A review of the cost-effectiveness of face-to-face behavioural interventions for smoking, physical activity, diet and alcohol

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Title A review of the cost-effectiveness of face-to-face behavioural interventions for smoking, physical activity, diet and alcohol
Author Gordon, Louisa; Graves, N.; Hawkes, A.; Eakin, E.
Journal Name Chronic Illness
Year Published 2007
Place of publication United Kingdom
Publisher Sage Publications Ltd.
Abstract Objective: To assess 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, but the reported incremental cost-effectiveness ratios were consistently low (e.g.5E14,000 per quality-adjusted life-year gained for smoking-cessation programmes in 2006 Euros) as compared to certain preventive pharmaceutical and invasive interventions. Interventions targeting high-riskpopulation subgroups were relatively better value for money as compared to those targeting general populations. Discussion: In general, the results of this review demonstrate favourable cost-effectiveness for smoking interventions, physical activity interventions and multiple behaviour interventions in high-risk groups. Although alcohol and dietary interventions appeared to be economically favourable, it is difficult to draw conclusions because of the variety in study outcomes. However, methodological limitations weaken the generalizability of findings, and suggest that the results of any given study should be considered carefully when being used to inform resource allocation.
Peer Reviewed Yes
Published Yes
Alternative URI http://dx.doi.org/10.1177/1742395307081732
Volume 3
Issue Number 2
Page from 101
Page to 129
ISSN 1742-3953
Date Accessioned 2011-01-31
Language en_AU
Research Centre Population and Social Health Research Program
Faculty Griffith Health Faculty
Subject Medical and Health Sciences
URI http://hdl.handle.net/10072/38845
Publication Type Journal Articles (Refereed Article)
Publication Type Code c1x

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