Evidence map›Paper›PMID 25926145›Full record

Trial reportBMJ open2015

The cost-effectiveness of the MobileMums intervention to increase physical activity among mothers with young children: a Markov model informed by a randomised controlled trial.

Edward Burn, Alison L Marshall, Yvette D Miller, Adrian G Barnett, Brianna S Fjeldsoe, Nicholas Graves

Open access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Edward BurnQueensland University of Technology (QUT), School of Public Health and Social Work and Institute of Health and Biomedical Innovation (IHBI), Brisbane, Queensland, Australia.
Alison L MarshallQueensland University of Technology (QUT), School of Public Health and Social Work and Institute of Health and Biomedical Innovation (IHBI), Brisbane, Queensland, Australia.ORCID http://orcid.org/0000-0003-1826-9588
Yvette D MillerQueensland University of Technology (QUT), School of Public Health and Social Work and Institute of Health and Biomedical Innovation (IHBI), Brisbane, Queensland, Australia.ORCID http://orcid.org/0000-0002-5393-7142
Adrian G BarnettQueensland University of Technology (QUT), School of Public Health and Social Work and Institute of Health and Biomedical Innovation (IHBI), Brisbane, Queensland, Australia.
Brianna S FjeldsoeThe University of Queensland, School of Population Health, Brisbane, Queensland, Australia.
Nicholas GravesQueensland University of Technology (QUT), School of Public Health and Social Work and Institute of Health and Biomedical Innovation (IHBI), Brisbane, Queensland, Australia.
Queensland University of Technology · AUThe University of Queensland · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine the cost-effectiveness of the MobileMums intervention. MobileMums is a 12-week programme which assists mothers with young children to be more physically active, primarily through the use of personalised SMS text-messages.

designA cost-effectiveness analysis using a Markov model to estimate and compare the costs and consequences of MobileMums and usual care.

settingThis study considers the cost-effectiveness of MobileMums in Queensland, Australia.

participantsA hypothetical cohort of over 36 000 women with a child under 1 year old is considered. These women are expected to be eligible and willing to participate in the intervention in Queensland, Australia. DATA SOURCES: The model was informed by the effectiveness results from a 9-month two-arm community-based randomised controlled trial undertaken in 2011 and registered retrospectively with the Australian Clinical Trials Registry (ACTRN12611000481976). Baseline characteristics for the model cohort, treatment effects and resource utilisation were all informed by this trial.

main outcome measuresThe incremental cost per quality-adjusted life year (QALY) of MobileMums compared with usual care.

resultsThe intervention is estimated to lead to an increase of 131 QALYs for an additional cost to the health system of 1.1 million Australian dollars (AUD). The expected incremental cost-effectiveness ratio for MobileMums is 8608 AUD per QALY gained. MobileMums has a 98% probability of being cost-effective at a cost-effectiveness threshold of 64 000 AUD. Varying modelling assumptions has little effect on this result.

conclusionsAt a cost-effectiveness threshold of 64 000 AUD, MobileMums would likely be a cost-effective use of healthcare resources in Queensland, Australia. TRIAL REGISTRATION NUMBER: Australian Clinical Trials Registry; ACTRN12611000481976.

Indexed as

Cell PhoneExerciseHealth PromotionSedentary BehaviorSocial SupportAdultAustraliaCost-Benefit AnalysisFemaleHealth Knowledge, Attitudes, PracticeHumansMarkov ChainsMothersProgram EvaluationQuality of LifeQueenslandbehaviour changeCost effectivenessEconomic evaluationExercisemHealth

Identifiers

PMID25926145
PMCPMC4420940
OpenAlexW2046972379

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.