Cost-effectiveness of a behavioral weight loss intervention for low-income women: The Weight-Wise Program

Alison Gustafson; Olga Khavjou; Sally C. Stearns; Thomas C. Keyserling; Ziya Gizlice; Sara Lindsley; Kathy Bramble; Beverly Garcia; Larry Johnston; Julie Will; Patricia Poindexter; Alice S. Ammerman; Carmen D. Samuel-Hodge

doi:10.1016/j.ypmed.2009.09.007

Cost-effectiveness of a behavioral weight loss intervention for low-income women: The Weight-Wise Program

Alison Gustafson, Olga Khavjou, Sally C. Stearns, Thomas C. Keyserling, Ziya Gizlice, Sara Lindsley, Kathy Bramble, Beverly Garcia, Larry Johnston, Julie Will, Patricia Poindexter, Alice S. Ammerman, Carmen D. Samuel-Hodge

Research output: Contribution to journal › Article › peer-review

19 Scopus citations

Abstract

Objective: Assess the cost-effectiveness of a 16-week weight loss intervention (Weight-Wise) for low-income midlife women. Method: A randomized controlled trial conducted in North Carolina in 2007 tested a weight loss intervention among 143 women (40-64 years old, mean BMI = 35.1 kg/m²). Women were randomized to one of two arms-special intervention (n = 72) and a wait-listed control group (n = 71). Effectiveness measures included changes in weight, systolic and diastolic blood pressure, total cholesterol, and HDL cholesterol. Cost-effectiveness measures calculated life years gained (LYG) from changes in weight, based on excess years life lost (YLL) algorithm. Results: Intervention participants had statistically significant decreases in weight (kg) (- 4.4 95% CI = - 5.6, - 3.2) and in systolic blood pressure (- 6.2 mm Hg, 95% CI = - 10.6, - 1.7) compared to controls. Total cost of conducting Weight-Wise was $17,403, and the cost per participant in intervention group was $242. The incremental cost per life year gained (discounted) from a decrease in obesity was $1862. Conclusion: Our results suggest the Weight-Wise intervention may be a cost-effective approach to improving the health of low-income women.

Original language	English
Pages (from-to)	390-395
Number of pages	6
Journal	Preventive Medicine
Volume	49
Issue number	5
DOIs	https://doi.org/10.1016/j.ypmed.2009.09.007
State	Published - Nov 2009

Bibliographical note

Funding Information:
This study was supported by cooperative agreement number U48/CCU422824-04 with the Centers for Disease Control and Prevention (CDC) and conducted through partnerships among the UNC Center for Health Promotion and Disease Prevention, the NC Department of Health and Human Services, the New Hanover Community Health Center, and the Grace United Methodist Church. Other support was provided by the UNC Nutrition Epidemiology Core through funding by NIH Grant DK56350. We are indebted to all the agency partners, study volunteers, and the women of Weight-Wise, whose involvement made this study possible.

Keywords

Cost-effectiveness
Intervention
Weight loss

ASJC Scopus subject areas

Epidemiology
Public Health, Environmental and Occupational Health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.ypmed.2009.09.007

Cite this

Gustafson, A., Khavjou, O., Stearns, S. C., Keyserling, T. C., Gizlice, Z., Lindsley, S., Bramble, K., Garcia, B., Johnston, L., Will, J., Poindexter, P., Ammerman, A. S., & Samuel-Hodge, C. D. (2009). Cost-effectiveness of a behavioral weight loss intervention for low-income women: The Weight-Wise Program. Preventive Medicine, 49(5), 390-395. https://doi.org/10.1016/j.ypmed.2009.09.007

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title = "Cost-effectiveness of a behavioral weight loss intervention for low-income women: The Weight-Wise Program",

abstract = "Objective: Assess the cost-effectiveness of a 16-week weight loss intervention (Weight-Wise) for low-income midlife women. Method: A randomized controlled trial conducted in North Carolina in 2007 tested a weight loss intervention among 143 women (40-64 years old, mean BMI = 35.1 kg/m2). Women were randomized to one of two arms-special intervention (n = 72) and a wait-listed control group (n = 71). Effectiveness measures included changes in weight, systolic and diastolic blood pressure, total cholesterol, and HDL cholesterol. Cost-effectiveness measures calculated life years gained (LYG) from changes in weight, based on excess years life lost (YLL) algorithm. Results: Intervention participants had statistically significant decreases in weight (kg) (- 4.4 95% CI = - 5.6, - 3.2) and in systolic blood pressure (- 6.2 mm Hg, 95% CI = - 10.6, - 1.7) compared to controls. Total cost of conducting Weight-Wise was $17,403, and the cost per participant in intervention group was $242. The incremental cost per life year gained (discounted) from a decrease in obesity was $1862. Conclusion: Our results suggest the Weight-Wise intervention may be a cost-effective approach to improving the health of low-income women.",

