Cost and Cost-Effectiveness of Students for Nutrition and eXercise (SNaX)
| Autor: | Burton O. Cowgill, Kimberly E. Uyeda, Elizabeth R. Stevens, Joseph A. Ladapo, David J. Klein, Mark A. Schuster, David G. Binkle, Laura M. Bogart |
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| Rok vydání: | 2016 |
| Předmět: |
Gerontology
Adolescent Cost effectiveness Total cost Cost-Benefit Analysis education Cafeteria Health Promotion Peer Group Article Variable cost 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Environmental health Humans Medicine Obesity 030212 general & internal medicine Child Students Fixed cost Exercise Health Education health care economics and organizations School Health Services Cost–benefit analysis biology business.industry Food Services Peer group biology.organism_classification Pediatrics Perinatology and Child Health Costs and Cost Analysis Feasibility Studies Health education Diet Healthy business |
| Zdroj: | Academic Pediatrics. 16:247-253 |
| ISSN: | 1876-2859 |
| DOI: | 10.1016/j.acap.2015.07.009 |
| Popis: | Objective To examine the cost and cost-effectiveness of implementing Students for Nutrition and eXercise (SNaX), a 5-week middle school–based obesity-prevention intervention combining school-wide environmental changes, multimedia, encouragement to eat healthy school cafeteria foods, and peer-led education. Methods Five intervention and 5 control middle schools (mean enrollment, 1520 students) from the Los Angeles Unified School District participated in a randomized controlled trial of SNaX. Acquisition costs for materials and time and wage data for employees involved in implementing the program were used to estimate fixed and variable costs. Cost-effectiveness was determined using the ratio of variable costs to program efficacy outcomes. Results The costs of implementing the program over 5 weeks were $5433.26 per school in fixed costs and $2.11 per student in variable costs, equaling a total cost of $8637.17 per school, or $0.23 per student per day. This investment yielded significant increases in the proportion of students served fruit and lunch and a significant decrease in the proportion of students buying snacks. The cost-effectiveness of the program, per student over 5 weeks, was $1.20 per additional fruit served during meals, $8.43 per additional full-priced lunch served, $2.11 per additional reduced-price/free lunch served, and $1.69 per reduction in snacks sold. Conclusions SNaX demonstrated the feasibility and cost-effectiveness of a middle school–based obesity-prevention intervention combining school-wide environmental changes, multimedia, encouragement to eat healthy school cafeteria foods, and peer-led education. Its cost is modest and unlikely to be a significant barrier to adoption for many schools considering its implementation. |
| Databáze: | OpenAIRE |
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