Cost-Effectiveness Analysis of a Community-Based Telewellness Weight Loss Program
Introduction: The purpose of this study was to perform a cost-effectiveness analysis of the Koa Family Program, a community-based telewellness weight reduction intervention for overweight and obese women aged 21–45 years with low income. The Koa Family Program resulted in an approximately 8-pound we...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-04-01
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| Series: | AJPM Focus |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2773065424000014 |
| _version_ | 1797345821796073472 |
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| author | Jeffrey S. Hoch, MA, PhD Neal D. Kohatsu, MD, MPH Julia Fleuret, MPH Desiree R. Backman, DrPH, MS, RD |
| author_facet | Jeffrey S. Hoch, MA, PhD Neal D. Kohatsu, MD, MPH Julia Fleuret, MPH Desiree R. Backman, DrPH, MS, RD |
| author_sort | Jeffrey S. Hoch, MA, PhD |
| collection | DOAJ |
| description | Introduction: The purpose of this study was to perform a cost-effectiveness analysis of the Koa Family Program, a community-based telewellness weight reduction intervention for overweight and obese women aged 21–45 years with low income. The Koa Family Program resulted in an approximately 8-pound weight loss as demonstrated in an RCT published previously. Methods: Estimates for the cost-effectiveness were derived from the prospective 25-week RCT including 70 women (25 kg/m2≤BMI<40 kg/m2). The analysis was from a program-funder perspective. Base case costs, as well as low and high scenario costs, were estimated from the services provided to intervention participants. The incremental costs were compared with the incremental effectiveness, with weight loss being the outcome of interest. Costs were in 2021 U.S. dollars. Cost-effectiveness was assessed using the incremental cost-effectiveness ratio and the incremental net benefit. The statistical uncertainty was characterized using an incremental net benefit by willingness-to-pay plot and a cost-effectiveness acceptability curve. Results: The base case average cost per participant was $564.39. The low and high scenario average costs per participant were $407.34 and $726.22, respectively. Over the 25-week study timeframe, participants lost an average 7.7 pounds, yielding a base case incremental cost-effectiveness ratio of approximately $73 per extra pound lost. The probability that the Koa Family Program is cost-effective is 90%, assuming a willingness-to-pay of $115 for a 1-pound reduction, and is 95%, assuming a willingness-to-pay of $140. Conclusions: The Koa Family Program provides good value with cost-effectiveness in line with other weight-loss interventions. This is a striking finding given that the Koa Family Program serves a more vulnerable population than is typically engaged in weight loss research studies. |
| first_indexed | 2024-03-08T11:24:17Z |
| format | Article |
| id | doaj.art-f473843691a247dfa1a1f7c31c9b9f9c |
| institution | Directory Open Access Journal |
| issn | 2773-0654 |
| language | English |
| last_indexed | 2024-03-08T11:24:17Z |
| publishDate | 2024-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | AJPM Focus |
| spelling | doaj.art-f473843691a247dfa1a1f7c31c9b9f9c2024-01-26T05:40:31ZengElsevierAJPM Focus2773-06542024-04-0132100182Cost-Effectiveness Analysis of a Community-Based Telewellness Weight Loss ProgramJeffrey S. Hoch, MA, PhD0Neal D. Kohatsu, MD, MPH1Julia Fleuret, MPH2Desiree R. Backman, DrPH, MS, RD3Division of Health Policy and Management, Department of Public Health Sciences, University of California, Davis, California; Center for Healthcare Policy and Research, University of California, Davis, CaliforniaCenter for Healthcare Policy and Research, University of California, Davis, California; Address correspondence to: Neal D. Kohatsu, MD, MPH, Center for Healthcare Policy and Research, 4900 Broadway, Suite 1430, Sacramento, CA 95820.Center for Healthcare Policy and Research, University of California, Davis, CaliforniaCenter for Healthcare Policy and Research, University of California, Davis, CaliforniaIntroduction: The purpose of this study was to perform a cost-effectiveness analysis of the Koa Family Program, a community-based telewellness weight reduction intervention for overweight and obese women aged 21–45 years with low income. The Koa Family Program resulted in an approximately 8-pound weight loss as demonstrated in an RCT published previously. Methods: Estimates for the cost-effectiveness were derived from the prospective 25-week RCT including 70 women (25 kg/m2≤BMI<40 kg/m2). The analysis was from a program-funder perspective. Base case costs, as well as low and high scenario costs, were estimated from the services provided to intervention participants. The incremental costs were compared with the incremental effectiveness, with weight loss being the outcome of interest. Costs were in 2021 U.S. dollars. Cost-effectiveness was assessed using the incremental cost-effectiveness ratio and the incremental net benefit. The statistical uncertainty was characterized using an incremental net benefit by willingness-to-pay plot and a cost-effectiveness acceptability curve. Results: The base case average cost per participant was $564.39. The low and high scenario average costs per participant were $407.34 and $726.22, respectively. Over the 25-week study timeframe, participants lost an average 7.7 pounds, yielding a base case incremental cost-effectiveness ratio of approximately $73 per extra pound lost. The probability that the Koa Family Program is cost-effective is 90%, assuming a willingness-to-pay of $115 for a 1-pound reduction, and is 95%, assuming a willingness-to-pay of $140. Conclusions: The Koa Family Program provides good value with cost-effectiveness in line with other weight-loss interventions. This is a striking finding given that the Koa Family Program serves a more vulnerable population than is typically engaged in weight loss research studies.http://www.sciencedirect.com/science/article/pii/S2773065424000014Cost-effectivenessweight lossobesitywomenlow-incometelewellness |
| spellingShingle | Jeffrey S. Hoch, MA, PhD Neal D. Kohatsu, MD, MPH Julia Fleuret, MPH Desiree R. Backman, DrPH, MS, RD Cost-Effectiveness Analysis of a Community-Based Telewellness Weight Loss Program AJPM Focus Cost-effectiveness weight loss obesity women low-income telewellness |
| title | Cost-Effectiveness Analysis of a Community-Based Telewellness Weight Loss Program |
| title_full | Cost-Effectiveness Analysis of a Community-Based Telewellness Weight Loss Program |
| title_fullStr | Cost-Effectiveness Analysis of a Community-Based Telewellness Weight Loss Program |
| title_full_unstemmed | Cost-Effectiveness Analysis of a Community-Based Telewellness Weight Loss Program |
| title_short | Cost-Effectiveness Analysis of a Community-Based Telewellness Weight Loss Program |
| title_sort | cost effectiveness analysis of a community based telewellness weight loss program |
| topic | Cost-effectiveness weight loss obesity women low-income telewellness |
| url | http://www.sciencedirect.com/science/article/pii/S2773065424000014 |
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