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Titre du document / Document title

Costs, benefits and effectiveness of worksite physical activity counseling from the employer's perspective

Auteur(s) / Author(s)

PROPER Karin I. (1 2 3) ; DE BRUYNE Martine C. (4) ; HILDEBRANDT Vincent H. (1 3) ; VAN DER BEEK Allard J. (2 3) ; MEERDING Willem Jan (5) ; VAN MECHELEN Willem (2 3) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) TNO Work and Employment, Hoofddorp, PAYS-BAS
(2) Department of Social Medicine and Institute for Research in Extramural Medicine, VU University Medical Center, Amsterdam, PAYS-BAS
(3) Body@Work, Research Center Physical Activity, Work and Health, TNO-VUmc, PAYS-BAS
(4) Health Technology Assessment Unit, Institute for Research in Extramural Medicine, VU University Medical Center, Amsterdam, PAYS-BAS
(5) Department of Public Health, Faculty of Medicine, Erasmus MC University Medical Center Rotterdam, PAYS-BAS

Résumé / Abstract

Objectives This study evaluated the impact of worksite physical activity counseling using cost-benefit and cost-effectiveness analyses. Methods Civil servants (N=299) were randomly assigned to an intervention (N=131) or control (N=168) group for 9 months. The intervention costs were compared with the monetary benefits gained from reduced sick leave. In addition, the intervention costs minus the monetary benefits from sick leave reduction were compared with the effects (percentage meeting the public health recommendation for moderate-intensity physical activity, energy expenditure, cardiorespiratory fitness, and upper extremity symptoms). Results The intervention costs were EUR 430 per participant, and the benefits were EUR 125 due to sick leave during the intervention period, for net total costs of EUR 305 for the intervention. During the same 9-month period the year after the intervention, the benefits from sick leave reduction were EUR 635. No statistically significant differences in costs and benefits were found between the groups. As to the cost-effectiveness, improvement in energy expenditure and cardiorespiratory fitness was observed at higher costs. The point estimates of the cost-effectiveness ratios were EUR 5.2 (without imputation of effect data) and EUR 2.7 (with imputation of effect data) per extra kilocalorie of energy expenditure per day and EUR 235 (without imputation of effect data) and EUR 45.9 (with imputation of effect data per beat per minute of decrease in submaximal heart rate. Conclusions This study does not provide a financial reason for implementing worksite counseling intervention on physical activity on the short-term. However, positive effects were shown for energy expenditure and cardiorespiratory fitness.

Revue / Journal Title

Scandinavian journal of work, environment & health    ISSN  0355-3140 

Source / Source

2004, vol. 30, no1, pp. 36-46 [11 page(s) (article)] (40 ref.)

Langue / Language

Anglais

Editeur / Publisher

Scandinavian journal of work, environment & health, Helsinki, FINLANDE  (1975) (Revue)

Mots-clés anglais / English Keywords

Occupational medicine

;

Human

;

Performance

;

Cost benefit analysis

;

Cost efficiency analysis

;

Absenteeism

;

Efficiency

;

Work place

;

Physical exercise

;

Perspective

;

Costs

;

Mots-clés français / French Keywords

Médecine travail

;

Homme

;

Performance

;

Analyse avantage coût

;

Analyse coût efficacité

;

Absentéisme

;

Efficacité

;

Lieu travail

;

Exercice physique

;

Perspective

;

Coût

;

Mots-clés espagnols / Spanish Keywords

Medicina ocupacional

;

Hombre

;

Rendimiento

;

Análisis coste beneficio

;

Análisis costo eficacia

;

Ausentismo

;

Eficacia

;

Lugar trabajo

;

Ejercicio físico

;

Perspectiva

;

Coste

;

Mots-clés d'auteur / Author Keywords

absenteeism from work

;

efficiency

;

financial impact

;

intervention

;

physical fitness

;

randomized controlled trial

;

workplace

;

Localisation / Location

INIST-CNRS, Cote INIST : 17954, 35400011692655.0050

Nº notice refdoc (ud4) : 15560996



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