农村生活方式饮食和活动计划 (农村LEAP) 的成本效益
Tiffany A Radcliff1, Murray J Côté1, Meena N Shankar2
1School of Public Health, Texas A&M University, College Station, Texas, United States of America.
PloS one
|July 16, 2025
概括
针对农村肥胖管理的电话指导具有成本效益,可以改善长期减肥维护和质量调整寿命年 (QALYs). 这支持定制的远程医疗干预,以实现可持续的健康结果.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 行为医学是一种行为医学.
背景情况:
- 美国农村人口面临着对肥胖管理和持续减肥的独特障碍.
- 基于远程医疗的行为指导为延长护理提供了潜在的成本效益高的解决方案.
- 个性化支持对于体重管理计划的长期成功至关重要.
研究的目的:
- 评估基于电话的个人指导的成本效益,以延长农村成年人的减肥维护.
- 在5年的时间里,将电话辅导结果与仅教育的对照组进行比较.
- 评估对减肥类别,质量调整后寿命年 (QALYs) 和医疗保健成本的影响.
主要方法:
- 用一个离散的马尔科夫模型来评估5年时间的成本效益,利用随机试验 (2013-2018) 的数据.
- 从计划和参与者的角度分析了成本效益,包括计划成本和参与者报告的QALY和医疗保健费用.
- 进行了敏感性分析,并应用了15万美元/QALY的支付意愿门.
主要成果:
- 干预组 (18次电话咨询会话) 显示出更高的有效性,其中34.2%的人至少减轻了10%的体重,而对照组在干预结束时的体重减少率为17.0%.
- 干预后5年,6.4%的模拟干预参与者预计将保持至少10%的体重减轻,而对照人群则为5.4%.
- 干预参与者的自付医疗费用略低,部分抵消了更高的辅导计划成本,增量成本效益比率 (ICER) 从每QALY获得的7,731美元到8,156美元不等.
结论:
- 基于电话的个人指导是支持农村人口长期体重管理的成本效益高的策略.
- 这种远程医疗干预显示了改善持续减肥和健康结果的潜力,有助于预防疾病的努力.
- 研究结果支持将定制,可访问的行为指导融入肥胖管理公共卫生策略中.
相关概念视频
Lifestyle Factors and Health
128
Lifestyle factors play a critical role in maintaining overall health and preventing chronic diseases. Key elements, such as regular physical activity, a nutritious diet, and abstinence from smoking, can significantly enhance physical, mental, and emotional well-being while reducing the risk of several life-threatening conditions.
Benefits of Physical Activity
Physical activity, whether through structured exercise or casual activities like walking, biking, or dancing, is a cornerstone of a...
Benefits of Physical Activity
Physical activity, whether through structured exercise or casual activities like walking, biking, or dancing, is a cornerstone of a...
128
Community Based Intervention
96
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
96
Obesity
622
The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
622
Models of Health Promotion and Illness Prevention II
1.7K
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
The agent-host-environment model states that disease results...
1.7K
Energy Balance
554
The human body gets energy from the three macronutrients: carbohydrates, proteins, and fats. Energy is released when the chemical bonds in the organic compounds present in the food are broken down. The energy content of food is measured in kilocalories (kcal), defined as the amount of heat required to raise the temperature of one kilogram of water by one degree Celsius. This value is determined by measuring the temperature change of the water surrounding a calorimeter after the complete...
554
Metabolic Rate
515
The human body is a powerhouse of energy, with every cell performing numerous functions that require energy. This energy production and consumption is measured by the metabolic rate, which quantifies the total heat generated by all the body's chemical reactions and mechanical work. This measurement helps to determine the rate of kilocalorie (kcal) consumption needed to fuel all ongoing activities.
The Basal Metabolic Rate (BMR) measures the energy expended at rest.
Several factors influence...
The Basal Metabolic Rate (BMR) measures the energy expended at rest.
Several factors influence...
515


