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Journal of Occupational & Environmental Medicine:
doi: 10.1097/JOM.0b013e31821b9c24
ORIGINAL ARTICLES: CME Available for This Article at ACOEM.org

Cost-Effectiveness and Cost-Benefit of a Lifestyle Intervention for Workers in the Construction Industry at Risk for Cardiovascular Disease

Groeneveld, Iris F. PhD; van Wier, Marieke F. MSc; Proper, Karin I. PhD; Bosmans, Judith E. PhD; van Mechelen, Willem PhD, MD; van der Beek, Allard J. PhD

Continued Medical Education
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Abstract

Objective: To investigate the cost-effectiveness and cost–benefit of a lifestyle intervention for construction workers with an elevated risk of cardiovascular disease.

Methods: In this randomized controlled trial, usual care was compared to a 6-month individual-based lifestyle intervention. At 6 and 12 months, weight, absenteeism, health care use, and lifestyle-related expenses were determined. Missing data were imputed. A cost-effectiveness analysis was performed from a societal perspective. Uncertainty around the incremental cost-effectiveness ratio (ICER) was estimated by bootstrapped cost–effect pairs. A cost–benefit analysis was performed from an employer's perspective, subtracting the incremental costs from the incremental benefits.

Results: The ICER was €145/kg weight loss. The difference between intervention and control group in net employer costs was €254 (95% CI: −1070 to 1536).

Conclusion: Implementation of this important and effective intervention depends on the societal and employer's willingness to pay.

©2011The American College of Occupational and Environmental Medicine

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