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Cost-effectiveness of family-based group treatment for child and parental obesity.

Publication ,  Journal Article
Epstein, LH; Paluch, RA; Wrotniak, BH; Daniel, TO; Kilanowski, C; Wilfley, D; Finkelstein, E
Published in: Child Obes
April 2014

BACKGROUND: Obesity runs in families, and family-based behavioral treatment (FBT) is associated with weight loss in overweight/obese children and their overweight/obese parents. This study was designed to estimate the costs and cost-effectiveness of FBT compared to separate group treatments of the overweight/obese parent and child (PC). METHODS: Fifty overweight/obese 8- to 12-year-old children with overweight/obese parents were randomly assigned to 12 months of either FBT or PC treatment program. Assessment of societal costs (payer plus opportunity costs) were completed based on two assumptions: (1) programs for parent and child were available on separate days (PC-1) or (2) interventions for parent and child were available in the same location at sequential times on the same day (PC-2). Cost-effectiveness was calculated based on societal cost per unit of change using percent overBMI for children and weight for parents. RESULTS: The average societal cost per family was $1,448 for FBT and $2,260 for PC-1 (p < 0.001) and $2,124 for PC-2 (p < 0.001). Child cost-effectiveness for FBT was $209.17/percent overBMI, compared to $1,036.50/percent overBMI for PC-1 and $973.98/percent overBMI for PC-2. Parent cost-effectiveness was $132.97/pound (lb) for FBT and $373.53/lb (PC-1) or $351.00/lb (PC-2). CONCLUSIONS: For families with overweight/obese children and parents, FBT presents a lower cost per unit of weight loss for parents and children than treating the parent and child separately. Given the high rates of pediatric and adult obesity, FBT may provide a unique cost-effective platform for obesity intervention that alters weight in overweight/obese parents and their overweight/obese children.

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Published In

Child Obes

DOI

EISSN

2153-2176

Publication Date

April 2014

Volume

10

Issue

2

Start / End Page

114 / 121

Location

United States

Related Subject Headings

  • Weight Loss
  • Treatment Outcome
  • Risk Reduction Behavior
  • Program Evaluation
  • Parents
  • Obesity
  • New York
  • Male
  • Humans
  • Health Promotion
 

Citation

APA
Chicago
ICMJE
MLA
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Epstein, L. H., Paluch, R. A., Wrotniak, B. H., Daniel, T. O., Kilanowski, C., Wilfley, D., & Finkelstein, E. (2014). Cost-effectiveness of family-based group treatment for child and parental obesity. Child Obes, 10(2), 114–121. https://doi.org/10.1089/chi.2013.0123
Epstein, Leonard H., Rocco A. Paluch, Brian H. Wrotniak, Tinuke Oluyomi Daniel, Colleen Kilanowski, Denise Wilfley, and Eric Finkelstein. “Cost-effectiveness of family-based group treatment for child and parental obesity.Child Obes 10, no. 2 (April 2014): 114–21. https://doi.org/10.1089/chi.2013.0123.
Epstein LH, Paluch RA, Wrotniak BH, Daniel TO, Kilanowski C, Wilfley D, et al. Cost-effectiveness of family-based group treatment for child and parental obesity. Child Obes. 2014 Apr;10(2):114–21.
Epstein, Leonard H., et al. “Cost-effectiveness of family-based group treatment for child and parental obesity.Child Obes, vol. 10, no. 2, Apr. 2014, pp. 114–21. Pubmed, doi:10.1089/chi.2013.0123.
Epstein LH, Paluch RA, Wrotniak BH, Daniel TO, Kilanowski C, Wilfley D, Finkelstein E. Cost-effectiveness of family-based group treatment for child and parental obesity. Child Obes. 2014 Apr;10(2):114–121.
Journal cover image

Published In

Child Obes

DOI

EISSN

2153-2176

Publication Date

April 2014

Volume

10

Issue

2

Start / End Page

114 / 121

Location

United States

Related Subject Headings

  • Weight Loss
  • Treatment Outcome
  • Risk Reduction Behavior
  • Program Evaluation
  • Parents
  • Obesity
  • New York
  • Male
  • Humans
  • Health Promotion