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. 2017 Sep;140(3):e20162755.
doi: 10.1542/peds.2016-2755.

Cost-effectiveness of Family-Based Obesity Treatment

Teresa Quattrin  1 , Ying Cao  2 , Rocco A Paluch  3 , James N Roemmich  4 , Michelle A Ecker  3 , Leonard H Epstein  3
Affiliations

Cost-effectiveness of Family-Based Obesity Treatment

Teresa Quattrin et al. Pediatrics. 2017 Sep.

Abstract

Background and objectives: We translated family-based behavioral treatment (FBT) to treat children with overweight and obesity and their parents in the patient-centered medical home. We reported greater reductions in child and parent weight at 6 and 24 months compared with an attention-controlled information control (IC) group. This article reports the cost-effectiveness of long-term weight change for FBT compared with IC.

Methods: Ninety-six children 2 to 5 years of age with overweight or obesity and with parents who had a BMI ≥25 were randomly assigned to FBT or IC, and both received diet and activity education (12-month treatment and 12-month follow-up). Weight loss and cost-effectiveness were assessed at 24 months. Intention-to-treat, completers, and sensitivity analyses were performed.

Results: The average societal cost per family was $1629 for the FBT and $886 for the IC groups at 24 months. At 24 months, child percent over BMI (%OBMI) change decreased by 2.0 U in the FBT group versus an increase of 4.4 U in the IC group. Parents lost 6.0 vs 0.2 kg at 24 months in the FBT and IC groups, respectively. The incremental cost-effectiveness ratios (ICERs) for children and parents' %OBMI were $116.1 and $83.5 per U of %OBMI, respectively. Parental ICERs were also calculated for body weight and BMI and were $128.1 per 1, and $353.8/ per kilogram, respectively. ICER values for child %OBMI were similar in the intention-to-treat group ($116.1/1 U decrease) compared with completers ($114.3).

Conclusions: For families consisting of children and parents with overweight, FBT presents a more cost-effective alternative than an IC group.

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Conflict of interest statement

POTENTIAL CONFLICT OF INTEREST: Dr Epstein was a consultant to Kurbo (Datri Health, Inc) and had equity in the company when the study was implemented, but he has since resigned from the company; the other authors have indicated no potential conflicts of interest to disclose.

Figures

Figure 1
Figure 1
Study enrollment and participants.
See this image and copyright information in PMC

Comment in

References

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