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A telephone-delivered multiple health behaviour change intervention for colorectal cancer survivors: making the case for cost-effective healthcare

Gordon, L. G, Patrao, Tania, Kularatna, S. and Hawkes, A. L. (2015). A telephone-delivered multiple health behaviour change intervention for colorectal cancer survivors: making the case for cost-effective healthcare. European Journal of Cancer Care,24(6):854-861.

Document type: Journal Article
Citation counts: Altmetric Score Altmetric Score is 4
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IRMA ID 75039815xPUB931
Title A telephone-delivered multiple health behaviour change intervention for colorectal cancer survivors: making the case for cost-effective healthcare
Author Gordon, L. G
Patrao, Tania
Kularatna, S.
Hawkes, A. L.
Journal Name European Journal of Cancer Care
Publication Date 2015
Volume Number 24
Issue Number 6
ISSN 0961-5423   (check CDU catalogue  open catalogue search in new window)
Scopus ID 2-s2.0-84945445574
Start Page 854
End Page 861
Total Pages 8
Place of Publication United Kingdom
Publisher Wiley-Blackwell Publishing Ltd.
Field of Research MEDICAL AND HEALTH SCIENCES
HERDC Category C1 - Journal Article (DIISR)
Abstract In patients with colorectal cancer, a trial of a telephone-delivered multiple health behaviour change intervention, using acceptance commitment therapy strategies, found benefits for health and psychosocial outcomes including increased physical activity, improved dietary habits and lower body mass index. Our aim was to address the health economic outcomes by assessing the health system cost and health utility impacts of the intervention. A cost-consequences analysis was performed using data from a two-group randomised controlled intervention trial (n = 410). Outcomes included health-related quality of life (HRQoL), health utility and health system costs. At 12 months, clinically meaningful improvements were found for SF-6D over time but no significant differences were found between groups (P = 0.95). The cost of delivering the 6-month intervention was on average €280 per person and made up 21% of overall healthcare costs for participants during the intervention period. Excluding intervention costs, costs were similar for health professional visits and medications across groups. Despite significant positive intervention effects on health behaviours, health utility and HRQoL scores were similar across groups. On the basis that intervention costs were small and physical activity, diet and weight management improved, on balance the intervention is potentially a worthwhile investment in healthcare funds.
DOI http://dx.doi.org/10.1111/ecc.12345   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
 
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