| Economic evaluation of an Internet-based weight management program. | |
| | |
MedLine Citation:
|
PMID: 20370312 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To determine whether a behavioral Internet treatment (BIT) program for weight management is a viable, cost-effective option compared with usual care (UC) in a diverse sample of overweight (average body mass index = 29 kg/m2), healthy adults (mean age = 34 years) serving in the US Air Force. STUDY DESIGN: Two-group parallel randomized controlled trial. METHODS: Participants were randomly assigned into 2 groups: UC (n = 215) and UC plus BIT (n = 227). Baseline and 6-month assessments were included in the analyses. Primary outcome measures (changes in body weight, percent body fat, and waist circumference) and secondary outcome measures (Weight Efficacy Lifestyle [WEL] questionnaire) were included in an incremental cost-effectiveness analysis (ICEA) model. Costs were computed using the perspective of an agency wanting to replicate the intervention. Sensitivity analyses were performed to measure the robustness of models. RESULTS: Overall cost for BIT intervention was $11,178.40, or $49.24 per BIT participant. Total staff-time cost was $14.03 per BIT participant. Intervention cost was $25.92 per kilogram of weight loss and $28.96 per centimeter of waist-circumference loss. The cost was $37.88 for each additional point gained on the WEL subscale, where increasing scores indicate increased confidence in managing social pressures to eat. CONCLUSIONS: The BIT program is a cost-effective choice for weight management. It may cost more initially, but it results in long-term cost savings. Such cost-effective, Internet-based behavioral interventions for weight management could provide a valuable tool for preventive care aimed at improving individual and societal health. |
| | |
Authors:
|
Rafia S Rasu; Christine M Hunter; Alan L Peterson; Heather M Maruska; John P Foreyt |
Publication Detail:
|
Type: Journal Article; Randomized Controlled Trial; Research Support, U.S. Gov't, Non-P.H.S. Date: 2010-04-01 |
Journal Detail:
|
Title: The American journal of managed care Volume: 16 ISSN: 1936-2692 ISO Abbreviation: Am J Manag Care Publication Date: 2010 Apr |
Date Detail:
|
Created Date: 2010-04-07 Completed Date: 2010-06-21 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9613960 Medline TA: Am J Manag Care Country: United States |
Other Details:
|
Languages: eng Pagination: e98-104 Citation Subset: H |
Affiliation:
|
Department of Pharmacy Practice and Administration, University of Missouri, Kansas City, 64106, USA. rassur@umkc.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Behavior Therapy / economics*, methods Body Mass Index Cost-Benefit Analysis Female Humans Internet* Male Middle Aged Obesity / therapy* Program Evaluation Questionnaires Texas Treatment Outcome Weight Loss* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The National Oncology Working Group (NOW) initiative: payer and provider collaborations in oncology ...
Next Document: The Updated View Concerning the Possibility of Growing Old Without Senescence.