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Economic evaluation of a childhood obesity prevention programme for children: Results from the WAVES cluster randomised controlled trial conducted in schools
- Source :
- PLoS ONE, PLoS ONE, Vol 14, Iss 7, p e0219500 (2019)
- Publication Year :
- 2019
- Publisher :
- Public Library of Science (PLoS), 2019.
-
Abstract
- BackgroundChildhood obesity is a serious public health challenge and schools have been identified as an ideal place to implement prevention interventions. The aim of this study was to measure the cost-effectiveness of a multi-faceted school-based obesity prevention intervention targeting children aged 6-7 years when compared to 'usual activities'.MethodsA cluster randomised controlled trial in 54 schools across the West Midlands (UK) was conducted. The 12-month intervention aimed to increase physical activity by 30 minutes per day and encourage healthy eating. Costs were captured from a public sector perspective and utility-based health related outcomes measured using the CHU-9D. Multiple imputation using chained equations was used to address missing data. The cost effectiveness was measured at 30 months from baseline using a hierarchical net-benefit regression framework, that controlled for clustering and prespecified covariates. Any uncertainty in the results was characterised using cost-effectiveness acceptability curves.ResultsAt 30 months, the total adjusted incremental mean cost of the intervention was £155 (95% confidence interval [CI]: £139, £171), and the incremental mean QALYs gained was 0.006 (95% CI: -0.024, 0.036), per child. The incremental cost-effectiveness at 30 months was £26,815 per QALY and using a standard willingness to pay threshold of £30,000 per QALY, there was a 52% chance that the intervention was cost-effective.ConclusionsThe cost-effectiveness of the school-based WAVES intervention was subject to substantial uncertainty. We therefore recommend more research to explore obesity prevention within schools as part of a wider systems approach to obesity prevention.Trial registrationThis paper uses data collected by the WAVES trial: Controlled trials ISRCTN97000586 (registered May 2010).
- Subjects :
- Male
Pediatric Obesity
Cost effectiveness
Physiology
Economics
RJ101
Cost-Benefit Analysis
Psychological intervention
Social Sciences
law.invention
Body Mass Index
0302 clinical medicine
Randomized controlled trial
Sociology
law
Outcome Assessment, Health Care
HQ
Medicine and Health Sciences
Medicine
Ethnicities
Public and Occupational Health
030212 general & internal medicine
Cluster randomised controlled trial
Child
Multidisciplinary
Schools
030503 health policy & services
Uncertainty
Cost-effectiveness analysis
Professions
Physiological Parameters
Female
Quality-Adjusted Life Years
Diet, Healthy
0305 other medical science
Research Article
medicine.medical_specialty
Childhood Obesity
Science
Cost-Effectiveness Analysis
Health Promotion
Childhood obesity
Education
03 medical and health sciences
Humans
Obesity
Exercise
Nutrition
School Health Services
business.industry
Public health
Body Weight
Biology and Life Sciences
Teachers
Physical Activity
medicine.disease
Economic Analysis
United Kingdom
Quality-adjusted life year
People and Places
Physical therapy
Population Groupings
business
Subjects
Details
- Language :
- English
- ISSN :
- 19326203
- Database :
- OpenAIRE
- Journal :
- PLoS ONE, PLoS ONE, Vol 14, Iss 7, p e0219500 (2019)
- Accession number :
- edsair.doi.dedup.....b70e9ba0405b4754a4e42724450312c4