Randomized, Controlled Trial of a Best-Practice Individualized Behavioral Program for Treatment of Childhood Overweight: Scottish Childhood Overweight Treatment Trial (SCOTT)

Hughes, Adrienne; Stewart, Laura; Chapple, Jan; McColl, John H.; Donaldson, Malcolm; Kelnar, Christopher J. H.; Zabihollah, M.; Ahmed, Faisal; Reilly, John J.

doi:10.1542/peds.2007-1786

Cited by 136 publications

(156 citation statements)

References 36 publications

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“…Results were largely similar, for cost and health outcomes, between the two school years and between the obese and overweight and obese groups (web reference 5). At a cost of d100 per child, similarly to the cost estimated by Hughes et al, 25 all of the intervention effect sizes become cost saving within the lifetime of the children if future treatment costs are not discounted (Table 3). For a BMI SDS reduction of À0.03, the cost of the intervention would never become cost saving for interventions over d200.…”

Section: Resultsmentioning

confidence: 82%

“…With one exception, 25 all studies suggested a trend for a relative reduction in BMI SDS in the intervention group at 6 or 12 months (Figure 2). At 12 months, the median effect on BMI SDS was À0.13 (ref.…”

Section: Resultsmentioning

confidence: 97%

“…The interventions to treat obesity could broadly be categorized into three groups: interventions aimed at modifying behaviour, diet and/or physical activity delivered to groups of children and/or parents 24,26,29,31,33 or delivered to individual families; 25,27,30 and technology-based interventions used in the home or community aimed at promoting physical activity or reducing sedentary activities. 28,32 For the group-based interventions, planned contact time with professionals ranged from 10 (ref.…”

Section: Resultsmentioning

confidence: 99%

“…36 In contrast, interventions delivered to individual families all had o10 h of planned contact time with participants and were delivered by General Practitioners, pediatricians or dietitians over periods ranging from 12 weeks to 24 months. Cost per child, where estimated, ranged from d108 reported by Hughes et al 25 for an intervention involving eight brief individual family contacts with a dietician, to d557 for a General Practitioners led intervention delivered over four consultations. 30 Based on this indicative range of costs, we modelled low, moderate and high intervention costs to be d100, d400 and d800 per child, respectively.…”

Section: Resultsmentioning

confidence: 99%

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Economic evaluation of lifestyle interventions to treat overweight or obesity in children

et al. 2012

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OBJECTIVE:To estimate lifetime cost effectiveness of lifestyle interventions to treat overweight and obese children, from the UK National Health Service perspective. DESIGN: An adaptation of the National Heart Forum economic model to predict lifetime health service costs and outcomes of lifestyle interventions on obesity-related diseases. SETTING: Hospital or community-based weight-management programmes. POPULATION: Hypothetical cohorts of overweight or obese children based on body mass data from the National Child Measurement Programme. INTERVENTIONS: Lifestyle interventions that have been compared with no or minimal intervention in randomized controlled trials (RCTs). MAIN OUTCOME MEASURES: Reduction in body mass index (BMI) standard deviation score (SDS), intervention resources/costs, lifetime treatment costs, obesity-related diseases and cost per life year gained. RESULTS: Ten RCTs were identified by our search strategy. The median effect of interventions versus control from these 10 RCTs was a difference in BMI SDS of À0.13 at 12 months, but the range in effects among interventions was broad (0.04 to À0.60). Indicative costs per child of these interventions ranged from d108 to d662. For obese children aged 10 --11 years, an intervention that resulted in a median reduction in BMI SDS at 12 months at a moderate cost of d400 increased life expectancy by 0.19 years and intervention costs were offset by subsequent undiscounted savings in treatment costs (net saving of d110 per child), though this saving did not emerge until the sixth or seventh decade of life. The discounted cost per life year gained was d13 589. Results were broadly similar for interventions aimed at children aged 4 --5 years and which targeted both obese and overweight children. For more costly interventions, savings were less likely. CONCLUSION: Interventions to treat childhood obesity are potentially cost effective although cost savings and health benefits may not appear until the sixth or seventh decade of life.

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Section: Resultsmentioning

confidence: 82%

Section: Resultsmentioning

confidence: 97%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Economic evaluation of lifestyle interventions to treat overweight or obesity in children

et al. 2012

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“…There is no evidence that preventing childhood obesity will reduce subsequent adult obesity, which is where virtually all health consequences and costs lie, and the evidence for efficacy, effectiveness or cost-effectiveness of interventions for childhood obesity is weak, lacking or negative. 14,15 We can learn from these studies directed at children, and build on successful elements,, but the focus looks fundamentally flawed.…”

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confidence: 99%