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Cost-effectiveness of a school-and family-based childhood obesity prevention programme in China : the “CHIRPY DRAGON” cluster-randomised controlled trial
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Zanganeh, Mandana, Adab, Peymane, Li, Bai, Pallan, Miranda, Liu, Wei Jia, Hemming, Karla, Lin, Rong, Liu, Wei, Martin, James, Keung Cheng, Kar and Frew, Emma (2021) Cost-effectiveness of a school-and family-based childhood obesity prevention programme in China : the “CHIRPY DRAGON” cluster-randomised controlled trial. International Journal of Public Health, 66 . 1604025. doi:10.3389/ijph.2021.1604025
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WRAP-cost-effectiveness-school-family-based-childhood-obesity-prevention-programme-China-Zanganeh-2021.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (732Kb) | Preview |
Official URL: https://doi.org/10.3389/ijph.2021.1604025
Abstract
Objectives: Rapid socioeconomic and nutrition transitions in Chinese populations have contributed to the growth in childhood obesity. This study presents a cost-effectiveness analysis of a school- and family-based childhood obesity prevention programme in China.
Methods: A trial-based economic evaluation assessed cost-effectiveness at 12 months. Forty schools with 1,641 children were randomised to either receive the multi-component (diet and physical activity) intervention or to continue with usual activities. Both public sector and societal perspectives were adopted. Costs and benefits in the form of quality-adjusted life years (QALYs) were compared and uncertainty was assessed using established UK and US thresholds.
Results: The intervention cost was 35.53 Yuan (£7.04/US$10.01) per child from a public sector perspective and 536.95 Yuan (£106/US$151) from a societal perspective. The incremental cost-effectiveness ratio (ICER) was 272.7 Yuan (£54/US$77)/BMI z-score change. The ICER was 8,888 Yuan (£1,760/US$2,502) and 73,831 Yuan (£14,620/US$20,796) per QALY from a public sector and societal perspective, respectively and was cost-effective using UK (£20,000) and US (US$50,000) per QALY thresholds.
Conclusion: A multi-component school-based prevention programme is a cost-effective means of preventing childhood obesity in China.
| Item Type: | Journal Article | ||||||
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| Subjects: | L Education > LB Theory and practice of education R Medicine > RJ Pediatrics |
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| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences > Clinical Trials Unit Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Obesity in children , Obesity in children -- Prevention -- China, Obesity in children -- Prevention -- China -- Cost effectiveness, Overweight children, Overweight children -- Treatment -- China, Overweight children -- Treatment -- China --Cost effectiveness, School children -- Health and hygiene -- China | ||||||
| Journal or Publication Title: | International Journal of Public Health | ||||||
| Publisher: | Springer | ||||||
| ISSN: | 1661-8556 | ||||||
| Official Date: | 25 August 2021 | ||||||
| Dates: |
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| Volume: | 66 | ||||||
| Article Number: | 1604025 | ||||||
| DOI: | 10.3389/ijph.2021.1604025 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Open Access | ||||||
| RIOXX Funder/Project Grant: |
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