Economic evaluation of an exercise-counselling intervention to enhance smoking cessation outcomes: The Fit2Quit trial

doi:10.1186/s12971-017-0126-y

. 2017 Mar 29:15:21.

doi: 10.1186/s12971-017-0126-y. eCollection 2017.

Economic evaluation of an exercise-counselling intervention to enhance smoking cessation outcomes: The Fit2Quit trial

William Leung^{1

2}, Vaughan Roberts², Louisa G Gordon³, Christopher Bullen², Hayden McRobbie⁴, Harry Prapavessis⁵, Yannan Jiang², Ralph Maddison^{2

6}

Affiliations

¹ University of Otago, Wellington, PO Box 7343, New Zealand.
² University of Auckland, Private Bag 92019, Auckland, New Zealand.
³ Berghofer Medical Research Institute, Brisbane, Australia.
⁴ UK Centre for Tobacco Control Studies, Wolfson Institute of Preventive Medicine, Barts & The London School of Medicine and Dentistry, Queen Mary University of London, London, UK.
⁵ School of Kinesiology, Faculty of Medical and Health Sciences, University of Western Ontario, 1151 Richmond St, London, ON Canada.
⁶ Centre for Physical Activity and Nutrition, Deakin University, Melbourne, VIC Australia.

PMID: 28360828
PMCID: PMC5371274
DOI: 10.1186/s12971-017-0126-y

Economic evaluation of an exercise-counselling intervention to enhance smoking cessation outcomes: The Fit2Quit trial

William Leung et al. Tob Induc Dis. 2017.

. 2017 Mar 29:15:21.

doi: 10.1186/s12971-017-0126-y. eCollection 2017.

Authors

William Leung^{1

2}, Vaughan Roberts², Louisa G Gordon³, Christopher Bullen², Hayden McRobbie⁴, Harry Prapavessis⁵, Yannan Jiang², Ralph Maddison^{2

6}

Affiliations

¹ University of Otago, Wellington, PO Box 7343, New Zealand.
² University of Auckland, Private Bag 92019, Auckland, New Zealand.
³ Berghofer Medical Research Institute, Brisbane, Australia.
⁴ UK Centre for Tobacco Control Studies, Wolfson Institute of Preventive Medicine, Barts & The London School of Medicine and Dentistry, Queen Mary University of London, London, UK.
⁵ School of Kinesiology, Faculty of Medical and Health Sciences, University of Western Ontario, 1151 Richmond St, London, ON Canada.
⁶ Centre for Physical Activity and Nutrition, Deakin University, Melbourne, VIC Australia.

PMID: 28360828
PMCID: PMC5371274
DOI: 10.1186/s12971-017-0126-y

Abstract

Background: In the Fit2Quit randomised controlled trial, insufficiently-active adult cigarette smokers who contacted Quitline for support to quit smoking were randomised to usual Quitline support or to also receive ≤10 face-to-face and telephone exercise-support sessions delivered by trained exercise facilitators over the 24-week trial. This paper aims to determine the cost-effectiveness of an exercise-counselling intervention added to Quitline compared to Quitline alone in the Fit2Quit trial.

Methods: Within-trial and lifetime cost-effectiveness were assessed. A published Markov model was adapted, with smokers facing increased risks of lung cancer and cardiovascular disease.

Results: Over 24 weeks, the incremental programme cost per participant in the intervention was NZ$428 (US$289 or €226; purchasing power parity-adjusted [PPP]). The incremental cost-effectiveness ratio (ICER) for seven-day point prevalence measured at 24-week follow-up was NZ$31,733 (US$21,432 or €16,737 PPP-adjusted) per smoker abstaining. However, for the 52% who adhered to the intervention (≥7 contacts), the ICER for point prevalence was NZ$3,991 (US$2,695 or €2,105 PPP-adjusted). In this adherent subgroup, the Markov model estimated 0.057 and 0.068 discounted quality-adjusted life-year gains over the lifetime of 40-year-old males (ICER: NZ$4,431; US$2,993 or €2,337 PPP-adjusted) and females (ICER: NZ$2,909; US$1,965 or €1,534 PPP-adjusted).

Conclusions: The exercise-counselling intervention will only be cost-effective if adherence is a minimum of ≥7 intervention calls, which in turn leads to a sufficient number of quitters for health gains.

Trial registration: Australasian Clinical Trials Registry Number ACTRN12609000637246.

Keywords: Economic evaluation; Exercise; Randomised controlled trial; Smoking cessation.

PubMed Disclaimer

Figures

See this image and copyright information in PMC

Cited by

Prioritization of intervention domains to prevent cardiovascular disease: a country-level case study using global burden of disease and local data.
Wilson N, Cleghorn C, Nghiem N, Blakely T. Wilson N, et al. Popul Health Metr. 2023 Jan 26;21(1):1. doi: 10.1186/s12963-023-00301-1. Popul Health Metr. 2023. PMID: 36703150 Free PMC article.
Can cost-effectiveness results be combined into a coherent league table? Case study from one high-income country.
Wilson N, Davies A, Brewer N, Nghiem N, Cobiac L, Blakely T. Wilson N, et al. Popul Health Metr. 2019 Aug 5;17(1):10. doi: 10.1186/s12963-019-0192-x. Popul Health Metr. 2019. PMID: 31382954 Free PMC article.
Motivational support intervention to reduce smoking and increase physical activity in smokers not ready to quit: the TARS RCT.
Taylor AH, Thompson TP, Streeter A, Chynoweth J, Snowsill T, Ingram W, Ussher M, Aveyard P, Murray RL, Harris T, Green C, Horrell J, Callaghan L, Greaves CJ, Price L, Cartwright L, Wilks J, Campbell S, Preece D, Creanor S. Taylor AH, et al. Health Technol Assess. 2023 Mar;27(4):1-277. doi: 10.3310/KLTG1447. Health Technol Assess. 2023. PMID: 37022933 Free PMC article.

