Economic evaluation of a group randomized controlled trial on healthy eating and physical activity in afterschool programs.
Prev Med
; 106: 60-65, 2018 01.
Article
em En
| MEDLINE
| ID: mdl-28987341
ABSTRACT
Limited information is available on the cost-effectiveness of interventions to achieve healthy eating and physical activity policies in afterschool programs (ASPs). The objective of this study is to present the costs associated with a comprehensive intervention in ASPs. Intervention delivery inputs (IDIs) associated with a group randomized delayed treatment controlled trial involving 20 ASPs serving >1700 children (5-12yrs) were catalogued prospectively across 2-years (2014-2015). IDIs, analyzed 2015, were expressed as increases in per-child per-week enrollment fees based on a 34-week school year in US$. Total IDIs for year-1 were $15,058 (+$0.58/child/week enrollment fee). In year-2, total costs were $13,828 (+$0.52/child/week) for the delayed group and $7916 (+$0.30/child/week) for the immediate group, respectively. Site leader and staff hourly wages represented 11-17% and 45-46% of initial training costs; travel and trainer wages represented 31-42% and 50-58% of booster costs. Overall, a 1% increase in boys and girls, separately, accumulating 30 mins/d of moderate-to-vigorous physical activity ranged from $0.05 to $0.26/child/week, while a one-day increase in serving a fruit/vegetable or water, or not serving sugar-added foods/beverages ranged from $0.16 to $0.87/child/week. Costs associated with implementing the intervention were minimal. Additional efforts to reduce costs and improve intervention effectiveness are necessary.
Palavras-chave
Texto completo:
1
Temas:
ECOS
/
Aspectos_gerais
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Avaliacao_economica
Bases de dados:
MEDLINE
Assunto principal:
Instituições Acadêmicas
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Exercício Físico
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Análise Custo-Benefício
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Dieta Saudável
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Promoção da Saúde
Tipo de estudo:
Clinical_trials
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Evaluation_studies
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Health_economic_evaluation
Aspecto:
Patient_preference
Limite:
Child
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Child, preschool
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Female
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Humans
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Male
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Prev Med
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
Estados Unidos