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Cost-effectiveness of a workplace-based incentivized weight loss program.

Supriya Lahiri¹, Pouran D Faghri

¹Department of Economics, University of Massachusetts Lowell, Lowell, MA 01854, USA. Supriya_Lahiri@uml.edu

Journal of Occupational and Environmental Medicine

|February 29, 2012

Summary

Incentivized behavioral weight management programs (BWMPs) in nursing homes are more cost-effective for employers. Incentives significantly improved weight loss, making these programs a potentially valuable investment for employee health and productivity.

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Area of Science:

Health Economics
Occupational Health
Behavioral Science

Background:

Obesity among healthcare workers presents significant costs to employers through absenteeism and reduced productivity.
Behavioral Weight Management Programs (BWMPs) offer a potential solution, but their cost-effectiveness requires evaluation from an employer's perspective.

Purpose of the Study:

To determine the cost-effectiveness ratios of a nursing home-based incentivized BWMP.
To evaluate the business case for implementing such programs from an employer's viewpoint.

Main Methods:

A cohort of 72 overweight/obese healthcare workers participated in a 28-week BWMP, with 35 receiving incentives and 37 not.
Weight changes were compared pre- and post-intervention, within and between incentivized and non-incentivized groups.
Direct program costs and estimated avoided costs (absenteeism, productivity) were analyzed.

Main Results:

The incentivized group achieved a significantly greater average weight loss (-7.4 lb) compared to the non-incentivized group (-2.2 lb; P = 0.01).
Cost-effectiveness ratios per pound of weight loss were $25.5 for incentivized programs and $58.1 for non-incentivized programs.

Conclusions:

Incentivized BWMPs demonstrate superior cost-effectiveness compared to non-incentivized programs in this nursing home setting.
Enhancements in employee productivity are crucial for establishing a strong business case; further research is recommended.