keywords = "Cost-effectiveness, Intervention, Weight loss",

author = "Alison Gustafson and Olga Khavjou and Stearns, {Sally C.} and Keyserling, {Thomas C.} and Ziya Gizlice and Sara Lindsley and Kathy Bramble and Beverly Garcia and Larry Johnston and Julie Will and Patricia Poindexter and Ammerman, {Alice S.} and Samuel-Hodge, {Carmen D.}",

note = "Funding Information: This study was supported by cooperative agreement number U48/CCU422824-04 with the Centers for Disease Control and Prevention (CDC) and conducted through partnerships among the UNC Center for Health Promotion and Disease Prevention, the NC Department of Health and Human Services, the New Hanover Community Health Center, and the Grace United Methodist Church. Other support was provided by the UNC Nutrition Epidemiology Core through funding by NIH Grant DK56350. We are indebted to all the agency partners, study volunteers, and the women of Weight-Wise, whose involvement made this study possible. ",

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Gustafson, A, Khavjou, O, Stearns, SC, Keyserling, TC, Gizlice, Z, Lindsley, S, Bramble, K, Garcia, B, Johnston, L, Will, J, Poindexter, P, Ammerman, AS & Samuel-Hodge, CD 2009, 'Cost-effectiveness of a behavioral weight loss intervention for low-income women: The Weight-Wise Program', Preventive Medicine, vol. 49, no. 5, pp. 390-395. https://doi.org/10.1016/j.ypmed.2009.09.007

TY - JOUR

T1 - Cost-effectiveness of a behavioral weight loss intervention for low-income women

T2 - The Weight-Wise Program

AU - Gustafson, Alison

AU - Khavjou, Olga

AU - Stearns, Sally C.

AU - Keyserling, Thomas C.

AU - Gizlice, Ziya

AU - Lindsley, Sara

AU - Bramble, Kathy

AU - Garcia, Beverly

AU - Johnston, Larry

AU - Will, Julie

AU - Poindexter, Patricia

AU - Ammerman, Alice S.

AU - Samuel-Hodge, Carmen D.

N1 - Funding Information: This study was supported by cooperative agreement number U48/CCU422824-04 with the Centers for Disease Control and Prevention (CDC) and conducted through partnerships among the UNC Center for Health Promotion and Disease Prevention, the NC Department of Health and Human Services, the New Hanover Community Health Center, and the Grace United Methodist Church. Other support was provided by the UNC Nutrition Epidemiology Core through funding by NIH Grant DK56350. We are indebted to all the agency partners, study volunteers, and the women of Weight-Wise, whose involvement made this study possible.

PY - 2009/11

Y1 - 2009/11

N2 - Objective: Assess the cost-effectiveness of a 16-week weight loss intervention (Weight-Wise) for low-income midlife women. Method: A randomized controlled trial conducted in North Carolina in 2007 tested a weight loss intervention among 143 women (40-64 years old, mean BMI = 35.1 kg/m2). Women were randomized to one of two arms-special intervention (n = 72) and a wait-listed control group (n = 71). Effectiveness measures included changes in weight, systolic and diastolic blood pressure, total cholesterol, and HDL cholesterol. Cost-effectiveness measures calculated life years gained (LYG) from changes in weight, based on excess years life lost (YLL) algorithm. Results: Intervention participants had statistically significant decreases in weight (kg) (- 4.4 95% CI = - 5.6, - 3.2) and in systolic blood pressure (- 6.2 mm Hg, 95% CI = - 10.6, - 1.7) compared to controls. Total cost of conducting Weight-Wise was $17,403, and the cost per participant in intervention group was $242. The incremental cost per life year gained (discounted) from a decrease in obesity was $1862. Conclusion: Our results suggest the Weight-Wise intervention may be a cost-effective approach to improving the health of low-income women.

AB - Objective: Assess the cost-effectiveness of a 16-week weight loss intervention (Weight-Wise) for low-income midlife women. Method: A randomized controlled trial conducted in North Carolina in 2007 tested a weight loss intervention among 143 women (40-64 years old, mean BMI = 35.1 kg/m2). Women were randomized to one of two arms-special intervention (n = 72) and a wait-listed control group (n = 71). Effectiveness measures included changes in weight, systolic and diastolic blood pressure, total cholesterol, and HDL cholesterol. Cost-effectiveness measures calculated life years gained (LYG) from changes in weight, based on excess years life lost (YLL) algorithm. Results: Intervention participants had statistically significant decreases in weight (kg) (- 4.4 95% CI = - 5.6, - 3.2) and in systolic blood pressure (- 6.2 mm Hg, 95% CI = - 10.6, - 1.7) compared to controls. Total cost of conducting Weight-Wise was $17,403, and the cost per participant in intervention group was $242. The incremental cost per life year gained (discounted) from a decrease in obesity was $1862. Conclusion: Our results suggest the Weight-Wise intervention may be a cost-effective approach to improving the health of low-income women.

KW - Cost-effectiveness

KW - Intervention

KW - Weight loss

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Cost-effectiveness of a behavioral weight loss intervention for low-income women: The Weight-Wise Program

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

UN SDGs

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