Economic evaluation of « healthy beginnings » an early childhood intervention to prevent obesity.

Auteur(s) :
Baur LA., Hayes AJ., Lung ., Wen ., Rissel C., Howard .
Date :
Mar, 2014
Source(s) :
OBESITY (SILVER SPRING). #22:7 p1709-15
Adresse :
Sydney School of Public Health, University of Sydney, Sydney, NSW, 2006, Australia.

Sommaire de l'article


To determine the costs and cost-effectiveness of an early childhood home visiting program delivered to families in socio-economically disadvantaged areas of Sydney, Australia during 2007-2010.


Economic evaluation of a randomized controlled trial, the healthy beginnings (HB) trial, from the perspective of the health funder. Intervention resources were determined from local health district records in 2012 $AUD. Health-care resource utilization was determined through patient-level data linkage.


The cost of HB intervention in the clinical trial over 2 years was $1309 per child (2012 $AUD). The incremental cost-effectiveness ratio was $4230 per unit BMI avoided and $631 per 0.1 reduction in BMI z-score. It was estimated that the program could be delivered in practice for $709 per child; with incremental cost-effectiveness ratios of $2697 per unit BMI avoided and $376 per 0.1 reduction in BMI z-score.


We present the first economic evaluation of an effective obesity prevention initiative in early childhood. HB is a moderately priced intervention with demonstrated effectiveness that offers similar or better value for money than existing obesity prevention or treatment interventions targeted at older children.

Source : Pubmed