Cost-Effectiveness of a School-Based Obesity Prevention Program
| Autor: | Justin B. Moore, Marlo Cavnar, Paule Barbeau, Li Yan Wang, Janet Thornburg, Maribeth H. Johnson, Bernard Gutin, Zenong Yin, John C. Hanes |
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| Rok vydání: | 2008 |
| Předmět: |
Male
medicine.medical_specialty Cost effectiveness Cost-Benefit Analysis education MEDLINE Health Promotion Education law.invention Randomized controlled trial law Intervention (counseling) Humans Medicine Obesity Child Exercise health care economics and organizations Schools Cost–benefit analysis business.industry Public Health Environmental and Occupational Health medicine.disease Confidence interval Diet Philosophy Health promotion Adipose Tissue Physical therapy Female business |
| Zdroj: | Journal of School Health. 78:619-624 |
| ISSN: | 1746-1561 0022-4391 |
| DOI: | 10.1111/j.1746-1561.2008.00357.x |
| Popis: | Background A school-based obesity prevention study (Medical College of Georgia FitKid Project) started in the fall of 2003 in 18 elementary schools. Half of the schools were randomized to an after-school program that included moderate-to-vigorous physical activity, healthy snacks, homework assistance, and academic enrichment. All third graders were invited to enroll. The objective of this study was to assess the cost-effectiveness (CE) of the first-year intervention. Methods Standard CE analysis methods and a societal perspective were used. Program delivery costs incurred during the first-year intervention and the usual after-school care costs that would occur in the absence of the intervention were estimated (in 2003 dollars). Net intervention costs were calculated by subtracting the usual after-school care costs from the intervention costs. The effectiveness of the intervention was measured as percent body fat (%BF) reduction compared with a control condition. The CE was assessed as the net intervention cost divided by the effectiveness of the intervention. Results The intervention costs totaled $174,070, $558/student, or $956/student who attended > or = 40% of the intervention sessions. The usual after-school care costs were estimated at $639/student. Students who attended > or = 40% of the intervention reduced %BF by 0.76% (95% confidence interval: -1.42 to -0.09) at an additional cost of $317/student. Conclusions Subjects who attended > or = 40% of the intervention achieved a significant reduction in %BF at a relatively low cost. School-based obesity prevention programs of this type are likely to be a cost-effective use of public funds and warrant careful consideration by policy makers and program planners. |
| Databáze: | OpenAIRE |
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