We found little evidence of effectiveness of HRLAs for promotion of exercise/improved diets .
Conclusions Overall , there is limited evidence suggesting that HRLAs are cost-effective in terms of changing health-related knowledge , behaviours or health outcomes .
The evidence that does exist indicates that HRLAs are only cost-effective when they target behaviours likely to have a large impact on overall health-related quality of life .
Background Development of new peer or lay health-related lifestyle advisor ( HRLA ) roles is one response to the need to enhance public engagement in , and improve cost-effectiveness of , health improvement interventions .
This article synthesis es evidence on the cost-effectiveness of HRLA interventions aim ed at adults in developed countries , derived from the first systematic review of the effectiveness , cost-effectiveness , equity and acceptability of different types of HRLA role .
Cost effectiveness of the Expert Patients Programme (EPP) for patients with chronic conditions
Objective : To assess the cost effectiveness of the Expert Patients Programme ( EPP ) intervention compared to a treatment as usual alternative . Design : Two-arm pragmatic r and omised controlled trial design with waiting list control . Setting : Community setting s in Engl and . Patients : Patients with a wide range of self-defined long-term conditions . Intervention : The EPP based on the US chronic disease self management program ( CDSMP ) , a lay-led self-care group involving six weekly sessions to teach self-care support skills . Main outcome measures : Costs estimated over a 6-month period from a societal perspective . Health outcomes estimated in terms of quality adjusted life years ( QALYs ) generated by patients ’ response to the EQ5D at baseline and 6-month follow-up . Results : The intervention group is associated with better patient outcomes , at slightly lower cost . Specifically , the intervention group has a 0.020 QALY gain compared with the control group , and a reduced cost of around £ 27 per patient . The intervention would therefore be considered dominant . While the QALYs gained are small in absolute terms , an additional 0.02 QALY is equivalent to an extra one week of perfect health per year . When the value of a QALY is £ 20 000 the EPP has a probability of 94 % of being cost effective . Indeed , for all plausible values of willingness-to-pay for a QALY the EPP group is more likely to be cost effective than the control group . Conclusions : The EPP intervention evaluated in this trial is very likely to provide a cost effective alternative to usual care in people with long-term conditions
We found little evidence of effectiveness of HRLAs for promotion of exercise/improved diets .
Conclusions Overall , there is limited evidence suggesting that HRLAs are cost-effective in terms of changing health-related knowledge , behaviours or health outcomes .
The evidence that does exist indicates that HRLAs are only cost-effective when they target behaviours likely to have a large impact on overall health-related quality of life .
Background Development of new peer or lay health-related lifestyle advisor ( HRLA ) roles is one response to the need to enhance public engagement in , and improve cost-effectiveness of , health improvement interventions .
This article synthesis es evidence on the cost-effectiveness of HRLA interventions aim ed at adults in developed countries , derived from the first systematic review of the effectiveness , cost-effectiveness , equity and acceptability of different types of HRLA role .