Economic evaluation of a weight control program with e-mail and telephone counseling among overweight employees
| Autor: | van Wier, M.F., Dekkers, J.C., Bosmans, J.E., Heijmans, M.W., Hendriksen, I.J.M., Pronk, N.P., van Mechelen, W., van Tulder, M.W. |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
Adult
Counseling Male Electronic Mail Cost-Benefit Analysis Research Support Non-U.S. Gov't Health Behavior Health Promotion Middle Aged Overweight Telephone Weight Reduction Programs Randomized Controlled Trial Costs and Cost Analysis Journal Article Humans Female Quality-Adjusted Life Years Life Style |
| Zdroj: | van Wier, M F, Dekkers, J C, Bosmans, J E, Heijmans, M W, Hendriksen, I J M, Pronk, N P, van Mechelen, W & van Tulder, M W 2012, ' Economic evaluation of a weight control program with e-mail and telephone counseling among overweight employees ', International Journal of Behavioral Nutrition and Physical Activity, vol. 9 . https://doi.org/10.1186/1479-5868-9-112 |
| DOI: | 10.1186/1479-5868-9-112 |
| Popis: | BACKGROUND: Distance lifestyle counseling for weight control is a promising public health intervention in the work setting. Information about the cost-effectiveness of such interventions is lacking, but necessary to make informed implementation decisions. The purpose of this study was to perform an economic evaluation of a six-month program with lifestyle counseling aimed at weight reduction in an overweight working population with a two-year time horizon from a societal perspective.METHODS: A randomized controlled trial comparing a program with two modes of intervention delivery against self-help. 1386 Employees from seven companies participated (67% male, mean age 43 (SD 8.6) years, mean BMI 29.6 (SD 3.5) kg/m2). All groups received self-directed lifestyle brochures. The two intervention groups additionally received a workbook-based program with phone counseling (phone; n=462) or a web-based program with e-mail counseling (internet; n=464). Body weight was measured at baseline and 24 months after baseline. Quality of life (EuroQol-5D) was assessed at baseline, 6, 12, 18 and 24 months after baseline. Resource use was measured with six-monthly diaries and valued with Dutch standard costs. Missing data were multiply imputed. Uncertainty around differences in costs and incremental cost-effectiveness ratios was estimated by applying non-parametric bootstrapping techniques and graphically plotting the results in cost-effectiveness planes and cost-effectiveness acceptability curves.RESULTS: At two years the incremental cost-effectiveness ratio was €1009/kg weight loss in the phone group and €16/kg weight loss in the internet group. The cost-utility analysis resulted in €245,243/quality adjusted life year (QALY) and €1337/QALY, respectively. The results from a complete-case analysis were slightly more favorable. However, there was considerable uncertainty around all outcomes.CONCLUSIONS: Neither intervention mode was proven to be cost-effective compared to self-help. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|