Evidence map›Paper›PMID 26169779›Full record

ArticleBMC health services research2015

Exploring Outcomes to Consider in Economic Evaluations of Health Promotion Programs: What Broader Non-Health Outcomes Matter Most?

Tim M Benning, Adrienne F G Alayli-Goebbels, Marie-Jeanne Aarts, Elly Stolk, G Ardine de Wit, Rilana Prenger, Louise M A Braakman-Jansen, Silvia M A A Evers

Abstract read
In one paragraph

Article in BMC health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Tim M BenningCaphri School of Public Health and Primary Care, Department of Health Services Research, Maastricht University, PO Box 616, Maastricht, 6200 MD, The Netherlands. t.benning@rocva.nl.
Adrienne F G Alayli-GoebbelsInstitute of Health Economics and Clinical Epidemiology, University Hospital of Cologne, Gleueler Strasse 176-178, 50935, Koeln, Germany. Adrienne.Alayli@oahpp.ca.
Marie-Jeanne AartsRegional Public Health Service Limburg-Noord, PO Box 11, Venlo, 5900 AA, The Netherlands. mj.aarts@maastrichtuniversity.nl.
Elly StolkInstitute of Health Policy & Management, Institute for Medical Technology Assessment, Erasmus University Rotterdam, PO Box 1738, Rotterdam, 3000 DR, The Netherlands. stolk@bmg.eur.nl.
G Ardine de WitCentre for Nutrition, Prevention and Healthcare, National Institute of Public Health and the Environment, PO Box 1, Bilthoven, 3720 BA, The Netherlands. ardine.de.wit@rivm.nl.
Rilana PrengerDepartment of Psychology, Health & Technology, University of Twente, PO Box 217, Enschede, 7500 AE, The Netherlands. h.c.prenger@utwente.nl.
Louise M A Braakman-JansenDepartment of Psychology, Health & Technology, University of Twente, PO Box 217, Enschede, 7500 AE, The Netherlands. l.m.a.braakman-jansen@utwente.nl.
Silvia M A A EversCaphri School of Public Health and Primary Care, Department of Health Services Research, Maastricht University, PO Box 616, Maastricht, 6200 MD, The Netherlands. s.evers@maastrichtuniversity.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAttention is increasing on the consideration of broader non-health outcomes in economic evaluations. It is unknown which non-health outcomes are valued as most relevant in the context of health promotion. The present study fills this gap by investigating the relative importance of non-health outcomes in a health promotion context.

methodWe investigated the relative importance of ten non-health outcomes of health promotion programs not commonly captured in QALYs. Preferences were elicited from a sample of the Dutch general public (N = 549) by means of a ranking task. These preferences were analyzed using Borda scores and rank-ordered logit models.

resultsThe relative order of preference (from most to least important) was: self-confidence, insights into own (un)healthy behavior, perceived life control, knowledge about a certain health problem, social support, relaxation, better educational achievements, increased labor participation and work productivity, social participation, and a reduction in criminal behavior. The weight given to a particular non-health outcome was affected by the demographic variables age, gender, income, and education. Furthermore, in an open question, respondents mentioned a number of other relevant non-health outcomes, which we classified into outcomes relevant for the individual, the direct social environment, and for society as a whole.

conclusionThe study provides valuable insights in the non-health outcomes that are considered as most important by the Dutch general population. Ideally, researchers should include the most important non-health outcomes in economic evaluations of health promotion.

Indexed as

Cost-Benefit AnalysisHealth BehaviorAdolescentAdultAgedAged, 80 and overEvaluation Studies as TopicFamily CharacteristicsFemaleHealth PromotionHumansMaleMiddle AgedNetherlandsSocial EnvironmentSocial Support

Identifiers

PMID26169779
PMCPMC4501101

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.