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. 2021 Feb 19;44(4):874–882. doi: 10.2337/dc20-1639

Table 3.

Sensitivity analyses for cost-effectiveness of the EXER, CBT, and EXER+CBT interventions versus the UC intervention

EXER vs. UC CBT vs. UC EXER+CBT vs. UC
Incremental total cost ($) Incremental QALY ICER ($) Incremental total cost ($) Incremental QALY ICER ($) Incremental total cost ($) Incremental QALY ICER ($)
Base-case analysis −313 0.382 Cost saving 596 0.290 2,058 403 0.690 585
Societal perspective −126 0.382 Cost saving 822 0.290 2,838 805 0.690 1,167
5-year simulation time horizon −340 0.214 Cost saving 473 0.163 2,904 266 0.387 687
Effectiveness: persistent intervention effects −182 0.384 Cost saving 1,379 0.286 4,822 −4,266 0.712 Cost saving
Cost
 400% increase of the cost for passes/memberships to fitness facilities 204 0.382 533 596 0.290 2,058 919 0.690 1,332
 50% increase of the hourly rate for CBT therapists −313 0.382 Cost saving 943 0.290 3,256 773 0.690 1,120
 50% increase of the hourly rate for exercise trainers −217 0.382 Cost saving 596 0.290 2,058 486 0.690 705
 400% increase of the cost for passes/memberships to fitness facilities and 50% increase of the hourly rate for both CBT therapists and exercise trainers 299 0.382 784 943 0.290 3,256 1,371 0.690 1,987

The base-case analysis was from the health care sector perspective over a 10-year simulation time horizon for the cost-effectiveness of the Program ACTIVE II interventions assuming the diminishing intervention effects after the end of the trial.

The cost of passes/memberships to fitness facilities was assumed to increase by 400%, which would provide participants with free access to fitness facilities for the first 3 months of the study period ($129 per participant in the base-case analysis) vs. for the total 15 months of the study period ($645 per participant in the sensitivity analysis).