Cost-effectiveness of weight loss support provided by Health trainers
PHE ePoster Library. Hodsdon S. 09/13/17; 186555; 1
Mr. Simon Hodsdon
Mr. Simon Hodsdon
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Abstract
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Abstract Obesity is linked to many negative health outcomes and has been increasing in prevalence nationally and globally. The health trainer service introduced by the NHS in 2005 has been shown to provide many health benefits including weight loss but no cost-effectiveness analysis has been undertaken. Wiltshire Council provide a community health trainer service free of charge to all residents aged 18 or over who ask for support with many health goals, including weight loss. This study set out to discover how cost-effective the health trainer service was in regards to BMI and weight loss.Costs incurred by Wiltshire Council in 2015/16 to support residents who wanted help with weight loss via the health trainer service were collected. Baseline and outcome BMI and weight measurements were obtained from DCRS.The results showed a mean BMI reduction of 0.9 and a mean weight loss in kg of 2.5kg. The incremental cost effectiveness ratio of a point reduction in BMI was £429. These results compared favourable to other services. The weight lost in kg ICER of £148 per kg lost was compared to a meta-analysis and found to be similar with some of the more cost-effective weight loss interventions. Sensitivity analysis revealed the results to be stable. To increase the usability of the results they were converted to a quality of life years ICER and found to fall within the NICE QALY threshold (£20,000-£30,000 per QALY).This study provides the first cost-effectiveness analysis of the health trainer service in regards to weight loss.
Abstract Obesity is linked to many negative health outcomes and has been increasing in prevalence nationally and globally. The health trainer service introduced by the NHS in 2005 has been shown to provide many health benefits including weight loss but no cost-effectiveness analysis has been undertaken. Wiltshire Council provide a community health trainer service free of charge to all residents aged 18 or over who ask for support with many health goals, including weight loss. This study set out to discover how cost-effective the health trainer service was in regards to BMI and weight loss.Costs incurred by Wiltshire Council in 2015/16 to support residents who wanted help with weight loss via the health trainer service were collected. Baseline and outcome BMI and weight measurements were obtained from DCRS.The results showed a mean BMI reduction of 0.9 and a mean weight loss in kg of 2.5kg. The incremental cost effectiveness ratio of a point reduction in BMI was £429. These results compared favourable to other services. The weight lost in kg ICER of £148 per kg lost was compared to a meta-analysis and found to be similar with some of the more cost-effective weight loss interventions. Sensitivity analysis revealed the results to be stable. To increase the usability of the results they were converted to a quality of life years ICER and found to fall within the NICE QALY threshold (£20,000-£30,000 per QALY).This study provides the first cost-effectiveness analysis of the health trainer service in regards to weight loss.
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