{"doi":"10.1093/tbm/ibad021","title":"Cost effectiveness of a technology-enhanced physical activity intervention for Latinas","abstract":"Latinas report low levels of physical activity (PA) and disproportionate risk of lifestyle-related diseases. Enhancements to evidence-based PA interventions may increase efficacy; however, uptake of interventions will likely depend on costs. To describe costs and examine the cost-effectiveness of two interventions for helping Latinas reach national aerobic PA guidelines. Adult Latinas (N = 199) were randomly assigned to an Original theory-based mail-delivered intervention or an Enhanced version with texting and additional calls and materials. Meeting PA guidelines was measured by the 7-Day PA Recall interview at baseline, 6 and 12 months. Intervention costs were estimated from a payer perspective. Incremental cost-effectiveness ratios (ICERs) were calculated as the additional cost per participant meeting guidelines in the Enhanced versus Original intervention. At baseline, no participants met guidelines. After 6 months, 57% and 44% in the Enhanced and Original arms met guidelines, respectively; at 12 months, rates fell to 46% and 36%. Cost per person of the Enhanced and Original interventions were $184 and $173 at 6 months, respectively, and $234 and $203 at 12 months. The primary additional expense in the Enhanced arm was staff time. ICERs were $87 per additional person meeting guidelines at 6 months (per sensitivity analysis, $26 if delivered by volunteers and $114 by medical assistants), and $317 at 12 months (sensitivity analysis: $57 and $434). Incremental costs per person meeting guidelines in the Enhanced arm were modest and could be warranted given the potential health benefits of meeting PA guidelines.","journal":"Translational Behavioral Medicine","year":2023,"id":366988,"datarank":0.2979458093019549,"base_score":1.791759469228055,"endowment":1.791759469228055,"self_citation_contribution":0.26876392038420827,"citation_network_contribution":0.02918188891774666,"self_endowment_contribution":0.26876392038420827,"citer_contribution":0.02918188891774666,"corpus_percentile":null,"corpus_rank":null,"citation_count":5,"citer_count":3,"citers_with_citation_signal":1,"citers_with_endowment":1,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.952,"is_data_producer":true,"deposit_databanks":{"ClinicalTrials.gov":["NCT02630953"]},"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":453305,"name":"Todd Gilmer","orcid":"0000-0002-8360-3522","position":1,"is_corresponding":false},{"id":379148,"name":"Dori Pekmezi","orcid":"0000-0002-5057-258X","position":2,"is_corresponding":false},{"id":379150,"name":"Sheri J. Hartman","orcid":"0000-0002-3719-0624","position":3,"is_corresponding":false},{"id":420408,"name":"Tanya J. Benitez","orcid":"0000-0003-2691-2019","position":4,"is_corresponding":false},{"id":322435,"name":"Borsika A. Rabin","orcid":"0000-0001-9837-7866","position":5,"is_corresponding":false},{"id":379151,"name":"Bess H. Marcus","orcid":"0000-0002-9440-924X","position":6,"is_corresponding":false},{"id":364520,"name":"Andrea S. Mendoza-Vasconez","orcid":"0000-0002-2665-8631","position":7,"is_corresponding":false},{"id":348682,"name":"Erik J. Groessl","orcid":"0000-0001-6239-1965","position":8,"is_corresponding":false},{"id":316675,"name":"Britta Larsen","orcid":"0000-0002-4490-7435","position":0,"is_corresponding":true}],"reference_count":29,"raw_metadata":null,"created_at":"2026-07-19T01:14:59.372548Z","pmid":"37208924","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}