全球范围内体力活动大众媒体宣传活动的经济评价：系统评价。
Economic evaluation of physical activity mass media campaigns across the globe: a systematic review.
机构信息
Institute for Musculoskeletal Health, The University of Sydney and Sydney Local Health District, King George V Building (Level 10N), Missenden Road, Camperdown, 2050, Australia.
Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia.
出版信息
Int J Behav Nutr Phys Act. 2022 Aug 26;19(1):107. doi: 10.1186/s12966-022-01340-x.
BACKGROUND
Physical activity mass media campaigns can deliver physical activity messages to many people, but it remains unclear whether they offer good value for money. We aimed to investigate the cost-effectiveness, cost-utility, and costs of physical activity mass media campaigns.
METHODS
A search for economic evaluations (trial- or model-based) and costing studies of physical activity mass media campaigns was performed in six electronic databases (June/2021). The authors reviewed studies independently. A GRADE style rating was used to assess the overall certainty of each modelled economic evaluation. Results were summarised via narrative synthesis.
RESULTS
Twenty-five studies (five model-based economic evaluations and 20 costing studies) were included, and all were conducted in high-income countries except for one costing study that was conducted in a middle-income country. The methods and assumptions used in the model-based analyses were highly heterogeneous and the results varied, ranging from the intervention being more effective and less costly (dominant) in two models to an incremental cost of US$130,740 (2020 base year) per QALY gained. The level of certainty of the models ranged from very low (n = 2) to low (n = 3). Overall, intervention costs were poorly reported.
CONCLUSIONS
There are few economic evaluations of physical activity mass media campaigns available. The level of certainty of the models was judged to be very low to low, indicating that we have very little to little confidence that the results are reliable for decision making. Therefore, it remains unclear to what extent physical activity mass media campaigns offer good value for money. Future economic evaluations should consider selecting appropriate and comprehensive measures of campaign effectiveness, clearly report the assumptions of the models and fully explore the impact of assumptions in the results.
REVIEW REGISTRATION
背景
身体活动大众媒体宣传活动可以向许多人传递身体活动信息，但目前尚不清楚其是否具有良好的成本效益。我们旨在调查身体活动大众媒体宣传活动的成本效益、成本效用和成本。
方法
在六个电子数据库（2021 年 6 月）中对身体活动大众媒体宣传活动的经济评估（基于试验或模型的）和成本研究进行了检索。作者独立审查了研究。使用 GRADE 风格评级来评估每个模型经济评估的总体确定性。结果通过叙述性综合进行总结。
结果
共纳入 25 项研究（5 项基于模型的经济评估和 20 项成本研究），除了一项在中等收入国家进行的成本研究外，其余均在高收入国家进行。基于模型分析中使用的方法和假设高度异质，结果差异很大，两种模型中干预措施更有效且成本更低（占主导地位），而另两种模型中每获得一个质量调整生命年的增量成本则高达 130740 美元（2020 年基准年）。模型的确定性水平从非常低（n=2）到低（n=3）不等。总体而言，干预措施成本报告不佳。
结论
目前可获得的身体活动大众媒体宣传活动的经济评估很少。模型的确定性水平被判断为非常低到低，这表明我们对结果的可靠性几乎没有信心，无法用于决策。因此，目前尚不清楚身体活动大众媒体宣传活动在多大程度上具有良好的成本效益。未来的经济评估应考虑选择适当和全面的宣传活动效果衡量指标，明确报告模型的假设，并充分探索假设对结果的影响。
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