Cost-effectiveness of a community-based physical activity programme for adults (Be Active) in the UK: an economic analysis within a natural experiment

Frew, Emma; Bhatti, Mobeen; Win, Khine Lae; Sitch, Alice; Lyon, Anna; Pallan, Miranda; Adab, Peymané

doi:10.1136/bjsports-2012-091202

Cited by 42 publications

(69 citation statements)

References 29 publications

(5 reference statements)

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“…Regular PA has been shown to reduce the risk of chronic diseases such as ischaemic heart disease, hypertension, type 2 diabetes, osteoporosis, some cancers, and depression [4]. Maintaining a PA lifestyle has also been shown to reduce the risk of all-cause mortality [5, 6].…”

Section: Introductionmentioning

confidence: 99%

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Older people’s adherence to community-based group exercise programmes: a multiple-case study

2017

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BackgroundPhysical inactivity is a global phenomenon, with estimates of one in four adults not being active enough to achieve health benefits, thus heightening the risk of developing non-communicable diseases. In order to realise the health and wellbeing gains associated with physical activity the behaviour must be sustained. Community-based group exercise programmes (CBGEP) utilising social supports have been shown to be one means of not only increasing activity levels for older people, but sustaining physical activity.A gap in the literature was identified around older people’s long-term adherence to real-life CBGEP within a UK context. This study therefore sought to address this gap by understanding older people’s ongoing adherence to CBGEP with a view to gaining further insight about which factors contribute to enabling people to sustain their physical activity levels.MethodsA multiple case study research design was employed to understand older people’s (≥60 years, n = 27) adherence (≥ 69%, for ≥ 1 year) to three current CBGEP in the South- West of England. Qualitative data (participant observation, focus groups, documents, and interviews) were collected and analysed using inductive thematic analysis followed by the analytic technique of explanation building. Quantitative data were analysed using descriptive statistics and used to set the context of the study.ResultsThe current study offers five unique insights into real-life programmes which have been successful in helping older people maintain adherence for a year or longer. These included: factors relating to the individual, the instructor (particularly their personality, professionalism and humanised approach), programme design (including location, affordability, the use of music, and adaptable exercise content), social features which supported a sense of belonging, and participant perceived benefits (physical and psycho-social). These all served to explain older people’s adherence to CBGEP.ConclusionsThese factors related to participant adherence of CBGEP must be considered if we wish to support older people in sustaining a physically active lifestyle as they age. These findings are of interest to practitioners and policy makers in how CBGEP serve to aid older people in maintaining a physically active lifestyle with a view to preventing non-communicable diseases and in maintaining social connectivity.

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Section: Introductionmentioning

confidence: 99%

“…Maintaining a PA lifestyle has also been shown to reduce the risk of all-cause mortality [5, 6]. A growing body of evidence is developing regarding the cognitive benefits of sustained PA in older people as well as improved quality of sleep, health-related quality of life, and lower risk of falls [2, 4]. …”

Section: Introductionmentioning

confidence: 99%

Older people’s adherence to community-based group exercise programmes: a multiple-case study

2017

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“…The increasing attention to routine physical activity in adulthood comes from BE ACTIVE in the UK 3. Older people also benefit remarkably as shown from the national UK data by Hamer13 and in Western Australia by Almeida 14…”

Section: Proven ‘Investments That Work’ To Limit the Disease Of Physimentioning

confidence: 99%

Physical inactivity remains the greatest public health problem of the 21st century: evidence, improved methods and solutions using the ‘7 investments that work’ as a framework

Trost¹,

Blair²,

Khan³

2014

Br J Sports Med

118

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“…HRQoL scores will be used to weight survival years and, thus, to generate QALYs (Quality Adjusted Life Years). The cost-effectiveness analysis will be conducted in accordance with the current practice methods for economic assessment [52]. The primary cost-effectiveness outcome will be a reduction in the metabolic risk score.…”

Section: Methodsmentioning

confidence: 99%

Metabolic risk management, physical exercise and lifestyle counselling in low-active adults: controlled randomized trial (BELLUGAT)

et al. 2017

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BackgroundThe primary aim of this study is to evaluate the effectiveness of different doses (intensity) of supervised exercise training — concomitant with lifestyle counselling — as a primary care intervention tool for the management of metabolic syndrome risk factors in low-active adults with one or more such factors (programme name in Catalan: Bellugat de CAP a peus).Methods/DesignThree-arm, randomized controlled clinical trial implemented in the primary care setting, with a duration of 40 weeks (16 weeks intervention and 24-week follow-up).Adults aged 30 to 55 years with metabolic risk factors will be randomized into three intervention groups: 1) aerobic interval training (16 supervised training lessons) plus a healthy lifestyle counselling programme (6 group and 3 individual meetings); 2) low-to-moderate intensity continuous training (16 supervised training lessons) plus the same counselling programme; or 3) the counselling- programme without any supervised physical exercise.The main output variables assessed will be risk factors for metabolic syndrome (waist circumference, blood pressure, and levels of plasma triglycerides, high-density lipoproteins and glucose), systemic inflammation, cardiorespiratory fitness, physical activity and sedentary behaviour, dietary habits, health-related quality of life, self-efficacy and empowerment. Economic factors will also be analysed in order to determine the cost-effectiveness of the programme. These variables will be assessed three times during the study: at baseline, at the end of the intervention, and at follow-up. We estimate to recruit 35 participants per group.DiscussionThe results of this study will provide insight into the immediate and medium-term effects on metabolic risk and lifestyle of a combined approach involving aerobic interval training and a multidisciplinary behavioural intervention. If effective, the proposed intervention would provide both researchers and practitioners in this field with a platform on which to develop similar intervention programmes for tackling the repercussions of an unhealthy lifestyle.Trial registrationClinical trials.gov. NTC02832453. Registered 6 July 2016 (retrospectively registered).

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Cost-effectiveness of a community-based physical activity programme for adults (Be Active) in the UK: an economic analysis within a natural experiment

Abstract: Participation in Be Active appeared to be cost-effective and cost-beneficial. These results support the use of Be Active as part of a public health programme to improve physical activity levels within the Birmingham-wide population.

Cited by 42 publications

References 29 publications

Older people’s adherence to community-based group exercise programmes: a multiple-case study

Older people’s adherence to community-based group exercise programmes: a multiple-case study

Physical inactivity remains the greatest public health problem of the 21st century: evidence, improved methods and solutions using the ‘7 investments that work’ as a framework

Metabolic risk management, physical exercise and lifestyle counselling in low-active adults: controlled randomized trial (BELLUGAT)

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