References

1. Ng M, Freeman MK, Fleming TD, Robinson M, Dwyer-Lindgren L, Thomson B, Wollum A, Sanman E, Wulf S, Lopez AD. Smoking prevalence and cigarette consumption in 187 countries, 1980–2012. JAMA. 2014;311(2):183–92. - PubMed
1. Braillon A. Curbing the tobacco epidemic: employing behavioral strategies or rearranging the deckchairs on the Titanic? Prev Med. 2015;73:28–9. doi: 10.1016/j.ypmed.2014.12.026. - DOI - PubMed
1. Ussher MH, Taylor AH, Faulkner G. Exercise interventions for smoking cessation. Cochrane Database Syst Rev. 2014;8:CD002295. doi:10.1002/14651858.CD002295.pub5. - PubMed
1. Maddison R, Roberts V, Bullen C, McRobbie H, Jiang Y, Prapavessis H, Glover M, Taylor S, Brown P. Design and conduct of a pragmatic randomized controlled trial to enhance smoking-cessation outcomes with exercise: the Fit2Quit study. Ment Health and Phys Act. 2010;3(2):92–101. doi: 10.1016/j.mhpa.2010.09.003. - DOI
1. Swinburn B, Walter L, Arroll B, Tilyard M, Russell D. The green prescription study: a randomized controlled trial of written exercise advice provided by general practitioners. Am J Public Health. 1998;88(2):288–91. doi: 10.2105/AJPH.88.2.288. - DOI - PMC - PubMed

LinkOut - more resources

Full Text Sources
Other Literature Sources
- scite Smart Citations

[1] Ng M, Freeman MK, Fleming TD, Robinson M, Dwyer-Lindgren L, Thomson B, Wollum A, Sanman E, Wulf S, Lopez AD. Smoking prevalence and cigarette consumption in 187 countries, 1980–2012. JAMA. 2014;311(2):183–92. - PubMed

[2] Ng M, Freeman MK, Fleming TD, Robinson M, Dwyer-Lindgren L, Thomson B, Wollum A, Sanman E, Wulf S, Lopez AD. Smoking prevalence and cigarette consumption in 187 countries, 1980–2012. JAMA. 2014;311(2):183–92. - PubMed

[3] Braillon A. Curbing the tobacco epidemic: employing behavioral strategies or rearranging the deckchairs on the Titanic? Prev Med. 2015;73:28–9. doi: 10.1016/j.ypmed.2014.12.026. - DOI - PubMed

[4] Braillon A. Curbing the tobacco epidemic: employing behavioral strategies or rearranging the deckchairs on the Titanic? Prev Med. 2015;73:28–9. doi: 10.1016/j.ypmed.2014.12.026. - DOI - PubMed

[5] Ussher MH, Taylor AH, Faulkner G. Exercise interventions for smoking cessation. Cochrane Database Syst Rev. 2014;8:CD002295. doi:10.1002/14651858.CD002295.pub5. - PubMed

[6] Ussher MH, Taylor AH, Faulkner G. Exercise interventions for smoking cessation. Cochrane Database Syst Rev. 2014;8:CD002295. doi:10.1002/14651858.CD002295.pub5. - PubMed

[7] Maddison R, Roberts V, Bullen C, McRobbie H, Jiang Y, Prapavessis H, Glover M, Taylor S, Brown P. Design and conduct of a pragmatic randomized controlled trial to enhance smoking-cessation outcomes with exercise: the Fit2Quit study. Ment Health and Phys Act. 2010;3(2):92–101. doi: 10.1016/j.mhpa.2010.09.003. - DOI

[8] Maddison R, Roberts V, Bullen C, McRobbie H, Jiang Y, Prapavessis H, Glover M, Taylor S, Brown P. Design and conduct of a pragmatic randomized controlled trial to enhance smoking-cessation outcomes with exercise: the Fit2Quit study. Ment Health and Phys Act. 2010;3(2):92–101. doi: 10.1016/j.mhpa.2010.09.003. - DOI

[9] Swinburn B, Walter L, Arroll B, Tilyard M, Russell D. The green prescription study: a randomized controlled trial of written exercise advice provided by general practitioners. Am J Public Health. 1998;88(2):288–91. doi: 10.2105/AJPH.88.2.288. - DOI - PMC - PubMed

[10] Swinburn B, Walter L, Arroll B, Tilyard M, Russell D. The green prescription study: a randomized controlled trial of written exercise advice provided by general practitioners. Am J Public Health. 1998;88(2):288–91. doi: 10.2105/AJPH.88.2.288. - DOI - PMC - PubMed

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Economic evaluation of an exercise-counselling intervention to enhance smoking cessation outcomes: The Fit2Quit trial

Affiliations

Economic evaluation of an exercise-counselling intervention to enhance smoking cessation outcomes: The Fit2Quit trial

Authors

Affiliations

Abstract

Figures

Similar articles

Cited by

References

LinkOut - more resources

Full Text Sources

Other Literature Sources

Abstract

Figures

Similar articles

Cited by

References

Related information

LinkOut - more resources

Full Text Sources

Other Literature Sources