Micro-costing and a cost-consequence analysis of the ‘Girls Active’ programme: A cluster randomised controlled trial

Joanna Charles, Deirdre Harrington, Melanie Davies, Charlotte Edwardson, Trish Gorely, Danielle Bodicoat, Kamlesh Khunti, Lauren Sherar, Thomas Yates, Rhiannon Tudor Edwards

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Abstract

Physical inactivity has been identified as a leading risk factor for premature mortality globally, and adolescents, in particular, have low physical activity levels. Schools have been identified as a setting to tackle physical inactivity. Economic evidence of school-based physical activity programmes is limited, and the costs of these programmes are not always collected in full. This paper describes a micro-costing and cost-consequence analysis of the ‘Girls Active’ secondary school-based programme as part of a cluster randomised controlled trial (RCT). Micro-costing and cost-consequence analyses were conducted using bespoke cost diaries and questionnaires to collect programme delivery information. Outcomes for the cost-consequence analysis included health-related quality of life measured by the Child Health Utility-9D (CHU-9D), primary care General Practitioner (GP) and school-based (school nurse and school counsellor) service use as part of a cluster RCT of the ‘Girls Active’ programme. Overall, 1,752 secondary pupils were recruited and a complete case sample of 997 participants (Intervention n = 570, Control n = 427) was used for the cost-consequence analysis. The micro-costing analysis demonstrated that, depending upon how the programme was delivered, ‘Girls Active’ costs ranged from £1,054 (£2 per pupil, per school year) to £3,489 (£7 per pupil, per school year). The least costly option was to absorb ‘Girls Active’ strictly within curriculum hours. The analysis demonstrated no effect for the programme for the three main outcomes of interest (health-related quality of life, physical activity and service use).Micro-costing analyses demonstrated the costs of delivering the ‘Girls Active’ programme, addressing a gap in the United Kingdom (UK) literature regarding economic evidence from school-based physical activity programmes. This paper provides recommendations for those gathering cost and service use data in school settings to supplement validated and objective measures, furthering economic research in this field.
Original languageEnglish
Article numbere0221276
JournalPLoS ONE
Volume14
Issue number8
DOIs
Publication statusPublished - 16 Aug 2019

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Randomized Controlled Trials
Costs and Cost Analysis
Costs
physical activity
Pupil
Exercise
students
Health
Economics
quality of life
economics
Quality of Life
general practitioners
Premature Mortality
curriculum
nurses
Curricula
Curriculum
General Practitioners
United Kingdom

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Charles, J., Harrington, D., Davies, M., Edwardson, C., Gorely, T., Bodicoat, D., ... Tudor Edwards, R. (2019). Micro-costing and a cost-consequence analysis of the ‘Girls Active’ programme: A cluster randomised controlled trial. PLoS ONE, 14(8), [e0221276]. https://doi.org/10.1371/journal.pone.0221276
Charles, Joanna ; Harrington, Deirdre ; Davies, Melanie ; Edwardson, Charlotte ; Gorely, Trish ; Bodicoat, Danielle ; Khunti, Kamlesh ; Sherar, Lauren ; Yates, Thomas ; Tudor Edwards, Rhiannon. / Micro-costing and a cost-consequence analysis of the ‘Girls Active’ programme: A cluster randomised controlled trial. In: PLoS ONE. 2019 ; Vol. 14, No. 8.
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Charles, J, Harrington, D, Davies, M, Edwardson, C, Gorely, T, Bodicoat, D, Khunti, K, Sherar, L, Yates, T & Tudor Edwards, R 2019, 'Micro-costing and a cost-consequence analysis of the ‘Girls Active’ programme: A cluster randomised controlled trial', PLoS ONE, vol. 14, no. 8, e0221276. https://doi.org/10.1371/journal.pone.0221276

Micro-costing and a cost-consequence analysis of the ‘Girls Active’ programme: A cluster randomised controlled trial. / Charles, Joanna; Harrington, Deirdre; Davies, Melanie; Edwardson, Charlotte; Gorely, Trish; Bodicoat, Danielle; Khunti, Kamlesh; Sherar, Lauren; Yates, Thomas; Tudor Edwards, Rhiannon.

