Kerri N Boutelle1,2,3, David Strong2, June Liang1, Kyung E Rhee1, Cheryl L Rock2, Denise Wilfley4, Leonard Epstein5, Scott J Crow6. 1. Department of Pediatrics, UC San Diego, La Jolla, California, USA. 2. Department of Family Medicine and Public Health, UC San Diego, San Diego, California, USA. 3. Department of Psychiatry, UC San Diego, San Diego, California, USA. 4. Departent of Psychiatry, Washington University St Louis, St Louis, Missouri, USA. 5. Department of Pediatrics, University of Buffalo, Buffalo, New York, USA. 6. Department of Psychiatry, University of Minnesota, Minneapolis, Minnesota, USA.
Abstract
OBJECTIVE: Models such as family-based treatment (FBT), delivered to both the parent and child, are considered the most efficacious intervention for children with obesity. However, recent research suggests that parent-based treatment (PBT; or parent-only treatment) is noninferior to FBT. The aim of this study was to evaluate the comparative costs of the FBT and PBT models. METHODS: A total of 150 children with overweight and obesity and their parents were randomized to one of two 6-month treatment programs (FBT or PBT). Data was collected at baseline, during treatment, and following treatment, and and trial-based analyses of the costs were conducted from a health care sector perspective and a limited societal perspective. RESULTS: Results suggest that PBT, compared with FBT, had lower costs per parent-child dyad from the health care sector perspective (PBT = $2,886; FBT = $3,899) and from a limited societal perspective (PBT = $3,231; FBT = $4,279). CONCLUSIONS: These findings suggest that a PBT intervention has lower costs and is noninferior to an FBT intervention for both child and parent weight loss.
OBJECTIVE: Models such as family-based treatment (FBT), delivered to both the parent and child, are considered the most efficacious intervention for children with obesity. However, recent research suggests that parent-based treatment (PBT; or parent-only treatment) is noninferior to FBT. The aim of this study was to evaluate the comparative costs of the FBT and PBT models. METHODS: A total of 150 children with overweight and obesity and their parents were randomized to one of two 6-month treatment programs (FBT or PBT). Data was collected at baseline, during treatment, and following treatment, and and trial-based analyses of the costs were conducted from a health care sector perspective and a limited societal perspective. RESULTS: Results suggest that PBT, compared with FBT, had lower costs per parent-child dyad from the health care sector perspective (PBT = $2,886; FBT = $3,899) and from a limited societal perspective (PBT = $3,231; FBT = $4,279). CONCLUSIONS: These findings suggest that a PBT intervention has lower costs and is noninferior to an FBT intervention for both child and parent weight loss.
Authors: Melissa Wake; Susan Clifford; Kate Lycett; Kim Jachno; Matthew A Sabin; Sarah Baldwin; John Carlin Journal: Pediatrics Date: 2015-01-12 Impact factor: 7.124
Authors: Kerri N Boutelle; Kyung E Rhee; June Liang; Abby Braden; Jennifer Douglas; David Strong; Cheryl L Rock; Denise E Wilfley; Leonard H Epstein; Scott J Crow Journal: JAMA Pediatr Date: 2017-07-01 Impact factor: 16.193
Authors: Youfa Wang; May A Beydoun; Lan Liang; Benjamin Caballero; Shiriki K Kumanyika Journal: Obesity (Silver Spring) Date: 2008-07-24 Impact factor: 5.002
Authors: David M Janicke; Ric G Steele; Laurie A Gayes; Crystal S Lim; Lisa M Clifford; Elizabeth M Schneider; Julia K Carmody; Sarah Westen Journal: J Pediatr Psychol Date: 2014-05-13
Authors: Hiltje Oude Luttikhuis; Louise Baur; Hanneke Jansen; Vanessa A Shrewsbury; Claire O'Malley; Ronald P Stolk; Carolyn D Summerbell Journal: Cochrane Database Syst Rev Date: 2009-01-21