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Updated: Dec 18, 2025

Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
Cost comparison of five Australasian obesity prevention interventions for children aged from birth to two years
Vicki Brown1,2, Eng J Tan1,3, Alison Hayes1,3
1Centre for Research Excellence in Early Prevention of Obesity in Childhood, University of Sydney, Sydney, New South Wales, Australia.
Insights
Understanding intervention costs is crucial for early childhood obesity prevention. SMS-based interventions were the most cost-effective, while personnel time significantly impacted overall expenses.
Area of Science:
- Public Health
- Health Economics
- Child Development
Background:
- Evidence for cost-effectiveness in early childhood obesity prevention is limited.
- Resource allocation decisions require consideration of intervention costs.
- Childhood obesity is a significant public health concern requiring effective interventions.
Purpose of the Study:
- To systematically estimate the costs of five early childhood obesity prevention interventions.
- To provide cost data for decision-makers allocating resources for child obesity prevention.
- To compare the costs of different intervention delivery modes for children aged 0-2 years.
Main Methods:
- A standardized costing protocol and micro-costing approach were employed.
- Costs were analyzed from the funder's perspective in 2018 Australian dollars.
- Unit costs from trials and market rates were utilized for valuation.
Main Results:
- Intervention costs varied significantly, from $80 (CHAT SMS) to $1135 (Healthy Beginnings) per participant.
- Personnel time represented over 50% of total intervention costs across all studies.
- SMS-based interventions demonstrated the lowest delivery costs.
Conclusions:
- Understanding the costs associated with different delivery modes is vital for obesity prevention.
- Telephone interventions may incur additional costs related to participant engagement.
- SMS interventions offer a cost-effective delivery method for childhood obesity prevention programs.
Background:
In the absence of rigorous evidence of cost-effectiveness for early childhood obesity prevention interventions, the next-best option may be for decision-makers to consider the relevant costs of interventions when allocating resources.
Objectives:
This study aimed to estimate systematically the cost of five obesity prevention interventions in children aged 0-2 years, undertaken in research settings in Australia and New Zealand.
Methods:
A standardised costing protocol informed the costing methodology, ensuring comparability of results across interventions. Micro-costing was undertaken, with intervention costs defined from the funder perspective and valued in 2018 Australian dollars using unit costs from the trials or market rates.
Results:
Interventions varied widely in their resource use. The total cost per participant ranged from $80 for the CHAT SMS intervention arm (95% UI $77-$82) to $1135 for the Healthy Beginnings intervention (95% UI $1059-$1189). Time costs of personnel delivering interventions contributed >50% of total intervention costs for all included studies.
Conclusions:
An understanding of the costs associated with intervention delivery modes is important, alongside effectiveness. Telephone delivery may include unexpected costs associated with connection to intervention participants at convenient times. A SMS-based intervention had the lowest delivery cost in this study.
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