Table 2.
Cost-effectiveness of program versus policy interventions from the Assessing Cost-Effectiveness (ACE)-Obesity and ACE-Prevention studies.
| Cost-effectiveness | Intervention Classification ≠ | |
|---|---|---|
| Cost-saving † | Program | Policy |
| Family-based GP programme targeted at obese children [38] School-based education programme to reduce sugar-sweetened drink consumption [38] Multi-faceted targeted school-based programme for overweight and obese children [38] |
School (curriculum)-based education programme to reduce television viewing [38] Multi-faceted school (curriculum)-based programme including nutrition and physical activity [38] Reduction of advertising of unhealthy food and beverages to children [43] Front-of-pack traffic light nutrition labelling [47] Unhealthy food and beverage tax (10%) [47] |
|
| Cost-effective ‡ (ICER ≤ $50,000/DALY) |
Family-based GP programme targeted at overweight and moderately obese children [45] Diet and exercise for adults with Body Mass Index (BMI) > 25 [41] Low-fat diet for adults BMI > 25 [41] |
Multi-faceted school (curriculum)-based programme without an active physical activity component [38] |
| Not cost-effective ∫ (ICER>$50,000/DALY) |
Walking school bus [44] TravelSMART schools α [46] Active after schools communities program [49] Lighten up to a healthy lifestyle weight-loss programme for adults π [39] Weight watchers [39] |
|
Notes: ≠ The costs included in the economic analyses are the costs of intervention implementation, delivery and the healthcare ramification costs or cost offsets. Productivity costs have not been included. Individualised treatment interventions (e.g., Laparoscopic adjustable gastric banding and pharmacotherapy) have not been included in this table. † Interventions with net cost-effectiveness results (includes cost offsets) which are cost-saving. ‡ Interventions with incremental cost-effectiveness ratios (ICER) below the threshold value of AUD 50,000 per DALY averted. ∫ Interventions with ICER above the threshold value of AUD 50,000 per DALY averted. α School and community based intervention aimed to increase active transport. π Although not restricted/targeted, the majority of participants were overweight or obese.