Papini Camila Bosquiero, Campos Leonardo de, Nakamura Priscila Missaki, Brito Bruna Thaís Gomes de, Kokubun Eduardo
Departamento de Ciências do Esporte, Universidade Federal do Triângulo Mineiro (UFTM). Av. do Tutunas 490, Vila Celeste. 38061-500 Uberaba MG Brasil.
Programa de Pós-Graduação em Educação Física, Universidade Estadual Paulista (UNESP). Rio Claro SP Brasil.
Cien Saude Colet. 2021 Nov;26(11):5711-5726. doi: 10.1590/1413-812320212611.27142020. Epub 2020 Sep 10.
Physical exercise programs have been carried out in primary health care in Brazil and have provided good results in terms of effectiveness, their economic contribution has not been investigated yet. The aim of the study is to verify the feasibility of brief counseling physical activity intervention and to compare its economic cost and cost-effectiveness with supervised physical exercise intervention in primary care. A multi-arm parallel feasibility trial, with equal randomization [1:1:1] was conducted in Basic Health Units in Brazil. 61 participants were randomized in Brief Counseling Intervention (BCI), Supervised Physical Exercise Intervention (SPEI) and Control Group (CG). Interventions lasted one year. The BCI is more economical than the SPEI, costing around 50% less in the economic comparisons (session cost, annual cost and cost per participant annually). At leisure time, the cost to move one person to the physically active category at 12 months is estimated in R$369.00 for BCI and R$426.21 for the SPEI. The Incremental Cost-effectiveness Ratio (ICER) is R$310.32. The BCI is feasible and more economic, however, the cost effective is not that different. Thus, it is strongly recommended that the two interventions be offered at primary care in Brazil.
体育锻炼项目已在巴西的初级卫生保健中开展，并且在有效性方面取得了良好效果，但其经济贡献尚未得到研究。本研究的目的是验证简短咨询体育活动干预的可行性，并将其经济成本和成本效益与初级保健中的监督体育锻炼干预进行比较。在巴西的基层卫生单位进行了一项多臂平行可行性试验，采用等比例随机分组[1:1:1]。61名参与者被随机分配到简短咨询干预组（BCI）、监督体育锻炼干预组（SPEI）和对照组（CG）。干预持续一年。在经济比较（单次费用、年度费用和每位参与者每年的费用）中，BCI比SPEI更经济，成本低约50%。在休闲时间，12个月时将一人转变为身体活动类别的成本，BCI估计为369.00雷亚尔，SPEI为426.21雷亚尔。增量成本效益比（ICER）为310.32雷亚尔。BCI是可行且更经济的，然而，成本效益差异不大。因此，强烈建议在巴西的初级保健中同时提供这两种干预措施。
