scholarly journals Measuring commissioners’ willingness-to-pay for community based childhood obesity prevention programmes using a discrete choice experiment

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Edward J. D. Webb ◽  
Elizabeth Stamp ◽  
Michelle Collinson ◽  
Amanda J. Farrin ◽  
June Stevens ◽  
...  

Abstract Background In the UK, rates of childhood obesity remain high. Community based programmes for child obesity prevention are available to be commissioned by local authorities. However, there is a lack of evidence regarding how programmes are commissioned and which attributes of programmes are valued most by commissioners. The aim of this study was to determine the factors that decision-makers prioritise when commissioning programmes that target childhood obesity prevention. Methods An online discrete choice experiment (DCE) was used to survey commissioners and decision makers in the UK to assess their willingness-to-pay for childhood obesity programmes. Results A total of 64 commissioners and other decision makers completed the DCE. The impact of programmes on behavioural outcomes was prioritised, with participants willing to pay an extra £16,600/year if average daily fruit and vegetable intake increased for each child by one additional portion. Participants also prioritised programmes that had greater number of parents fully completing them, and were willing to pay an extra £4810/year for every additional parent completing a programme. The number of parents enrolling in a programme (holding the number completing fixed) and hours of staff time required did not significantly influence choices. Conclusions Emphasis on high programme completion rates and success increasing children’s fruit and vegetable intake has potential to increase commissioning of community based obesity prevention programmes.

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e043477
Author(s):  
Mesfin G Genie ◽  
Luis Enrique Loría-Rebolledo ◽  
Shantini Paranjothy ◽  
Daniel Powell ◽  
Mandy Ryan ◽  
...  

IntroductionSocial distancing and lockdown measures are among the main government responses to the COVID-19 pandemic. These measures aim to limit the COVID-19 infection rate and reduce the mortality rate of COVID-19. Given we are likely to see local lockdowns until a treatment or vaccine for COVID-19 is available, and their effectiveness depends on public acceptability, it is important to understand public preference for government responses.Methods and analysisUsing a discrete choice experiment (DCE), this study will investigate the public’s preferences for pandemic responses in the UK. Attributes (and levels) are based on: (1) lockdown measures described in policy documents; (2) literature on preferences for lockdown measures and (3) a social media analysis. Attributes include: lockdown type; lockdown length; postponement of usual non-urgent medical care; number of excess deaths; number of infections; impact on household spending and job losses. We will prepilot the DCE using virtual think aloud interviews with respondents recruited via Facebook. We will collect preference data using an online survey of 4000 individuals from across the four UK countries (1000 per country). We will estimate the relative importance of the attributes, and the trade-offs individuals are willing to make between attributes. We will test if respondents’ preferences differ based on moral attitudes (using the Moral Foundation Questionnaire), socioeconomic circumstances (age, education, economic insecurity, health status), country of residence and experience of COVID-19.Ethics and disseminationThe University of Aberdeen’s College Ethics Research Board (CERB) has approved the study (reference: CERB/2020/6/1974). We will seek CERB approval for major changes from the developmental and pilot work. Peer-reviewed papers will be submitted, and results will be presented at public health and health economic conferences nationally and internationally. A lay summary will be published on the Health Economics Research Unit blog.


Health Policy ◽  
2019 ◽  
Vol 123 (2) ◽  
pp. 152-158 ◽  
Author(s):  
J. López-Bastida ◽  
J.M. Ramos-Goñi ◽  
I. Aranda-Reneo ◽  
M. Trapero-Bertran ◽  
P. Kanavos ◽  
...  

2019 ◽  
Vol 24 (02) ◽  
pp. 57-57
Author(s):  
Helena Thiem

Lehnert T et al. Preferences for home- and community-based long-term care services in Germany: a discrete choice experiment. Eur J Health Econ 2018; 19:1213–1223 Die alternde Gesellschaft in Deutschland verursacht viele ökonomische wie soziale Veränderungen. Insbesondere im Bereich der Pflege sind zukünftig weitere Versorgungsdefizite zu erwarten. Dabei ist es der Wunsch vieler Betroffener, möglichst lange in ihren „eigenen vier Wänden“ gepflegt zu werden. Die Autoren untersuchen, welche Präferenzen Pflegebedürftige in Bezug auf eine ambulante Langzeitpflege haben.


2020 ◽  
Vol 23 ◽  
pp. S621
Author(s):  
C. Thomas ◽  
A. Raibouaa ◽  
A. Wollenberg ◽  
J.P. Capron ◽  
N. Krucien ◽  
...  

2009 ◽  
Vol 13 (8) ◽  
pp. 1262-1270 ◽  
Author(s):  
Annabelle M Wilson ◽  
Anthea M Magarey ◽  
James Dollman ◽  
Michelle Jones ◽  
Nadia Mastersson

AbstractObjectiveTo describe the rationale, development and implementation of the quantitative component of evaluation of a multi-setting, multi-strategy, community-based childhood obesity prevention project (the eat well be active (ewba) Community Programs) and the challenges associated with this process and some potential solutions.Designewba has a quasi-experimental design with intervention and comparison communities. Baseline data were collected in 2006 and post-intervention measures will be taken from a non-matched cohort in 2009. Schoolchildren aged 10–12 years were chosen as one litmus group for evaluation purposes.SettingThirty-nine primary schools in two metropolitan and two rural communities in South Australia.SubjectsA total of 1732 10–12-year-old school students completed a nutrition and/or a physical activity questionnaire and 1637 had anthropometric measures taken; 983 parents, 286 teachers, thirty-six principals, twenty-six canteen and thirteen out-of-school-hours care (OSHC) workers completed Program-specific questionnaires developed for each of these target groups.ResultsThe overall child response rate for the study was 49 %. Sixty-five per cent, 43 %, 90 %, 90 % and 68 % of parent, teachers, principals, canteen and OSHC workers respectively, completed and returned questionnaires. A number of practical, logistical and methodological challenges were experienced when undertaking this data collection.ConclusionsLearnings from the process of quantitative baseline data collection for the ewba Community Programs can provide insights for other researchers planning similar studies with similar methods, particularly those evaluating multi-strategy programmes across multiple settings.


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