scholarly journals A Cost Analysis of School-Based Lifestyle Interventions

2018 ◽  
Vol 19 (6) ◽  
pp. 716-727 ◽  
Author(s):  
Marije Oosterhoff ◽  
Hans Bosma ◽  
Onno C.P. van Schayck ◽  
Manuela A. Joore

Abstract A uniform approach for costing school-based lifestyle interventions is currently lacking. The objective of this study was to develop a template for costing primary school-based lifestyle interventions and apply this to the costing of the “Healthy Primary School of the Future” (HPSF) and the “Physical Activity School” (PAS), which aim to improve physical activity and dietary behaviors. Cost-effectiveness studies were reviewed to identify the cost items. Societal costs were reflected by summing up the education, household and leisure, labor and social security, and health perspectives. Cost inputs for HPSF and PAS were obtained for the first year after implementation. In a scenario analysis, the costs were explored for a hypothetical steady state. From a societal perspective, the per child costs were €2.7/$3.3 (HPSF) and €− 0.3/$− 0.4 (PAS) per day during the first year after implementation, and €1.0/$1.2 and €− 1.3/$− 1.6 in a steady state, respectively (2016 prices). The highest costs were incurred by the education perspective (first year: €8.7/$10.6 (HPSF) and €4.0/$4.9 (PAS); steady state: €6.1/$7.4 (HPSF) and €2.1/$2.6 (PAS)), whereas most of the cost offsets were received by the household and leisure perspective (first year: €− 6.0/$− 7.3 (HPSF) and €− 4.4/$− 5.4 (PAS); steady state: €− 5.0/$− 6.1 (HPSF) and €− 3.4/$− 4.1 (PAS)). The template proved helpful for costing HPSF and PAS from various stakeholder perspectives. The costs for the education sector were fully (PAS) and almost fully (HPSF) compensated by the savings within the household sector. Whether the additional costs of HPSF over PAS represent value for money will depend on their relative effectiveness.

2017 ◽  
Vol 25 (1) ◽  
pp. 76-88 ◽  
Author(s):  
Richard Bowles ◽  
Déirdre Ní Chróinín ◽  
Elaine Murtagh

The provision of regular physical activity opportunities has the potential to have positive health benefits for children. This study used qualitative interviews and focus groups to examine the experiences of two Irish primary school communities as they worked to attain an Active School Flag. The data suggest that engagement in this formal physical activity initiative impacts positively on children’s engagement in physical activity. Schools were encouraged to embark on innovative activities that attracted widespread participation within schools and in the wider community. The establishment of links with community groups fostered collaborations that were empowering and inclusive. This research supports the contention that primary school initiatives can provide enhanced physical activity opportunities for children, and may provide guidance to national and international policy-makers as they devise school-based physical activity interventions.


Nutrients ◽  
2021 ◽  
Vol 13 (9) ◽  
pp. 3241
Author(s):  
Marla T. H. Hahnraths ◽  
Maartje Willeboordse ◽  
Patricia van Assema ◽  
Bjorn Winkens ◽  
Constant P. van Schayck

Mere exposure is an often-described strategy to increase children’s food familiarity, preferences, and intake. Research investigating this method in less controlled settings is scarce. This study investigates the effects of repeated fruit and vegetable (FV) exposure through the Healthy Primary School of the Future (HPSF) on children’s FV familiarity, preferences, and intake. The study had a longitudinal quasi-experimental design comparing two full HPSFs (focus: nutrition and physical activity) with two partial HPSFs (focus: physical activity) in the Netherlands. Annual measurements (child-reported questionnaires) were conducted during 2015–2019 in 833 7–12-year-old children. The study was registered on ClinicalTrials.gov (NCT02800616). After correction for baseline, full HPSFs had, on average, a lower number of unfamiliar vegetable items after one (effect size (ES) = −0.28) and three years (ES = −0.35) and a higher number of disliked vegetable items after one year (ES = 0.24) than partial HPSFs. Unfavorable intervention effects were observed for fruit intake after one (odds ratio (OR) = 0.609) and four years (OR = 0.451). Repeated FV exposure had limited effects on children’s FV familiarity, preferences, and intake, likely due to insufficient taste exposure. Considering the widespread implementation of school-based mere exposure efforts, it is highly relevant to further investigate under which circumstances mere exposure effectively contributes to improvements in (determinants of) FV intake.


1999 ◽  
Vol 153 (9) ◽  
pp. 975 ◽  
Author(s):  
Steven L. Gortmaker ◽  
Lilian W. Y. Cheung ◽  
Karen E. Peterson ◽  
Ginny Chomitz ◽  
Jay Hammond Cradle ◽  
...  

2015 ◽  
Vol 84 (2) ◽  
pp. 129-131
Author(s):  
Bartosz Piasecki ◽  
Ewa Mojs ◽  
Anna Sudoł ◽  
Włodzimierz Samborski

The project will enable the use of the Tomatis therapy for children with central auditory processing disorders and the introduction of a proprietary curriculum preparing children to learn English in primary school – based on the method that streamlines the auditory analysis, on the proprietary language integration CDs used in the Tomatis method and on individual educational and therapeutic lessons with the teacher. The curriculum will be developed in the course of research under the guidance of prof. UM dr hab. Ewa Mojs from the Poznan University of Medical Sciences. The leader of the consortium implementing the project is the Foundation for Local Activity. The innovation has a high potential for implementation. Applicants to begin with estimate ultimately the ability to implement the program in the first year in 350 schools with the right equipment.


2019 ◽  
Vol 13 (5) ◽  
pp. 462-469 ◽  
Author(s):  
Mahima Gulati ◽  
Mary Delaney

A majority of Americans have health care insurance through their employers, the cost for which is rising at an alarming rate. Unfortunately, higher expenditure on insurance has not translated into healthier employees. In this article, we present a value-based design plan for self-funded employers, administered by lifestyle medicine board-certified providers, which is purported to save money for employers and yet may demonstrate better health outcomes for employees by engaging them in evidence-based lifestyle interventions such as plant-based nutrition, regular physical activity and minimizing sedentary behaviors, sleeping well, tobacco cessation, and so on.


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