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
5711-5726 |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
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1808129325594050560 |