Table 2 Economic characteristics of the included studies (n = 16)
Author, year | Economic evaluation | Perspective | Follow-up duration | Intervention costs per person $USD* | CHEC-list score | Study conclusions | Certainty of evidence |
|---|---|---|---|---|---|---|---|
Barrett, 2019 | CEA | Hospital perspective | 26 weeks | $177 | 15 | Telephone coaching was a low-cost strategy for increasing MVPA and QALYs in insufficiently physically active ambulatory care hospital patients. | Moderate |
Barrett, 2022 | CEA | Healthcare funder | 39 weeks | $83 | 15 | Physical activity telephone coaching was a low-cost strategy for increasing MVPA and QALYs in insufficiently active ambulatory hospital patients. | Moderate |
Brodin, 2015 | CEA | Societal perspective | 52 weeks | $1028 | 15 | Ordinary physiotherapy was most cost effective with regard to quality of life. | Moderate |
Broekhuizen, 2018 | CEA | Societal perspective | 37 weeks | $598 | 15 | The intervention was cost-effective for QALYs. | Moderate |
Buder, 2018 | CUA | NS | 52 weeks | $751 | 11 | This health coaching intervention was deemed to be cost-effective. | Low |
Crist et al., 2022 | CEA | Payer perspective | 104 weeks | $302 | 13 | This study provides evidence of a highly cost-effective intervention to increase PA and improve QALYs in older adults over a 2-year period. | Moderate |
Goyder, 2014 | CEA | NHS societal perspective | 39 weeks | $324 | 19 | The lack of impact on objectively measured physical activity levels suggest that it is unlikely to represent a clinically effective or cost-effective intervention. | High |
Ismail, 2020 | CEA | Healthcare funder | 52 weeks | $184 | 15 | The individual interventions was not cost-effective at conventional thresholds | Moderate |
Jacobs, 2010 | CUA | Healthcare funder | 52 weeks | $825 | 17 | The intervention was cost-effective after 1 year of intervention. | Moderate |
Khunti, 2021 | CEA | NHS perspective | Lifetime horizon | $446 | 18 | The economic evaluation showed that the intervention was not cost effective for changes in physical activity. | Moderate |
Sangster, 2015 | CEA | Partial societal perspective | 42 weeks | $145 | 16 | The Healthy Weight intervention is overall both less costly and more effective compared to the Physical Activity coaching intervention. | Moderate |
Sevick, 2000 | CEA | Clinician perspective | 102 weeks | $618 | 15 | The intervention in which participants are taught behavioral skills to increase their physical activity was more cost-effective than a structured exercise program in improving physical activity. | Moderate |
Sevick, 2007 | CEA | Payer perspective | 102 weeks | $1298 | 16 | The intervention provides an efficient approach to increasing physical activity. | Moderate |
Sorensen, 2022 | CEA | Healthcare funder | 96 weeks | $508 | 15 | The individually tailored intervention is effective at improving participants’ health status and reducing healthcare costs. | Moderate |
Turkstra, 2013 | CEA | Healthcare funder | 102 weeks | $212 | 13 | There was no intervention effect measured and ProActive Heart resulted in significantly increased costs. The cost per QALYs gained was high and above acceptable limits compared to usual care. | Moderate |
vanKeulen, 2010 | CEA | Healthcare funder | 78 weeks | $155 | 15 | The control group displayed the most cost-efficacy for the number of QALYs experienced over 73 weeks | Moderate |