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首页> 外文期刊>Journal of public health management and practice: JPHMP >Cost-effectiveness of Community-Based Minigrants to Increase Physical Activity in Youth
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Cost-effectiveness of Community-Based Minigrants to Increase Physical Activity in Youth

机译：基于社区流体的成本效益增加青少年的身体活动

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Context: American youth are insufficiently active, and minigrant programs have been developed to facilitate implementation of evidence-based interventions in communities. However, little is known about the cost-effectiveness of targeted minigrant programs for the implementation of physical activity (PA) promoting strategies for youth. Objective: To determine the cost-effectiveness of a minigrant program to increase PA among youth. Design: Twenty community grantees were pair-matched and randomized to receive funding at the beginning of year 1 (2010-2011) or year 2 (2011-2012) to implement interventions to increase PA in youth. Costs were calculated by examining financial reports provided by the granting organization and grantees. Setting: Twenty counties in North Carolina. Participants: A random sample of approximately 800 fourth- to eighth-grade youth (per year) from the approximately 6100 youth served by the 20 community-based interventions. Main Outcome Measure: Cost-effectiveness ratios (CERs) were calculated at the county and project levels to determine the cost per child-minute of moderate-to-vigorous PA (MVPA) increased by wave. Analyses were conducted utilizing cost data from 20 community grantees and accelerometer-derived PA from the participating youth. Results: Of the 20 participating counties, 18 counties displayed increased youth MVPA between at least 2 waves of observation. Of those 18 counties, the CER (US dollars/MVPA minutes per day) ranged from $0.02 to $1.86 (n = 13) in intervention year 1, $0.02 to $6.19 (n = 15) in intervention year 2, and $0.02 to $0.58 (n = 17) across both years. Conclusion: If utilized to implement effectual behavior change strategies, minigrants can be a cost-effective means of increasing children's MVPA, with a low monetary cost per minute of MVPA.
机译：背景：美国青年不足，已经开发出流体计划，以促进在社区的循证干预措施。然而，对于实现身体活动（PA）促进青少年策略的目标流通症计划的成本效益知之甚少。目的：确定流体方案的成本效益增加青年中的PA。设计：二十个社区受助者是配对和随机的，在第1次（2010-2011）或第2（2011-2012）年初获得资金，以实施措施增加青年的PA。通过审查授予组织和受让人提供的财务报告来计算成本。环境：北卡罗来纳州二十个县。参与者：从大约6100青年由20个社区的干预措施服务的大约800名第四次至八年级青年（每年）的随机样本。主要结果措施：在县和项目水平下计算成本效益比率（CERs），以确定受波浪增多的中等剧性PA（MVPA）的每小时每小时的成本。通过来自参与青年的20个社区授权者和加速度计衍生的PA的成本数据进行分析。结果：在20个参与县，18个县在至少2张浪潮之间显示了增加的青年MVPA。在那些18个县，CER（每天/每天/ MVPA分钟）的干预年度下的0.02至1.86美元（N = 13），干预率为2，0.02至6.19美元（N = 15），20.02美元至0.58美元（n = 17）两年。结论：如果利用实施有效的行为改变策略，流体蜂可手可以是增加儿童MVPA的成本效益手段，每分钟每分钟MVPA的货币成本低。

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