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首页> 外文期刊>Obesity >Cost‐Effectiveness of a Weight Loss Intervention: An Adaptation of the Look AHEAD Lifestyle Intervention in the US Military
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Cost‐Effectiveness of a Weight Loss Intervention: An Adaptation of the Look AHEAD Lifestyle Intervention in the US Military

机译：减肥干预的成本效益：适应美国军方的前瞻性生活方式干预

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摘要

Objective This study aimed to assess whether a counselor‐initiated (CI) adaptation of the Look AHEAD (Action for Health in Diabetes) intensive lifestyle intervention in a military setting was cost‐effective relative to a self‐paced (SP) adaptation. Methods A cost‐effectiveness analysis from a payer perspective was performed?alongside a 2014‐2017 randomized behavioral weight loss trial among 248 active‐duty military personnel stationed at a US Air Force base in Texas. Incremental cost‐effectiveness ratios were calculated for weight loss, reductions in waist circumference, and quality‐adjusted life‐years (QALYs). Results After 12 months, the CI adaptation cost more per participant compared with the SP adaptation ($1,081 vs. $120) but achieved greater weight loss (1.86 kg vs. 0.06 kg), greater reductions in waist circumference (1.85 cm vs. 0.48 cm), and more QALYs (0.871 vs. 0.856). The incremental cost‐effectiveness ratio for the CI adaptation relative to the SP adaptation was $61,268 per additional QALY. At willingness‐to‐pay thresholds of $50,000 and $100,000 per QALY, the CI adaptation was 45% and 49% likely to be cost‐effective, respectively. Conclusions The CI delivery of the Look AHEAD Intensive Lifestyle Intervention may offer a cost‐effective approach to tackle excess weight in the US military.
机译：目的本研究旨在评估辅导员发起的（CI）适应展望未来（糖尿病患者的行动）军事环境中的强化生活方式干预相对于自我节奏（SP）适应性是具有成本效益。方法采用付款人视角的成本效益分析？与2014 - 2017年在德克萨斯州的美国空军基地驻扎的248名活性军事人员之间的随机行为减肥试验旁边。计算增量成本效益比率用于减肥，腰围减少，以及质量调整的寿命 - 年（QALYS）。结果12个月后，与SP适应相比，CI适应的成本更高（1,081美元，120美元），但达到更大的体重减轻（1.86千克，0.06千克），腰围的减少（1.85厘米与0.48厘米）。等等，更多的qalys（0.871 vs. 0.856）。 CI适应相对于SP适应的增量成本效益比为每额外QALY为61,268美元。在愿意支付50,000美元和100,000美元的支付阈值，CI适应分别为45％，49％的可能性分别具有成本效益。结论CI递送了前瞻性的生活方式干预可能提供具有成本效益的方法来解决美国军队的超重。

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  • 来源
    《Obesity》 |2020年第1期|共8页
  • 作者

    Manz Karina C.; Waters Teresa M.; Clifton Hannah E.; Kocak Mehmet; Klesges Robert C.; Talcott G. Wayne; Krukowski Rebecca A.;

  • 作者单位

    Department of Health Management and PolicyCollege of Public Health University of KentuckyLexington;

    Department of Health Management and PolicyCollege of Public Health University of KentuckyLexington;

    Department of Health Management and PolicyCollege of Public Health University of KentuckyLexington;

    Department of Preventive MedicineThe University of Tennessee Health Science CenterMemphis Tennessee;

    Department of Public Health SciencesUniversity of Virginia School of MedicineCharlottesville;

    Department of Public Health SciencesUniversity of Virginia School of MedicineCharlottesville;

    Department of Preventive MedicineThe University of Tennessee Health Science CenterMemphis Tennessee;

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  • 正文语种 eng
  • 中图分类 内分泌腺疾病及代谢病;
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