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Cost-effectiveness of pedometer-based versus time-based Green Prescriptions: the Healthy Steps Study.

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  • Additional Information
    • Subject Terms:
    • Author-Supplied Keywords:
      economic evaluation
      older adults
      physical activity
    • NAICS/Industry Codes:
      334514 Totalizing Fluid Meter and Counting Device Manufacturing
    • Abstract:
      This paper reports on the cost-effectiveness of pedometer-based versus time-based Green Prescriptions in improving physical activity and health-related quality of life (EQ-5D) in a randomised controlled trial of 330 low-active, community-based adults aged 65 years and over. Costs, measured in $NZ (NZ$1=A$0.83, December 2008), comprised public and private health care costs plus exercise-related personal expenditure. Based on intention-to-treat data at 12-month follow up, the pedometer group showed a greater increase in weekly leisure walking (50.6 versus 28.1min for the time-based group, adjusted means, P=0.03). There were no significant between-group differences in costs. The incremental cost-effectiveness ratios, for the pedometer-based versus time-based Green Prescription, per 30min of weekly leisure walking and per quality-adjusted life year were, (i) when including only community care costs, $115 and $3105, (ii) when including only exercise and community care costs, $130 and $3500, and (iii) for all costs, -$185 and -$4999, respectively. The cost-effectiveness acceptability curves showed that the pedometer-based compared with the time-based Green Prescription was statistically cost-effective, for the above cost categories, at the following quality-adjusted life year thresholds: (i) $30000; (ii) $30500; and (iii) $16500. The additional program cost of converting one sedentary adult to an active state over a 12-month period was $667. The outcomes suggest the pedometer-based Green Prescription may be cost-effective in increasing physical activity and health-related quality of life over 12 months in previously low-active older adults. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of Australian Journal of Primary Health is the property of CSIRO Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • Author Affiliations:
      1School of Population Health, University of Auckland, Private Bag 92019, Auckland 1142, New Zealand
      2Centre for Physical Activity and Nutrition, Auckland University of Technology, AUT North Shore Campus, Mail # A24, 90 Akoranga Drive, Northcote, Auckland 0627, New Zealand
    • Full Text Word Count:
      4524
    • ISSN:
      1448-7527
    • Accession Number:
      10.1071/PY11028
    • Accession Number:
      78551854
  • Citations
    • ABNT:
      LEUNG, W. et al. Cost-effectiveness of pedometer-based versus time-based Green Prescriptions: the Healthy Steps Study. Australian Journal of Primary Health, [s. l.], v. 18, n. 3, p. 204–211, 2012. DOI 10.1071/PY11028. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=78551854&custid=s8280428. Acesso em: 2 jun. 2020.
    • AMA:
      Leung W, Ashton T, Kolt GS, et al. Cost-effectiveness of pedometer-based versus time-based Green Prescriptions: the Healthy Steps Study. Australian Journal of Primary Health. 2012;18(3):204-211. doi:10.1071/PY11028.
    • APA:
      Leung, W., Ashton, T., Kolt, G. S., Schofield, G. M., Garrett, N., Kerse, N., & Patel, A. (2012). Cost-effectiveness of pedometer-based versus time-based Green Prescriptions: the Healthy Steps Study. Australian Journal of Primary Health, 18(3), 204–211. https://doi.org/10.1071/PY11028
    • Chicago/Turabian: Author-Date:
      Leung, William, Toni Ashton, Gregory S. Kolt, Grant M. Schofield, Nicholas Garrett, Ngaire Kerse, and Asmita Patel. 2012. “Cost-Effectiveness of Pedometer-Based versus Time-Based Green Prescriptions: The Healthy Steps Study.” Australian Journal of Primary Health 18 (3): 204–11. doi:10.1071/PY11028.
    • Harvard:
      Leung, W. et al. (2012) ‘Cost-effectiveness of pedometer-based versus time-based Green Prescriptions: the Healthy Steps Study’, Australian Journal of Primary Health, 18(3), pp. 204–211. doi: 10.1071/PY11028.
    • Harvard: Australian:
      Leung, W, Ashton, T, Kolt, GS, Schofield, GM, Garrett, N, Kerse, N & Patel, A 2012, ‘Cost-effectiveness of pedometer-based versus time-based Green Prescriptions: the Healthy Steps Study’, Australian Journal of Primary Health, vol. 18, no. 3, pp. 204–211, viewed 2 June 2020, .
    • MLA:
      Leung, William, et al. “Cost-Effectiveness of Pedometer-Based versus Time-Based Green Prescriptions: The Healthy Steps Study.” Australian Journal of Primary Health, vol. 18, no. 3, Sept. 2012, pp. 204–211. EBSCOhost, doi:10.1071/PY11028.
    • Chicago/Turabian: Humanities:
      Leung, William, Toni Ashton, Gregory S. Kolt, Grant M. Schofield, Nicholas Garrett, Ngaire Kerse, and Asmita Patel. “Cost-Effectiveness of Pedometer-Based versus Time-Based Green Prescriptions: The Healthy Steps Study.” Australian Journal of Primary Health 18, no. 3 (September 2012): 204–11. doi:10.1071/PY11028.
    • Vancouver/ICMJE:
      Leung W, Ashton T, Kolt GS, Schofield GM, Garrett N, Kerse N, et al. Cost-effectiveness of pedometer-based versus time-based Green Prescriptions: the Healthy Steps Study. Australian Journal of Primary Health [Internet]. 2012 Sep [cited 2020 Jun 2];18(3):204–11. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=78551854&custid=s8280428