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- W2265431072 abstract "Using a search strategy of studies with economic analyses by Bazian, 251interventions targeting smoking cessation, diet, physical activity, sexualhealth, alcohol and multiple health-related behaviours were identified. Ofthese, 102 provided cost-utility (CUA) estimates and 85.3% wereconsidered to be cost-effective based on a conservative NICE threshold.Overall, smoking cessation interventions provided lower CUA values andwere more likely to be cost-effective than interventions for multiplehealth-related behaviours. Across all interventions, those targeting thegeneral population had lower CUA results and were more likely to be costeffectivethan those aimed at vulnerable populations. In addition,interventions featuring behaviour change techniques (BCTs) related to“Reduce negative emotions” had higher CUA values and those featuringthe BCT “Monitoring outcome(s) of behaviour by others without feedback”were less likely to be cost-effective.When looking at health-related behaviours separately, diet interventionsthat provided medication only had higher CUA outcomes than other typesof diet interventions. Moreover, diet interventions including BCTs relatedto “Comparison of outcomes” and interventions for multiple health-relatedbehaviours that used electronic supporting material were less likely to becost-effective than interventions that did not.Cost-effective interventions included in this report had CUA estimatesbroadly similar to interventions already appraised as cost-effective by NICE(reported in Stage 1). However, a higher proportion of interventions in thisreport focused on multiple health-related behaviours, were set in primarycare, aimed at vulnerable populations, involved training and included BCTspertaining to practical and social support and to discussing body changes.By contrast, fewer interventions than in Stage 1 focused on alcohol, wereset in the work place, delivered at population level, used self-help materialor incentives, and featured ‘choice architecture’ (CA). In general,interventions in this report served fewer functions, covered fewer BCTclusters and included fewer individual BCTs compared with Stage 1interventions. Based on the present analysis, there is no consistent andlittle association between the presence of an individual BCT or BCT clusterand an intervention being considered cost-effective.These findings need to be interpreted cautiously given 1) different searchstrategies for this and the Stage 1 report, 2) reliance on incompleteinformation in published papers, 3) heterogeneity in economic analyses, 4)lack of consensus for a definition of CA and 5) bias in reporting of studyfindings." @default.
- W2265431072 created "2016-06-24" @default.
- W2265431072 creator A5017602735 @default.
- W2265431072 creator A5052720011 @default.
- W2265431072 creator A5091225784 @default.
- W2265431072 date "2013-04-01" @default.
- W2265431072 modified "2023-09-22" @default.
- W2265431072 title "Behaviour Change Update: Stage 3. BCT analysis of behaviour change interventions reported in studies of cost effectiveness" @default.
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