Trial reportPediatrics2017
Cost-Effectiveness of a Clinical Childhood Obesity Intervention.
Trial report in Pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04196556 (Effectiveness of an Intervention Programme), which is not on this map. Cited by 30 papers, 2 of them syntheses that pooled 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.
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.
Effectiveness of an Intervention Programme (FAMILIAS ACTIVAS) for Childhood Obesity: Cluster Randomized Controlled Trial
Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The cost-effectiveness of digital health interventions: A systematic review of the literature.Frontiers in public health · 2022Pooled it
- Effects of Lifestyle Modification Interventions to Prevent and Manage Child and Adolescent Obesity: A Systematic Review and Meta-Analysis.Nutrients · 2020Pooled it
- Trial
- Cost-Effectiveness Analysis of an Intensive Lifestyle Intervention Versus Usual Care for Latino Youth With Prediabetes.Pediatric obesity · 2025Trial
- Water First School Water Promotion and Access Intervention: A Cost Analysis Study.Journal of the Academy of Nutrition and Dietetics · 2025Trial
- Change in Weight Status Among Children Who Do and Do Not Participate in Intensive Health Behavior and Lifestyle Treatment for Obesity.Childhood obesity (Print) · 2024Trial
- Cost-Effectiveness and Long-Term Savings of the Bright Bodies Intervention for Childhood Obesity.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2023Trial
- Cost-effectiveness of a motivational interviewing obesity intervention versus usual care in pediatric primary care offices.Obesity (Silver Spring, Md.) · 2022Trial
- A Scoping Review of the Literature on Child and/or Adolescent Health Microsimulation Models.Applied health economics and health policy · 2026Review
- Cost-Effectiveness of Installing Water Dispensers in Massachusetts' Schools to Improve Nutrition Environments, Health, and Health Equity.Journal of the Academy of Nutrition and Dietetics · 2026Article
- Considerations for Cost Assessment of Implementing Family Healthy Weight Programs Across Community and Clinical Contexts.Childhood obesity (Print) · 2026Article
- Leveraging clinical decision support system tools for childhood overweight/obesity management.BMC medical informatics and decision making · 2025Article
- Leveraging Clinical Decision Support System Tools for Childhood Overweight/Obesity Management.Research square · 2025Article
- Estimated Costs and Cost-Effectiveness of a Pediatric Weight Management Program.JAMA network open · 2025Article
- School-based nutrition education programs alone are not cost effective for preventing childhood obesity: a microsimulation study.The American journal of clinical nutrition · 2025Article
- Cost-effectiveness of a primary care-based Healthy Weight Clinic compared with usual care.Obesity (Silver Spring, Md.) · 2024Article
- Article
- Cost-effectiveness analysis of individual-level obesity treatment in paediatrics: A scoping review.Pediatric obesity · 2024Article
- Article
- Multiple beneficial effects of 1-year nutritional-behavioral intervention on anthropometric and metabolic parameters in overweight and obese boys.Journal of endocrinological investigation · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
objectivesTo estimate the cost-effectiveness and population impact of the national implementation of the Study of Technology to Accelerate Research (STAR) intervention for childhood obesity.
methodsIn the STAR cluster-randomized trial, 6- to 12-year-old children with obesity seen at pediatric practices with electronic health record (EHR)-based decision support for primary care providers and self-guided behavior-change support for parents had significantly smaller increases in BMI than children who received usual care. We used a microsimulation model of a national implementation of STAR from 2015 to 2025 among all pediatric primary care providers in the United States with fully functional EHRs to estimate cost, impact on obesity prevalence, and cost-effectiveness.
resultsThe expected population reach of a 10-year national implementation is ∼2 million children, with intervention costs of $119 per child and $237 per BMI unit reduced. At 10 years, assuming maintenance of effect, the intervention is expected to avert 43 000 cases and 226 000 life-years with obesity at a net cost of $4085 per case and $774 per life-year with obesity averted. Limiting implementation to large practices and using higher estimates of EHR adoption improved both cost-effectiveness and reach, whereas decreasing the maintenance of the intervention's effect worsened the former.
conclusionsA childhood obesity intervention with electronic decision support for clinicians and self-guided behavior-change support for parents may be more cost-effective than previous clinical interventions. Effective and efficient interventions that target children with obesity are necessary and could work in synergy with population-level prevention strategies to accelerate progress in reducing obesity prevalence.
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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.