Title
Economic evaluation of an occupational health care guideline for prevention of weight gain among employees
Author
van Wier, M.F.
Verweij, L.M.
Proper, K.I.
Hulshof, C.T.J.
van Tulder, M.W.
van Mechelen, W.
Publication year
2013
Abstract
OBJECTIVE:: To determine the cost-effectiveness and the financial return of a guideline for occupational physicians (OPs), aimed at the prevention of weight gain among employees. METHODS:: The guideline consisted of a company-environment scan and up to five individual sessions with an OP. Sixteen OPs randomized to the guideline (n = 7) or usual care group (n = 9) recruited 275 and 249 employees. Costs were collected by using 3-monthly retrospective questionnaires. Quality-adjusted life-years gained were determined with 6-monthly administered EuroQol-5D. Waist circumference and body weight were measured at baseline and 18 months. RESULTS:: Unfavorable differences were found on waist circumference (+1.6 cm; 95% confidence interval [CI], 0.27 to 2.90) and weight (+1.1 kg; 95% CI, 0.01 to 2.15). Probabilities of cost-effectiveness were consistently less than 55%. Net employer loss was &OV0556;-158 (95% CI, -2865 to 2672). CONCLUSIONS:: The occupational health care guideline was not cost-effective and no financial return was shown. Copyright © 2013 by American College of Occupational and Environmental Medicine.
Subject
Organisation
WH - Work & Health
BSS - Behavioural and Societal Sciences
Work and Employment
Workplace
Healthy Living
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http://resolver.tudelft.nl/uuid:ae155578-e155-499b-b9b1-5272c036f94d
DOI
https://doi.org/10.1097/jom.0b013e31829b279a
TNO identifier
481450
ISSN
1076-2752
Source
Journal of Occupational and Environmental Medicine, 55 (9), 1100-1109
Document type
article