A cost-analysis of complex workplace nutrition education and environmental dietary modification interventions

Abstract Background The workplace has been identified as a priority setting to positively influence individuals’ dietary behaviours. However, a dearth of evidence exists regarding the costs of implementing and delivering workplace dietary interventions. This study aimed to conduct a cost-analysis of...

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Main Authors: Sarah Fitzgerald, Ann Kirby, Aileen Murphy, Fiona Geaney, Ivan J. Perry
Format: Article
Language:English
Published: BMC 2017-01-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-016-3988-7
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author Sarah Fitzgerald
Ann Kirby
Aileen Murphy
Fiona Geaney
Ivan J. Perry
author_facet Sarah Fitzgerald
Ann Kirby
Aileen Murphy
Fiona Geaney
Ivan J. Perry
author_sort Sarah Fitzgerald
collection DOAJ
description Abstract Background The workplace has been identified as a priority setting to positively influence individuals’ dietary behaviours. However, a dearth of evidence exists regarding the costs of implementing and delivering workplace dietary interventions. This study aimed to conduct a cost-analysis of workplace nutrition education and environmental dietary modification interventions from an employer’s perspective. Methods Cost data were obtained from a workplace dietary intervention trial, the Food Choice at Work Study. Micro-costing methods estimated costs associated with implementing and delivering the interventions for 1 year in four multinational manufacturing workplaces in Cork, Ireland. The workplaces were allocated to one of the following groups: control, nutrition education alone, environmental dietary modification alone and nutrition education and environmental dietary modification combined. A total of 850 employees were recruited across the four workplaces. For comparison purposes, total costs were standardised for 500 employees per workplace. Results The combined intervention reported the highest total costs of €31,108. The nutrition education intervention reported total costs of €28,529. Total costs for the environmental dietary modification intervention were €3689. Total costs for the control workplace were zero. The average annual cost per employee was; combined intervention: €62, nutrition education: €57, environmental modification: €7 and control: €0. Nutritionist’s time was the main cost contributor across all interventions, (ranging from 53 to 75% of total costs). Conclusions Within multi-component interventions, the relative cost of implementing and delivering nutrition education elements is high compared to environmental modification strategies. A workplace environmental modification strategy added marginal additional cost, relative to the control. Findings will inform employers and public health policy-makers regarding the economic feasibility of implementing and scaling dietary interventions. Trial registration Current Controlled Trials: ISRCTN35108237 . Date of registration: The trial was retrospectively registered on 02/07/2013.
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spelling doaj.art-6109453839074ca6be03b8e7da1e068d2022-12-22T00:10:42ZengBMCBMC Public Health1471-24582017-01-0117111010.1186/s12889-016-3988-7A cost-analysis of complex workplace nutrition education and environmental dietary modification interventionsSarah Fitzgerald0Ann Kirby1Aileen Murphy2Fiona Geaney3Ivan J. Perry4Department of Epidemiology and Public Health, University College CorkDepartment of Economics, Aras na Laoi, University College CorkDepartment of Economics, Aras na Laoi, University College CorkDepartment of Epidemiology and Public Health, University College CorkDepartment of Epidemiology and Public Health, University College CorkAbstract Background The workplace has been identified as a priority setting to positively influence individuals’ dietary behaviours. However, a dearth of evidence exists regarding the costs of implementing and delivering workplace dietary interventions. This study aimed to conduct a cost-analysis of workplace nutrition education and environmental dietary modification interventions from an employer’s perspective. Methods Cost data were obtained from a workplace dietary intervention trial, the Food Choice at Work Study. Micro-costing methods estimated costs associated with implementing and delivering the interventions for 1 year in four multinational manufacturing workplaces in Cork, Ireland. The workplaces were allocated to one of the following groups: control, nutrition education alone, environmental dietary modification alone and nutrition education and environmental dietary modification combined. A total of 850 employees were recruited across the four workplaces. For comparison purposes, total costs were standardised for 500 employees per workplace. Results The combined intervention reported the highest total costs of €31,108. The nutrition education intervention reported total costs of €28,529. Total costs for the environmental dietary modification intervention were €3689. Total costs for the control workplace were zero. The average annual cost per employee was; combined intervention: €62, nutrition education: €57, environmental modification: €7 and control: €0. Nutritionist’s time was the main cost contributor across all interventions, (ranging from 53 to 75% of total costs). Conclusions Within multi-component interventions, the relative cost of implementing and delivering nutrition education elements is high compared to environmental modification strategies. A workplace environmental modification strategy added marginal additional cost, relative to the control. Findings will inform employers and public health policy-makers regarding the economic feasibility of implementing and scaling dietary interventions. Trial registration Current Controlled Trials: ISRCTN35108237 . Date of registration: The trial was retrospectively registered on 02/07/2013.http://link.springer.com/article/10.1186/s12889-016-3988-7Cost-analysisMicro-costingWorkplace dietary interventionsEnvironmental dietary modificationWorkplace health promotion
spellingShingle Sarah Fitzgerald
Ann Kirby
Aileen Murphy
Fiona Geaney
Ivan J. Perry
A cost-analysis of complex workplace nutrition education and environmental dietary modification interventions
BMC Public Health
Cost-analysis
Micro-costing
Workplace dietary interventions
Environmental dietary modification
Workplace health promotion
title A cost-analysis of complex workplace nutrition education and environmental dietary modification interventions
title_full A cost-analysis of complex workplace nutrition education and environmental dietary modification interventions
title_fullStr A cost-analysis of complex workplace nutrition education and environmental dietary modification interventions
title_full_unstemmed A cost-analysis of complex workplace nutrition education and environmental dietary modification interventions
title_short A cost-analysis of complex workplace nutrition education and environmental dietary modification interventions
title_sort cost analysis of complex workplace nutrition education and environmental dietary modification interventions
topic Cost-analysis
Micro-costing
Workplace dietary interventions
Environmental dietary modification
Workplace health promotion
url http://link.springer.com/article/10.1186/s12889-016-3988-7
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