scholarly journals Cost-Effectiveness of a School-and Family-Based Childhood Obesity Prevention Programme in China: The “CHIRPY DRAGON” Cluster-Randomised Controlled Trial

2021 ◽  
Vol 66 ◽  
Author(s):  
Mandana Zanganeh ◽  
Peymane Adab ◽  
Bai Li ◽  
Miranda Pallan ◽  
Wei Jia Liu ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Childhood Obesity ◽  
Public Sector ◽  
Societal Perspective ◽  
Obesity Prevention ◽  
Cost Effective ◽  
Prevention Programme ◽  
Childhood Obesity Prevention ◽  
Intervention Cost ◽  
Family Based

Objectives: Rapid socioeconomic and nutrition transitions in Chinese populations have contributed to the growth in childhood obesity. This study presents a cost-effectiveness analysis of a school- and family-based childhood obesity prevention programme in China.Methods: A trial-based economic evaluation assessed cost-effectiveness at 12 months. Forty schools with 1,641 children were randomised to either receive the multi-component (diet and physical activity) intervention or to continue with usual activities. Both public sector and societal perspectives were adopted. Costs and benefits in the form of quality-adjusted life years (QALYs) were compared and uncertainty was assessed using established UK and US thresholds.Results: The intervention cost was 35.53 Yuan (£7.04/US$10.01) per child from a public sector perspective and 536.95 Yuan (£106/US$151) from a societal perspective. The incremental cost-effectiveness ratio (ICER) was 272.7 Yuan (£54/US$77)/BMI z-score change. The ICER was 8,888 Yuan (£1,760/US$2,502) and 73,831 Yuan (£14,620/US$20,796) per QALY from a public sector and societal perspective, respectively and was cost-effective using UK (£20,000) and US (US$50,000) per QALY thresholds.Conclusion: A multi-component school-based prevention programme is a cost-effective means of preventing childhood obesity in China.

A Qualitative Examination of Parent Engagement in a Family-Based Childhood Obesity Program

2018 ◽  
Vol 19 (6) ◽  
pp. 905-914
Author(s):  
Emily A. Schmied ◽  
Emmeline Chuang ◽  
Hala Madanat ◽  
Jamie Moody ◽  
Leticia Ibarra ◽  
...  
Keyword(s):  
Childhood Obesity ◽  
Obesity Prevention ◽  
Transtheoretical Model ◽  
Prevention And Control ◽  
Parent Engagement ◽  
Health Workers ◽  
Childhood Obesity Prevention ◽  
Control Programs ◽  
Family Based ◽  
And Control

Low parent engagement is frequently identified as a barrier to effective implementation of family-based childhood obesity prevention and control programs. A more nuanced understanding of factors affecting parent engagement is important for improving implementation and, ultimately, program efficacy. This qualitative study examined factors influencing parent engagement in a family-based childhood obesity prevention and control program. Semistructured interviews informed by the health belief model and the transtheoretical model were conducted with 22 predominantly Latina mothers following the scheduled conclusion of program activities. Spanish- and English-language interviews were transcribed, translated into English (if Spanish), coded, and summarized using established protocols. Differences between parents who attended at least two thirds of program activities and those who did not were examined. There were no significant demographic differences between parents who did and did not complete two thirds of program activities. Findings indicated that differences in parent engagement may be at least partially explained by differences in parental motivations for participating and in barriers and facilitators, such as children’s level of support and enthusiasm for the program. Parents were highly satisfied with the program content and the community health workers who delivered the program. This study adds to emergent literature regarding parents’ experiences in family-based childhood obesity prevention and control programs. Potential targets for improving program engagement are discussed.

Cost-effectiveness of community-based childhood obesity prevention interventions in Australia

2019 ◽  
Vol 43 (5) ◽  
pp. 1102-1112 ◽  
Author(s):  
Jaithri Ananthapavan ◽  
Phuong K. Nguyen ◽  
Steven J. Bowe ◽  
Gary Sacks ◽  
Ana Maria Mantilla Herrera ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Childhood Obesity ◽  
Obesity Prevention ◽  
Community Based ◽  
Childhood Obesity Prevention ◽  
Prevention Interventions

scholarly journals Assessing the Lifetime Cost-Effectiveness of Low-Protein Infant Formula as Early Obesity Prevention Strategy: The CHOP Randomized Trial

Nutrients ◽  
2019 ◽  
Vol 11 (7) ◽  
pp. 1653
Author(s):  
Diana Sonntag ◽  
Freia De Bock ◽  
Martina Totzauer ◽  
Berthold Koletzko
Keyword(s):  
Cost Effectiveness ◽  
Childhood Obesity ◽  
Infant Feeding ◽  
Obesity Prevention ◽  
Lifetime Cost ◽  
Cost Savings ◽  
Cost Effective ◽  
Prevention Strategy ◽  
Bmi Trajectories ◽  
Lp Formula

Background: Although there is a growing number of early childhood obesity prevention programs, only a few of them are effective in the long run. Even fewer reports exist on lifetime cost-effectiveness of early prevention strategies. This paper aimed to assess the lifetime cost-effectiveness of infant feeding modification aiming at reducing risk of later obesity. Methods: The simulation model consists of two parts: (a) Model I used data from the European Childhood Obesity Project (CHOP) trial (up to 6 years) and the German Interview and Examination Survey for Children (KiGGS) (6–17 years) to evaluate BMI trajectories of infants receiving either lower protein (LP) or higher protein (HP) content formula; and (b) Model II estimated lifetime cost-effectiveness based on Model I BMI trajectories. Compared to HP formula, LP formula feeding would incur lower costs that are attributable to childhood obesity across all decades of life. Results: Our analysis showed that LP formula would be cost-effective in terms of a positive net monetary benefit (discounted 3%) as an obesity prevention strategy. For the 19% of infants fed with formula in Germany, the LP strategy would result in cost savings of € 2.5 billion. Conclusions: Our study is one of the first efforts to provide much-needed cost-effectiveness evidence of infant feeding modification, thereby potentially motivating interventionists to reassess their resource allocation.

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