Skip to main content

Table 1 A description of implementation strategies and the total cost to deliver each from the perspective of health service providers and schools

From: Economic evaluation of a multi-strategy intervention that improves school-based physical activity policy implementation

Strategy description and cost components* Total cost (average per school)
Health service provider
(base case)
Schools Overall
1. Centralise technical assistance and provide ongoing consultation/coaching: project officers employed by the Local Health District provide expertise, advice, and resources throughout the study period.
Health service costs: labour (project officers)
School costs: labour (classroom teachers)
$3406 ($110) $1772 ($57) $5178 ($167)
2a. Mandate for change: 1 × initial meeting with school principal and school executives to communicate policy importance.
Health service costs: labour (project officers)
School costs: labour (principals)
$360 ($12) $403 ($13) $763 ($25)
2b. Mandate for change: schools either develop a physical activity policy or review/amend an existing one.
Health service costs: N/A
School costs: labour (principals)
$0 ($0) $3343 ($108) $3343 ($108)
3a. Identify champions: each school nominates 1–2 in-school champions.
No costs (incorporated within strategy 2a)a
$0 ($0) $0 ($0) $0 ($0)
3b. Prepare champions: 1 × full-day training session for nominated in-school champions.
Health service costs: labour (project officers); materials; workshop expenses; travel and expenses
School costs: N/A
$19,437 ($627) $0 ($0) $19,437 ($627)
4. Develop a detailed implementation plan: in-school champions develop a plan for policy implementation in their school
No costs (incorporated within strategy 3b)b
$0 ($0) $0 ($0) $0 ($0)
5a. Conduct educational outreach visits: 1 × 1–2 h teacher information session and training delivered during school staff meeting.
Health service costs: labour (project officers); travel and expenses
School costs: labour (classroom teachers and principals)
$4992 ($161) $26,118 ($843) $31,110 ($1004)
5b. Conduct educational outreach visits: if needed, 1 × 15 min follow-up teacher support session delivered during school staff meeting.
Health service costs: labour (project officers); travel and expenses
School costs: labour (classroom teachers and principals)
$1536 ($50) $9839 ($317) $11,375 ($367)
6a. Develop and distribute educational materials: ISC receive an “intervention manual” inclusive of policy templates as well as physical activity timetable and PE curriculum examples.
Health service costs: materials
School costs: N/A
$60 ($2) $0 ($0) $60 ($2)
6b. Develop and distribute educational materials: educational materials distributed to in-school champions and classroom teachers in print copy and accessible via an online portal.
Health service costs: materials
School costs: N/A
$2131 ($69) $0 ($0) $2131 ($69)
7. Capture and share local knowledge: case studies from other schools available via an online portal.
No costs (embedded within an existing online portal)c
$0 ($0) $0 ($0) $0 ($0)
8a. Change/alter environment: each school provided with one physical activity pack (basic equipment).
Health service costs: materials
School costs: N/A
$3100 ($100) $0 ($0) $3100 ($100)
8b. Change/alter environment: project officers encourage in-school champions encouraged to develop physical activity packs for each classroom using existing school sport equipment.
Health service costs: labour (project officers)
School costs: N/A
$671 ($22) $0 ($0) $671 ($22)
Average cost per school $1151 (95% UI $1046, $1236) $1338 (95% UI $1048, $1663) $2489 (95% UI $2130, $2832)
  1. *Full details of the cost components are provided in Table 2
  2. aNomination of an in-school champion is an agenda item during the principal meeting, and thus the cost associated within this strategy is integrated within strategy 2a
  3. bTime is allocated to develop a detailed implementation plan during the full-day training session for in-school champions, and thus the cost associated with this strategy is integrated within strategy 3b
  4. cCase studies are available on an existing online portal with 'how to access' described during training sessions (strategies 3b and 5)