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

Proper, K. I., de Bruyne, M. C., Hildebrandt, V. H., van der Beek, A. J., Meerding, W. J. and van Mechelen, W. (2004) Costs, benefits and effectiveness of worksite physical activity counseling from the employer`s perspective. Scandinavian Journal of Work, Environment & Health, 30 1: 36-46.


Author Proper, K. I.
de Bruyne, M. C.
Hildebrandt, V. H.
van der Beek, A. J.
Meerding, W. J.
van Mechelen, W.
Title Costs, benefits and effectiveness of worksite physical activity counseling from the employer`s perspective
Journal name Scandinavian Journal of Work, Environment & Health   Check publisher's open access policy
ISSN 0355-3140
1795-990X
Publication date 2004-01-01
Sub-type Article (original research)
Open Access Status Not Open Access
Volume 30
Issue 1
Start page 36
End page 46
Total pages 11
Place of publication Helsinki, Finland
Language eng
Subject 1117 Public Health and Health Services
Formatted 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
Keyword absenteeism
efficiency
employer counseling
financial impact
intervention
physical activity
physical activity counseling
physical fitness
randomized controlled trial
workplace
worksite
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Human Movement and Nutrition Sciences Publications
 
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