Table 3.
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).