Trial reportBMJ open2019
Cost-effectiveness of telephone coaching for physically inactive ambulatory care hospital patients: economic evaluation alongside the Healthy4U randomised controlled trial.
Trial report in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Behaviour change interventions to improve physical activity in adults: a systematic review of economic evaluations.The international journal of behavioral nutrition and physical activity · 2024Pooled it
- Cost-effectiveness of guideline-based stepped and collaborative care versus treatment as usual for patients with depression - a cluster-randomized trial.BMC psychiatry · 2020Trial
- Feasibility of scaling-up an evidence-based physical activity behaviour change intervention into routine ambulatory hospital care: a retrospective implementation evaluation using the RE-AIM framework.BMC public health · 2025Article
- Approaches to Reach Trustworthy Patient Education: A Narrative Review.Healthcare (Basel, Switzerland) · 2024Review
- Investment in community-based rural health care innovation to address health inequities in Australia.The Lancet regional health. Western Pacific · 2023Article
- Economic evaluation of remote patient monitoring and organizational analysis according to patient involvement: a scoping review.International journal of technology assessment in health care · 2023Article
- Delivery of telehealth nutrition and physical activity interventions to adults living in rural areas: a scoping review.The international journal of behavioral nutrition and physical activity · 2023Article
- A Social Return on Investment Evaluation of the Pilot Social Prescribing EmotionMind Dynamic Coaching Programme to Improve Mental Wellbeing and Self-Confidence.International journal of environmental research and public health · 2022Article
- Community Health Programs Delivered Through Information and Communications Technology in High-Income Countries: Scoping Review.Journal of medical Internet research · 2022Article
- Cost Effectiveness of a Cultural Physical Activity Intervention to Reduce Blood Pressure Among Native Hawaiians with Hypertension.PharmacoEconomics - open · 2022Article
- Cost-effectiveness of adding Sativex® spray to spasticity care in Belgium: using bootstrapping instead of Monte Carlo simulation for probabilistic sensitivity analyses.The European journal of health economics : HEPAC : health economics in prevention and care · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess whether telephone coaching is a cost-effective method for increasing physical activity and health-related quality of life for insufficiently active adults presenting to an ambulatory care clinic in a public hospital.
designAn economic evaluation was performed alongside a randomised controlled trial.
settingParticipants were recruited from an ambulatory care clinic in a public hospital in regional Australia.
participantsSeventy-two adults (aged 18-69) deemed insufficiently physically active via self-report.
interventionsParticipants were randomised to either an intervention group that received an education session and eight sessions of telephone coaching over a 12-week period, or to a control group that received the education session only. The intervention used in the telephone coaching was integrated motivational interviewing and cognitive behavioural therapy. OUTCOME MEASURES: The primary health outcome was change in moderate-to-vigorous physical activity (MVPA), objectively measured via accelerometry. The secondary outcome was the quality-adjusted life-year (QALY) determined by the 12-item Short Form Health Survey Questionnaire. Outcome data were measured at baseline, postintervention (3 months) and follow-up (6 months). Incremental cost-effectiveness ratios (ICERs) were calculated for each outcome. Non-parametric bootstrapping techniques and sensitivity analyses were performed to account for uncertainty.
resultsThe mean intervention cost was $279±$13 per person. At 6 months follow-up, relative to control, the intervention group undertook 18 more minutes of daily MVPA at an ICER of $15/min for each additional minute of MVPA. With regard to QALYs, the intervention yielded an ICER of $36 857 per QALY gained. Sensitivity analyses indicated that results were robust to varied assumptions.
conclusionTelephone coaching was a low-cost strategy for increasing MVPA and QALYs in insufficiently physically active ambulatory care hospital patients. Additional research could explore the potential economic impact of the intervention from a broader healthcare perspective. TRIAL REGISTRATION NUMBER: ANZCTR: ACTRN12616001331426.
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Registered trials
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.