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Cost Effectiveness of a Weight Management Program Implemented in the Worksite

Translation of Fuel Your Life

Corso, Phaedra S. PhD; Ingels, Justin B. MPH; Padilla, Heather M. MS; Zuercher, Heather MPH; DeJoy, David M. PhD; Vandenberg, Robert J. PhD; Wilson, Mark G. HSD

Journal of Occupational and Environmental Medicine: August 2018 - Volume 60 - Issue 8 - p 683–687
doi: 10.1097/JOM.0000000000001343
ORIGINAL ARTICLES
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Objective: Conduct a cost-effectiveness analysis of the Fuel Your Life (FYL) program dissemination.

Methods: Employees were recruited from three workplaces randomly assigned to one of the conditions: telephone coaching, small group coaching, and self-study. Costs were collected prospectively during the efficacy trial. The main outcome measures of interest were weight loss and quality-adjusted life years (QALYs).

Results: The phone condition was most costly ($601 to $589/employee) and the self-study condition was least costly ($145 to $143/employee). For weight loss, delivering FYL through the small group condition was no more effective, yet more expensive, than the self-study delivery. For QALYs, the group delivery of FYL was in an acceptable cost-effectiveness range ($22,400/QALY) relative to self-study (95% confidence interval [CI]: $10,600/QALY—dominated).

Conclusions: Prevention programs require adaptation at the local level and significantly affect the cost, effectiveness, and cost-effectiveness of the program.

College of Public Health (Dr Corso, Mr Ingels, Ms Padilla, Ms Zuercher, Dr Dejoy, Dr Wilson); Terry College of Business (Dr Vandenberg), University of Georgia, Athens, Georgia.

Address correspondence to: Phaedra S. Corso, PhD, Economic Evaluation Research Group, College of Public Health, University of Georgia, 316 Wright Hall, Health Sciences Campus, Athens, GA 30602 (pcorso@uga.edu).

Financial disclosure: This project was funded by a National Institute of Diabetes and Digestive and Kidney Diseases grant (5R18DK090672) Translational Research to Improve Obesity and Diabetes Outcomes. The contents are solely the responsibility of the authors and do not reflect NIH views or policies.

Authors Corso, Ingels, Padilla, Zuercher, DeJoy, Vandenberg, and Wilson have no relationships/conditions/circumstances that present potential conflict of interest.

The JOEM editorial board and planners have no financial interest related to this research.

Supplemental digital contents are available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal's Web site (www.joem.org).

Copyright © 2018 by the American College of Occupational and Environmental Medicine