Observational studyThe international journal of behavioral nutrition and physical activity2019
The impact of a park refurbishment in a low socioeconomic area on physical activity: a cost-effectiveness study.
Observational study in The international journal of behavioral nutrition and physical activity, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- A Systematic Review of the Impact of Changes to Urban Green Spaces on Health and Education Outcomes, and a Critique of Their Applicability to Inform Economic Evaluation.International journal of environmental research and public health · 2024Pooled it
- The Effectiveness of Interventions to Increase Participation and Physical Activities in Parks: A Systematic Review of the Literature.International journal of environmental research and public health · 2022Pooled it
- Determining Factors in the Use of Urban Parks That Influence the Practice of Physical Activity in Children: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- Examining park features that encourage physical activity and social interaction among adults.Health promotion international · 2025Article
- Build and they will come: A follow-up evaluation of outdoor exercise equipment in Western Australia.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2022Observational
- What do adults want in parks? A qualitative study using walk-along interviews.BMC public health · 2022Article
- Cost-effectiveness of physical activity intervention in children - results based on the Physical Activity and Nutrition in Children (PANIC) study.The international journal of behavioral nutrition and physical activity · 2021Article
- Examining Health-Related Effects of Refurbishment to Parks in a Lower Socioeconomic Area: The ShadePlus Natural Experiment.International journal of environmental research and public health · 2020Article
- Increasing translation of research evidence for optimal park design: a qualitative study with stakeholders.The international journal of behavioral nutrition and physical activity · 2020Article
- Time-trends and correlates of obesity in Czech adolescents in relation to family socioeconomic status over a 16-year study period (2002-2018).BMC public health · 2020Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPhysical inactivity is the fourth highest cause of death globally and is a major contributor to increases in healthcare expenditure. Improving public open spaces such as parks in areas of low socio-economic position (SEP) may increase recreational physical activity in disadvantaged populations. We assessed the cost-effectiveness of the installation of a play-space in a large metropolitan park in a low socioeconomic area based on changes in physical activity.
methodsObservational data of visitor counts and activities undertaken in the park before the installation of the new play-scape (T1), at two months (T2) and 14 months post-installation (T3) were obtained for the intervention and a control park (with no refurbishment) located in a high SEP metropolitan area. Observed sitting, standing, and moderate and vigorous-intensity physical activity were converted to yearly MET-h according to age. Costs of the play-scape and ongoing maintenance were obtained from the organisation managing the refurbishment. The incremental cost-effectiveness ratio (ICER) (ratio of incremental cost to incremental effect) was calculated based on the incremental increase in MET-h from T1 to T3 assuming a 20-year lifetime of the play-scape. Observation counts combining moderate and vigorous activity were used in the sensitivity analysis.
resultsWhen compared with T1, at T3 the new play-scape resulted in an overall incremental net gain of 114,114 MET-h (95% UI: 80,476 - 146,096) compared with the control park and an incremental cost effectiveness ratio (or cost per MET-h gained per park visitor) of AUD $0.58 (95% UI: $0.44-$0.80). The sensitivity analysis combining moderate and vigorous activity into one category showed an increase in estimated incremental MET-h of 118,190 (95% CI: 83,528 - 149,583) and a lower incremental cost per MET-h gained of AUD $0.56 (95% UI: $0.43-$0.77).
conclusionsUsing a benchmark of cost-effectiveness for physical activity interventions of AUD $0.60-$1.30, this study suggests that the installation of a play-scape located in a low SEP area is cost-effective based on its potential to facilitate increases in MET-h. It provides much needed preliminary evidence and requires replication elsewhere.
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