Evidence map›Paper›PMID 28398006›Full record

ArticleObesity (Silver Spring, Md.)2017

A cost analysis of implementing a behavioral weight loss intervention in community mental health settings: Results from the ACHIEVE trial.

Ellen M Janssen, Gerald J Jerome, Arlene T Dalcin, Joseph V Gennusa, Stacy Goldsholl, Kevin D Frick, Nae-Yuh Wang, Lawrence J Appel, Gail L Daumit

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Obesity (Silver Spring, Md.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 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

10 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. 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

9 authors.

Ellen M JanssenDepartment of Health Policy and Management, Johns Hopkins School of Public Health, Baltimore, Maryland, USA.
Gerald J JeromeDepartment of Kinesiology, Towson University, Baltimore, Maryland, USA.
Arlene T DalcinDivision of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Joseph V GennusaDivision of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Stacy GoldshollDivision of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Kevin D FrickJohns Hopkins Carey Business School, Baltimore, Maryland, USA.
Nae-Yuh WangDivision of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Lawrence J AppelDivision of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Gail L DaumitDivision of General Internal Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Funding

Randomized Trial of Achieving Healthy Lifestyles in Psych RehabilitationR01MH080964 · NIMH · JOHNS HOPKINS UNIVERSITY · PI DAUMIT, GAIL L. · 2008 to 2012
$5.2M
Developing and Translating Interventions to Decrease Mortality Disparities in SMIK24MH093763 · NIMH · JOHNS HOPKINS UNIVERSITY · PI DAUMIT, GAIL L. · 2012 to 2016
$830k
NIMH NIH HHS K24 MH093763NIMH NIH HHS R01 MH080964
6 · The paper itself

Abstract

objectiveIn the ACHIEVE randomized controlled trial, an 18-month behavioral intervention accomplished weight loss in persons with serious mental illness who attended community psychiatric rehabilitation programs. This analysis estimates costs for delivering the intervention during the study. It also estimates expected costs to implement the intervention more widely in a range of community mental health programs.

methodsUsing empirical data, costs were calculated from the perspective of a community psychiatric rehabilitation program delivering the intervention. Personnel and travel costs were calculated using time sheet data. Rent and supply costs were calculated using rent per square foot and intervention records. A univariate sensitivity analysis and an expert-informed sensitivity analysis were conducted.

resultsWith 144 participants receiving the intervention and a mean weight loss of 3.4 kg, costs of $95 per participant per month and $501 per kilogram lost in the trial were calculated. In univariate sensitivity analysis, costs ranged from $402 to $725 per kilogram lost. Through expert-informed sensitivity analysis, it was estimated that rehabilitation programs could implement the intervention for $68 to $85 per client per month.

conclusionsCosts of implementing the ACHIEVE intervention were in the range of other intensive behavioral weight loss interventions. Wider implementation of efficacious lifestyle interventions in community mental health settings will require adequate funding mechanisms.

Indexed as

Behavior TherapyCosts and Cost AnalysisFemaleHumansMaleMental HealthPublic HealthWeight Loss

Identifiers

PMID28398006
PMCPMC5445002

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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.