| The efficacy and cost-effectiveness of a community weight management intervention: A randomized controlled trial of the health weight management demonstration. | |
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MedLine Citation:
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PMID: 22001689 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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PURPOSE: The study investigated the efficacy and cost-effectiveness of a cognitive-behavioral weight management program, complemented by an interactive Web site and brief telephone/e-mail coaching. METHODS: In 2006-2007, 1755 overweight, non-active-duty TRICARE beneficiaries were randomized to one of three conditions with increasing intervention intensity: written materials and basic Web access (RCT1), plus an interactive Web site (RCT2), plus brief telephone/e-mail coaching support (RCT3). The study assessed changes in weight, blood pressure, and physical activity from baseline to 6, 12, and 15-18months. (Study retention was 31% at 12months.) Average and incremental cost-effectiveness and cost-offset analyses were conducted. RESULTS: Participants experienced significant weight loss (-4.0%, -4.0%, and -5.3%, respectively, in each RCT group after 12months and -3.5%, -3.8%, and -5.1%, respectively, after 15 to 18months), increased physical activity, and decreased blood pressure. Cost-effectiveness ratios were $900 to $1100/quality-adjusted life year (QALY) for RCT1 and RCT2 and $1900/QALY for RCT3. The cost recovery period to the government was 3years for RCTs 1 and 2 and 6years for RCT3. CONCLUSION: A relatively inexpensive cognitive-behavioral weight management intervention improved patient outcomes. Extrapolation of savings for the entire TRICARE population would significantly reduce direct medical costs. |
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Authors:
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James C Hersey; Olga Khavjou; Laura B Strange; Richard L Atkinson; Steven N Blair; Susan Campbell; Connie L Hobbs; Bridget Kelly; Tania M Fitzgerald; Julia Kish-Doto; Matthew A Koch; Breda Munoz; Eric Peele; Jason Stockdale; Cynthia Augustine; Glenda Mitchell; David Arday; John Kugler; Patricia Dorn; James Ellzy; Regina Julian; Joyce Grissom; Marcia Britt |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-10-6 |
Journal Detail:
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Title: Preventive medicine Volume: - ISSN: 1096-0260 ISO Abbreviation: - Publication Date: 2011 Oct |
Date Detail:
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Created Date: 2011-10-17 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0322116 Medline TA: Prev Med Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2011. Published by Elsevier Inc. |
Affiliation:
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RTI International, Research Triangle Park, NC, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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