Kesztyues, Dorothea and Schreiber, Anja and Wirt, Tamara and Wiedom, Martina and Dreyhaupt, Jens and Brandstetter, Susanne and Koch, Benjamin and Wartha, Olivia and Muche, Rainer and Wabitsch, Martin and Kilian, Reinhold and Steinacker, Juergen M. (2013) Economic evaluation of URMEL-ICE, a school-based overweight prevention programme comprising metabolism, exercise and lifestyle intervention in children. EUROPEAN JOURNAL OF HEALTH ECONOMICS, 14 (2). pp. 185-195. ISSN 1618-7598, 1618-7601
Full text not available from this repository. (Request a copy)Abstract
Measuring the impact of the URMEL-ICE school-based overweight prevention programme on anthropometric measures in primary-school children, computing incremental cost-effectiveness relation (ICER) and net monetary benefit (NMB). This is an intervention study with historical control. Propensity score method is applied to account for group differences. One-year teacher-driven classroom implementation is used, which is based on especially developed teaching material including health education, physical activity breaks and parent involvement. 354 children in the control and 365 children in the intervention group at baseline and follow-up were analysed. Effectiveness is measured as cm waist circumference (WC) and unit (0.01) waist-to-height ratio (WHtR) increase prevented in intervention vs. control group using an adjusted two-level model. Standard cost-effectiveness analysis methods, net benefit regression and a societal perspective for a 1-year time horizon are applied. WC gain was 1.61 cm and WHtR gain was 0.014 significantly less in intervention vs. control group. Intervention costs were a,not sign24.09 per child. ICER was a,not sign11.11 (95% confidence interval (CI) [8.78; 15.02]) per cm WC and a,not sign18.55 (95% CI [14.04; 26.86]) per unit WHtR gain prevented. At a maximum willingness to pay (MWTP) of a,not sign35, both values of the CIs for NMB regarding WC and WHtR are located in the positive range. The study gives new information about the cost-effectiveness of structured health promotion embedded in daily routine at primary schools. Assuming a MWTP of a,not sign35 the intervention is cost-effective with a positive NMB. This result may help decision makers in implementing programmes to prevent childhood overweight in school settings.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | TO-HEIGHT RATIO; BODY-MASS INDEX; QUALITY-OF-LIFE; WAIST CIRCUMFERENCE; CHILDHOOD OBESITY; COST-EFFECTIVENESS; CARDIOVASCULAR RISK; CARE COSTS; ADOLESCENTS; CONSEQUENCES; Overweight; Prevention and control; Child; Cost-effectiveness |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Institut für Epidemiologie und Präventivmedizin |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 23 Apr 2020 05:05 |
| Last Modified: | 23 Apr 2020 05:05 |
| URI: | https://pred.uni-regensburg.de/id/eprint/16959 |
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