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Physical activity on prescription (PAP): Costs and consequences of a randomized, controlled trial in primary healthcare.

Romé, Åsa LU ; Persson, Ulf; Ekdahl, Charlotte LU and Gard, Gunvor LU (2009) In Scandinavian Journal of Primary Health Care 27(4). p.216-222
Abstract
Abstract Objectives. To analyse costs and consequences of changing physical activity behaviour due to the "Physical Activity on Prescription" (PAP) programme. Design. A randomized controlled trial with a four-month intervention, with comparison between intervention and control group. Intervention. The PAP programme, with exercise twice a week, education, and motivational counselling. Subjects. 525 sedentary individuals, 20-80 years (intervention group n = 268, control group n = 257), with lifestyle-related health problems. A total of 245 returned for the four-month assessment. Main outcome measure. Programme costs based on intention-to-treat estimations, direct and indirect costs of inactivity, and physical activity behaviour analysed with... (More)
Abstract Objectives. To analyse costs and consequences of changing physical activity behaviour due to the "Physical Activity on Prescription" (PAP) programme. Design. A randomized controlled trial with a four-month intervention, with comparison between intervention and control group. Intervention. The PAP programme, with exercise twice a week, education, and motivational counselling. Subjects. 525 sedentary individuals, 20-80 years (intervention group n = 268, control group n = 257), with lifestyle-related health problems. A total of 245 returned for the four-month assessment. Main outcome measure. Programme costs based on intention-to-treat estimations, direct and indirect costs of inactivity, and physical activity behaviour analysed with IPAQ (International Physical Activity Questionnaire), self-reported physical activity, and measures of functional capacity. Results. The intention-to-treat programme costs for the four-month programme period was SKr (Swedish Kronor) 6475 (euro [Euro] 684) for the intervention group and SKr 3038 (euro 321) for the control group. Of this, healthcare providers' costs were 24% in the intervention group, and 31% in the control group. The physical activity behaviour was significantly improved in both groups, but no differences were found between the groups. Implications. The largest share of the PAP programme costs was the participants' costs. Significant improvements were shown in physical activity behaviour in both groups, but no differences were found between the intervention and control groups. Due to many non-completers, the potential for improvements of the motivating assignment with sedentary individuals in primary healthcare is obvious. Long-term follow-up can determine the sustainability of the results, and can be used in a future cost-effectiveness analysis. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Scandinavian Journal of Primary Health Care
volume
27
issue
4
pages
216 - 222
publisher
Taylor & Francis
external identifiers
  • wos:000273567900005
  • pmid:19929183
  • scopus:72449205549
ISSN
0281-3432
DOI
10.3109/02813430903438734
language
English
LU publication?
yes
id
1cefc321-f621-46e7-a183-f1b920d749cf (old id 1511722)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/19929183?dopt=Abstract
date added to LUP
2009-12-07 11:23:52
date last changed
2017-11-19 04:18:57
@article{1cefc321-f621-46e7-a183-f1b920d749cf,
  abstract     = {Abstract Objectives. To analyse costs and consequences of changing physical activity behaviour due to the "Physical Activity on Prescription" (PAP) programme. Design. A randomized controlled trial with a four-month intervention, with comparison between intervention and control group. Intervention. The PAP programme, with exercise twice a week, education, and motivational counselling. Subjects. 525 sedentary individuals, 20-80 years (intervention group n = 268, control group n = 257), with lifestyle-related health problems. A total of 245 returned for the four-month assessment. Main outcome measure. Programme costs based on intention-to-treat estimations, direct and indirect costs of inactivity, and physical activity behaviour analysed with IPAQ (International Physical Activity Questionnaire), self-reported physical activity, and measures of functional capacity. Results. The intention-to-treat programme costs for the four-month programme period was SKr (Swedish Kronor) 6475 (euro [Euro] 684) for the intervention group and SKr 3038 (euro 321) for the control group. Of this, healthcare providers' costs were 24% in the intervention group, and 31% in the control group. The physical activity behaviour was significantly improved in both groups, but no differences were found between the groups. Implications. The largest share of the PAP programme costs was the participants' costs. Significant improvements were shown in physical activity behaviour in both groups, but no differences were found between the intervention and control groups. Due to many non-completers, the potential for improvements of the motivating assignment with sedentary individuals in primary healthcare is obvious. Long-term follow-up can determine the sustainability of the results, and can be used in a future cost-effectiveness analysis.},
  author       = {Romé, Åsa and Persson, Ulf and Ekdahl, Charlotte and Gard, Gunvor},
  issn         = {0281-3432},
  language     = {eng},
  number       = {4},
  pages        = {216--222},
  publisher    = {Taylor & Francis},
  series       = {Scandinavian Journal of Primary Health Care},
  title        = {Physical activity on prescription (PAP): Costs and consequences of a randomized, controlled trial in primary healthcare.},
  url          = {http://dx.doi.org/10.3109/02813430903438734},
  volume       = {27},
  year         = {2009},
}