Cost and Cost Effectiveness of a Pilot m-Health Intervention Targeting Parents of School-Aged Children to Improve the Nutritional Quality of Foods Packed in the Lunchbox
The SWAP IT program aims to improve the nutritional quality of school lunchboxes via a multicomponent m-health intervention, involving: weekly support messages to parents; physical resources; school nutrition guidelines and lunchbox lessons. SWAP IT has been reported to be effective. This study aims...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-11-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/13/11/4136 |
| _version_ | 1797508952104108032 |
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| author | Alison Brown Rachel Sutherland Penny Reeves Nicole Nathan Luke Wolfenden |
| author_facet | Alison Brown Rachel Sutherland Penny Reeves Nicole Nathan Luke Wolfenden |
| author_sort | Alison Brown |
| collection | DOAJ |
| description | The SWAP IT program aims to improve the nutritional quality of school lunchboxes via a multicomponent m-health intervention, involving: weekly support messages to parents; physical resources; school nutrition guidelines and lunchbox lessons. SWAP IT has been reported to be effective. This study aims to determine the cost and cost effectiveness of the SWAP IT m-health intervention. The retrospective trial-based economic evaluation was conducted in 12 Catholic primary schools in New South Wales, Australia. Schools were randomised to intervention or usual care. The costs (AUD, 2019) were evaluated from societal perspectives. The direct cost to uptake the intervention and the incremental cost-effectiveness ratios (ICER) were calculated. ICERS were calculated for two outcomes: reduction in total kJ and reduction in discretionary kJ from the lunchbox. The total cost was calculated to be AUD 55, 467. The mean incremental cost per student to receive the intervention was calculated to be AUD 31/student. The cost per reduction in total lunchbox energy was AUD 0.54. The ICER for the reduction in energy from discretionary foods in the lunchbox was AUD 0.24. These findings suggest that this m-health intervention has potential to be cost effective in reducing the kilojoules from discretionary foods packed in school lunchboxes. |
| first_indexed | 2024-03-10T05:11:09Z |
| format | Article |
| id | doaj.art-aed8e378c46f4078b50768dc68ccbbc0 |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-10T05:11:09Z |
| publishDate | 2021-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-aed8e378c46f4078b50768dc68ccbbc02023-11-23T00:51:13ZengMDPI AGNutrients2072-66432021-11-011311413610.3390/nu13114136Cost and Cost Effectiveness of a Pilot m-Health Intervention Targeting Parents of School-Aged Children to Improve the Nutritional Quality of Foods Packed in the LunchboxAlison Brown0Rachel Sutherland1Penny Reeves2Nicole Nathan3Luke Wolfenden4Hunter New England Population Health, Wallsend, NSW 2287, AustraliaHunter New England Population Health, Wallsend, NSW 2287, AustraliaSchool of Medicine and Public Health, University of Newcastle, Callaghan, Newcastle, NSW 2308, AustraliaHunter New England Population Health, Wallsend, NSW 2287, AustraliaHunter New England Population Health, Wallsend, NSW 2287, AustraliaThe SWAP IT program aims to improve the nutritional quality of school lunchboxes via a multicomponent m-health intervention, involving: weekly support messages to parents; physical resources; school nutrition guidelines and lunchbox lessons. SWAP IT has been reported to be effective. This study aims to determine the cost and cost effectiveness of the SWAP IT m-health intervention. The retrospective trial-based economic evaluation was conducted in 12 Catholic primary schools in New South Wales, Australia. Schools were randomised to intervention or usual care. The costs (AUD, 2019) were evaluated from societal perspectives. The direct cost to uptake the intervention and the incremental cost-effectiveness ratios (ICER) were calculated. ICERS were calculated for two outcomes: reduction in total kJ and reduction in discretionary kJ from the lunchbox. The total cost was calculated to be AUD 55, 467. The mean incremental cost per student to receive the intervention was calculated to be AUD 31/student. The cost per reduction in total lunchbox energy was AUD 0.54. The ICER for the reduction in energy from discretionary foods in the lunchbox was AUD 0.24. These findings suggest that this m-health intervention has potential to be cost effective in reducing the kilojoules from discretionary foods packed in school lunchboxes.https://www.mdpi.com/2072-6643/13/11/4136schoolslunchboxescosteconomic evaluationcost effectivenesschild nutrition |
| spellingShingle | Alison Brown Rachel Sutherland Penny Reeves Nicole Nathan Luke Wolfenden Cost and Cost Effectiveness of a Pilot m-Health Intervention Targeting Parents of School-Aged Children to Improve the Nutritional Quality of Foods Packed in the Lunchbox Nutrients schools lunchboxes cost economic evaluation cost effectiveness child nutrition |
| title | Cost and Cost Effectiveness of a Pilot m-Health Intervention Targeting Parents of School-Aged Children to Improve the Nutritional Quality of Foods Packed in the Lunchbox |
| title_full | Cost and Cost Effectiveness of a Pilot m-Health Intervention Targeting Parents of School-Aged Children to Improve the Nutritional Quality of Foods Packed in the Lunchbox |
| title_fullStr | Cost and Cost Effectiveness of a Pilot m-Health Intervention Targeting Parents of School-Aged Children to Improve the Nutritional Quality of Foods Packed in the Lunchbox |
| title_full_unstemmed | Cost and Cost Effectiveness of a Pilot m-Health Intervention Targeting Parents of School-Aged Children to Improve the Nutritional Quality of Foods Packed in the Lunchbox |
| title_short | Cost and Cost Effectiveness of a Pilot m-Health Intervention Targeting Parents of School-Aged Children to Improve the Nutritional Quality of Foods Packed in the Lunchbox |
| title_sort | cost and cost effectiveness of a pilot m health intervention targeting parents of school aged children to improve the nutritional quality of foods packed in the lunchbox |
| topic | schools lunchboxes cost economic evaluation cost effectiveness child nutrition |
| url | https://www.mdpi.com/2072-6643/13/11/4136 |
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