Projects terminated

Costs and effects of interventions aimed at reducing health inequalities - the example 'promotion of physical activities for children and adolescents'
Investigators:Dr. A. Mielck (PI), Dr. S. Wolfenstetter, K. Korber (Helmholtz Zentrum München)
Funded by:Federal Centre for Health Education [BZgA], Cologne (Bundeszentrale für gesundheitliche Aufklärung [BZgA], Köln)
Duration:March 2011 - March 2013
Description:The prevalence of the risk factor 'lack of physical activity among children and adolescents' has increased in recent years. Again, the group most affected is the group with low socioeconomic status (SES), for example with low educational level and/or low income of the parents. In Germany, there are a number of programs for the promotion of physical activities among children and adolescents, and some of them focus on groups with low SES. The costs and effects of these programs are largely unknown, however.
Objectives:The BZgA has established a forum for interventions aimed at reducing health inequalities (see 'gesundheitliche-chancengleichheit.de'), including an internet-platform and criteria for defining 'models of good practice'. The forum offers a unique chance to assess the costs and outcomes of these interventions, and it is the basis for addressing the following questions: (a) What kind of costs and outcomes have been described in the interventions aimed at promoting physical activities among children and adolescents from low SES groups? (b) Concerning future interventions: How could we establish a system that allows us to assess the costs and effects in a standardized way? (c) Could these recommendations for assessing costs and effects be applied to other health promotion interventions as well?ly unknown, however.
Methods:There are five work packages: (a) To date, there is no publication that summarizes the state of the art concerning costs and effects of interventions for promoting physical activities among children and adolescents. Such a report will be written here, based on an extensive literature review. (b) A simple instrument will be developed for assessing the costs that could occur during the planning and the realization phase of an intervention. (c) The feasibility of this new instrument will be tested in two steps, first by asking representatives from interventions (if possible from 'models of good practice') that are well underway or that are already finished, and second by asking representatives from two interventions that are still in the planning phase. (d) General recommendations for assessing costs and effects will be developed based on these experiences. (e) The results will be discussed within a broader audience of experts on public health interventions.