The cost-effectiveness of a school-based overweight program |
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| Authors: | Henry Shelton Brown Adriana Pérez Yen-Peng Li Deanna M Hoelscher Steven H Kelder Roberto Rivera |
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| Affiliation: | (1) Division of Management, Policy and Community Health, University of Texas School of Public Health, Austin, TX 78701, USA;(2) Department of Bioinformatics and Biostatistics, School of Public Health and Information Sciences University of Louisville, 555 S. Floyd Street, Suite 4026, Louisville, KY 40292, USA;(3) Division of Biostatistics, University of Texas School of Public Health, Houston, TX 77225, USA;(4) Division of Behavioral Science, University of Texas School of Public Health, Austin, TX 78701, USA;(5) Division of Epidemiology, University of Texas School of Public Health, Austin, TX 78701, USA;(6) Valley Baptist Hospital, Harlingen, TX 78520, USA;(7) Michael & Susan Dell Center for Advancement of Healthy Living, University of Texas School of Public Health, Austin, TX 78701, USA |
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| Abstract: | Background This study assesses the net benefit and the cost-effectiveness of the Coordinated Approach to Child Health (CATCH) intervention program, using parameter estimates from the El Paso trial. There were two standard economic measures used. First, from a societal perspective on costs, cost-effectiveness ratios (CER) were estimated, revealing the intervention costs per quality-adjusted life years (QALYs) saved. QALY weights were estimated using National Health Interview Survey (NHIS) data. Second, the net benefit (NB) of CATCH was estimated, which compared the present value of averted future costs with the cost of the CATCH intervention. Using National Health and Nutrition Examination Survey I (NHANES) and NHANES follow-up data, we predicted the number of adult obesity cases avoided for ages 40–64 with a lifetime obesity progression model. |
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