SynthesisEuropean journal of public health2021
Cost-effectiveness and return on investment of school-based health promotion programmes for chronic disease prevention.
Synthesis in European journal of public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
What it found
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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.
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Who cites it
19 citing papers in PubMed.
- The Cost Effectiveness of a Free Summer Day Camp Voucher Program to Prevent Summer Weight Gain Among Children From Disadvantaged Households.American journal of preventive medicine · 2025Trial
- Interventions to promote critical health literacy: a scoping review.Health promotion international · 2026Article
- Health-Related Effects of a Short Isometric Exercise Program Integrated into School Physical Education: The Role of Biological Maturation and Baseline Functional Status.Healthcare (Basel, Switzerland) · 2026Article
- Article
- How Is Scale Incorporated Into the Economic Evaluation of Interventions to Prevent Obesity or to Improve Obesity-Related Risk Factors: A Systematic Scoping Review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Article
- Does outdoor advertising correlate with retail food purchases made by adolescents? A cross-sectional study in Canada.Health promotion international · 2025Article
- Spending patterns of middle schools that deliver multiple evidence-based physical activity and nutrition programs.Translational behavioral medicine · 2025Article
- Early health education and cognitive inhibitory control in children: a 20-year pilot study using the go/no-go task in Japan.Frontiers in public health · 2025Article
- The cost-effectiveness of school-based interventions for chronic diseases: a systematic review.Cost effectiveness and resource allocation : C/E · 2024Review
- School- and intervention-related factors associated with institutionalization of health promotion interventions in elementary schools.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2024Article
- School Medical Service: Strategies to Promote Psycho-Physiological Well-Being.Pediatric reports · 2024Review
- Delivering health promotion during school closures in public health emergencies: building consensus among Canadian experts.Health promotion international · 2023Article
- A mixed methods partner-focused cost and budget impact analysis to deploy implementation strategies for school-based prevention.Implementation science communications · 2023Article
- How to select interventions for promoting physical activity in schools? Combining preferences of stakeholders and scientists.The international journal of behavioral nutrition and physical activity · 2023Article
- From best practice to next practice: implementing Comprehensive School Health in rural and remote northern communities.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2022Article
- Economic evaluation of a multi-strategy intervention that improves school-based physical activity policy implementation.Implementation science : IS · 2022Article
- Health educationFrontiers in public health · 2022Article
- Mental Health and Wellbeing of 9-12-year-old Children in Northern Canada Before the COVID-19 Pandemic and After the First Lockdown.International journal of public health · 2021Article
- Intervention Activities and Implementation Strategies for School-Based Health Promotion: Identifying Core Functions and Forms to Facilitate Scale-up of an Effective Intervention.Implementation research and practiceArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundWhile school-based health prevention programmes are effective in addressing unhealthy diet and physical inactivity, little is known about their economic implications. We conducted an economic evaluation of the programmes that were previously identified as feasible, acceptable, and sustainable in the Canadian context.
methodsThis study builds on a meta-analysis of the effectiveness of feasible, acceptable, and sustainable school-based health promotion programmes. A micro-simulation model incorporated intervention effects on multiple risk factors to estimate incremental cost-effectiveness and return on investment (ROI) of comprehensive school health (CSH), multicomponent, and physical education (PE) curriculum modification programmes. Cost-effectiveness was expressed as the programme costs below which the programme would be cost-effective at a CA$50 000 threshold level.
resultsThe estimated costs below which interventions were cost-effective per quality-adjusted life year gained were CA$682, CA$444, and CA$416 per student for CSH, multicomponent, and PE curriculum modification programmes, respectively. CSH programmes remained cost-effective per year of chronic disease prevented for costs of up to CA$3384 per student, compared to CA$1911 and CA$1987 for multicomponent and PE curriculum modification interventions, respectively. If the interventions were implemented at total discounted intervention costs of CA$100 per student, ROI through the avoidance of direct healthcare costs related to the treatment and management of chronic diseases would be 824% for CSH, 465% for multicomponent interventions, and 484% for PE curriculum modification interventions.
conclusionsWhereas each examined intervention types showed favourable economic benefits, CSH programmes appeared to be the most cost-effective and to have the highest ROI.
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