Teresa Quattrin1, Ying Cao2, Rocco A Paluch3, James N Roemmich4, Michelle A Ecker3, Leonard H Epstein3. 1. Department of Pediatrics, Women and Children's Hospital of Buffalo, Buffalo, New York; tquattrin@upa.chob.edu. 2. Department of Epidemiology and Environmental Health, University at Buffalo, Buffalo, New York; and. 3. Department of Pediatrics, Women and Children's Hospital of Buffalo, Buffalo, New York. 4. USDA/ARS Grand Forks Human Nutrition Research Center, Grand Forks, North Dakota.
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.
RCT Entities:
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.
Authors: Denise E Wilfley; Tiffany L Tibbs; Dorothy J Van Buren; Kelle P Reach; Mark S Walker; Leonard H Epstein Journal: Health Psychol Date: 2007-09 Impact factor: 4.267
Authors: Teresa Quattrin; James N Roemmich; Rocco Paluch; Jihnhee Yu; Leonard H Epstein; Michelle A Ecker Journal: Pediatrics Date: 2014-08 Impact factor: 7.124
Authors: R J Kuczmarski; C L Ogden; L M Grummer-Strawn; K M Flegal; S S Guo; R Wei; Z Mei; L R Curtin; A F Roche; C L Johnson Journal: Adv Data Date: 2000-06-08
Authors: Rehana A Salam; Zahra A Padhani; Jai K Das; Amina Y Shaikh; Zahra Hoodbhoy; Sarah Masroor Jeelani; Zohra S Lassi; Zulfiqar A Bhutta Journal: Nutrients Date: 2020-07-24 Impact factor: 5.717