Economic evaluation of the Communicating Healthy Beginnings Advice by Telephone trial for early childhood obesity prevention.


Journal

Obesity (Silver Spring, Md.)
ISSN: 1930-739X
Titre abrégé: Obesity (Silver Spring)
Pays: United States
ID NLM: 101264860

Informations de publication

Date de publication:
11 2022
Historique:
revised: 08 07 2022
received: 20 01 2022
accepted: 11 07 2022
pubmed: 29 9 2022
medline: 4 11 2022
entrez: 28 9 2022
Statut: ppublish

Résumé

This study aimed to conduct an economic evaluation of the Communicating Healthy Beginnings Advice by Telephone (CHAT) trial to prevent childhood obesity. Cost-effectiveness analyses were conducted for the telephone and short message service (SMS) delivery of Healthy Beginnings advice, compared with usual care, which included child health services unrelated to Healthy Beginnings. Costs were valued in 2018 Australian dollars, and costs and outcomes were discounted at 5% per year. The costs of upscaling both delivery modes to all yearly births in New South Wales, Australia, were estimated and compared with the original Healthy Beginnings home-visiting intervention. At child age 2 years, the SMS delivery was more cost-effective ($5154 per unit BMI and $979 per 0.1 BMI z score units avoided) than the telephone delivery ($10,665 per unit BMI and $2017 per 0.1 BMI z score units avoided). The costs of upscaling the SMS ($7.64 million) and the telephone delivery modes ($37.65 million) were lower than the home-visiting intervention ($108.45 million). SMS delivery of Healthy Beginnings advice was more cost-effective than telephone delivery but less cost-effective than the original home-visiting approach ($4230 per unit BMI avoided, as calculated in an earlier study). Both the SMS and telephone interventions were more affordable than the home-visiting approach.

Identifiants

pubmed: 36168138
doi: 10.1002/oby.23547
pmc: PMC9828236
doi:

Banques de données

ANZCTR
['ACTRN12616001470482']

Types de publication

Clinical Trial Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

2256-2264

Informations de copyright

© 2022 The Authors. Obesity published by Wiley Periodicals LLC on behalf of The Obesity Society.

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Auteurs

Anagha Killedar (A)

Menzies Centre for Health Policy and Economics, School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
National Health and Medical Research Council Centre of Research Excellence in the Early Prevention of Obesity in Childhood, Australia.

Li Ming Wen (LM)

National Health and Medical Research Council Centre of Research Excellence in the Early Prevention of Obesity in Childhood, Australia.
Health Promotion Unit, Population Health Research and Evaluation Hub, Sydney Local Health District, Sydney, New South Wales, Australia.
School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.

Eng Joo Tan (EJ)

Deakin Health Economics, Institute for Health Transformation, School of Health and Social Development, Faculty of Health, Deakin University, Burwood, Victoria, Australia.

Sarah Marshall (S)

National Health and Medical Research Council Centre of Research Excellence in the Early Prevention of Obesity in Childhood, Australia.
School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.

Sarah Taki (S)

National Health and Medical Research Council Centre of Research Excellence in the Early Prevention of Obesity in Childhood, Australia.
Health Promotion Unit, Population Health Research and Evaluation Hub, Sydney Local Health District, Sydney, New South Wales, Australia.
School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.

Limin Buchanan (L)

National Health and Medical Research Council Centre of Research Excellence in the Early Prevention of Obesity in Childhood, Australia.
School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Child and Family Health, Community Health Services, Sydney Local Health District, Sydney, New South Wales, Australia.

Chris Rissel (C)

National Health and Medical Research Council Centre of Research Excellence in the Early Prevention of Obesity in Childhood, Australia.
School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.

Huilan Xu (H)

Health Promotion Unit, Population Health Research and Evaluation Hub, Sydney Local Health District, Sydney, New South Wales, Australia.

Louise A Baur (LA)

National Health and Medical Research Council Centre of Research Excellence in the Early Prevention of Obesity in Childhood, Australia.
Discipline of Child and Adolescent Health, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.

Alison Hayes (A)

National Health and Medical Research Council Centre of Research Excellence in the Early Prevention of Obesity in Childhood, Australia.
School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.

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Classifications MeSH