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Question <p>Are physical activity-oriented interventions for improving mental health conditions cost-effective? This study systematically identified and summarized published evidence on the cost-effectiveness of physical activity-oriented interventions for improving mental health conditions.</p> Study selection and analysis <p>We searched four databases (PubMed/Medline, Science Direct, PsychArticles, PsychINFO) for published studies (from any time and region) that (1) assessed physical activity-oriented interventions in mental health disorders, (2) undertook a full economic evaluation (and specifically cost-effectiveness analysis or cost-utility analysis), and (3) were in English. Data were extracted from included studies using a predetermined 32-item matrix using the Covidence software platform.</p> Findings <p>Search and screening resulted in 11 studies eligible for inclusion. The incremental cost-effectiveness ratio ranged from £119 to £152,822 per quality-adjusted life year (QALY) gained. Physical activity interventions, including group sessions, such as dance exercise and walking, or one-on-one support through telephone or web-based personalized support and guidance, were found to be cost-effective. However, over half of the interventions (55%) were considered to be not cost-effective.</p> Conclusions <p>Our review found that the current evidence is insufficient to conclude whether physical activity-oriented interventions for mental health are a cost-effective when compared with the standard of care of other treatment types. Better designed studies focusing on specific mental health conditions and physical activity interventions that address cost-effectiveness analysis are warranted. Physical activity-oriented interventions for improving mental health should adopt low-cost implementation strategies and include behavioral economics components.</p>

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Cost-effectiveness of physical activity-oriented interventions for improving mental health: a systematic review

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年5月13日

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  • Noara Alhusseini,
  • Tracy Kuo Lin,
  • Kalin Werner,
  • George Lin,
  • Yasmin Altwaijri,
  • Baian A. Baattaiah,
  • Tim Bruckner,
  • Reem AlAhmed,
  • Abdulrahman Alkabbani,
  • Reem F. Alsukait,
  • Volkan Cetinkaya,
  • Hazzaa M. Al-Hazzaa,
  • Saleh A. Alqahtani

摘要

Question

Are physical activity-oriented interventions for improving mental health conditions cost-effective? This study systematically identified and summarized published evidence on the cost-effectiveness of physical activity-oriented interventions for improving mental health conditions.

Study selection and analysis

We searched four databases (PubMed/Medline, Science Direct, PsychArticles, PsychINFO) for published studies (from any time and region) that (1) assessed physical activity-oriented interventions in mental health disorders, (2) undertook a full economic evaluation (and specifically cost-effectiveness analysis or cost-utility analysis), and (3) were in English. Data were extracted from included studies using a predetermined 32-item matrix using the Covidence software platform.

Findings

Search and screening resulted in 11 studies eligible for inclusion. The incremental cost-effectiveness ratio ranged from £119 to £152,822 per quality-adjusted life year (QALY) gained. Physical activity interventions, including group sessions, such as dance exercise and walking, or one-on-one support through telephone or web-based personalized support and guidance, were found to be cost-effective. However, over half of the interventions (55%) were considered to be not cost-effective.

Conclusions

Our review found that the current evidence is insufficient to conclude whether physical activity-oriented interventions for mental health are a cost-effective when compared with the standard of care of other treatment types. Better designed studies focusing on specific mental health conditions and physical activity interventions that address cost-effectiveness analysis are warranted. Physical activity-oriented interventions for improving mental health should adopt low-cost implementation strategies and include behavioral economics components.