In: PLoS ONE, Vol. 14, No. 8, e0221276, 16.08.2019.

Research output: Contribution to journalArticle

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T1 - Micro-costing and a cost-consequence analysis of the ‘Girls Active’ programme: A cluster randomised controlled trial

AU - Charles, Joanna

AU - Harrington, Deirdre

AU - Davies, Melanie

AU - Edwardson, Charlotte

AU - Gorely, Trish

AU - Bodicoat, Danielle

AU - Khunti, Kamlesh

AU - Sherar, Lauren

AU - Yates, Thomas

AU - Tudor Edwards, Rhiannon

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Y1 - 2019/8/16

N2 - Physical inactivity has been identified as a leading risk factor for premature mortality globally, and adolescents, in particular, have low physical activity levels. Schools have been identified as a setting to tackle physical inactivity. Economic evidence of school-based physical activity programmes is limited, and the costs of these programmes are not always collected in full. This paper describes a micro-costing and cost-consequence analysis of the ‘Girls Active’ secondary school-based programme as part of a cluster randomised controlled trial (RCT). Micro-costing and cost-consequence analyses were conducted using bespoke cost diaries and questionnaires to collect programme delivery information. Outcomes for the cost-consequence analysis included health-related quality of life measured by the Child Health Utility-9D (CHU-9D), primary care General Practitioner (GP) and school-based (school nurse and school counsellor) service use as part of a cluster RCT of the ‘Girls Active’ programme. Overall, 1,752 secondary pupils were recruited and a complete case sample of 997 participants (Intervention n = 570, Control n = 427) was used for the cost-consequence analysis. The micro-costing analysis demonstrated that, depending upon how the programme was delivered, ‘Girls Active’ costs ranged from £1,054 (£2 per pupil, per school year) to £3,489 (£7 per pupil, per school year). The least costly option was to absorb ‘Girls Active’ strictly within curriculum hours. The analysis demonstrated no effect for the programme for the three main outcomes of interest (health-related quality of life, physical activity and service use).Micro-costing analyses demonstrated the costs of delivering the ‘Girls Active’ programme, addressing a gap in the United Kingdom (UK) literature regarding economic evidence from school-based physical activity programmes. This paper provides recommendations for those gathering cost and service use data in school settings to supplement validated and objective measures, furthering economic research in this field.

AB - Physical inactivity has been identified as a leading risk factor for premature mortality globally, and adolescents, in particular, have low physical activity levels. Schools have been identified as a setting to tackle physical inactivity. Economic evidence of school-based physical activity programmes is limited, and the costs of these programmes are not always collected in full. This paper describes a micro-costing and cost-consequence analysis of the ‘Girls Active’ secondary school-based programme as part of a cluster randomised controlled trial (RCT). Micro-costing and cost-consequence analyses were conducted using bespoke cost diaries and questionnaires to collect programme delivery information. Outcomes for the cost-consequence analysis included health-related quality of life measured by the Child Health Utility-9D (CHU-9D), primary care General Practitioner (GP) and school-based (school nurse and school counsellor) service use as part of a cluster RCT of the ‘Girls Active’ programme. Overall, 1,752 secondary pupils were recruited and a complete case sample of 997 participants (Intervention n = 570, Control n = 427) was used for the cost-consequence analysis. The micro-costing analysis demonstrated that, depending upon how the programme was delivered, ‘Girls Active’ costs ranged from £1,054 (£2 per pupil, per school year) to £3,489 (£7 per pupil, per school year). The least costly option was to absorb ‘Girls Active’ strictly within curriculum hours. The analysis demonstrated no effect for the programme for the three main outcomes of interest (health-related quality of life, physical activity and service use).Micro-costing analyses demonstrated the costs of delivering the ‘Girls Active’ programme, addressing a gap in the United Kingdom (UK) literature regarding economic evidence from school-based physical activity programmes. This paper provides recommendations for those gathering cost and service use data in school settings to supplement validated and objective measures, furthering economic research in this field.

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