Evidence map›Paper›PMID 36168138›Full record

Trial reportObesity (Silver Spring, Md.)2022

Economic evaluation of the Communicating Healthy Beginnings Advice by Telephone trial for early childhood obesity prevention.

Anagha Killedar, Li Ming Wen, Eng Joo Tan, Sarah Marshall, Sarah Taki, Limin Buchanan, Chris Rissel, Huilan Xu, Louise A Baur, Alison Hayes

Abstract readClinical Trial
In one paragraph

Trial report in Obesity (Silver Spring, Md.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
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

10 authors.

Anagha KilledarMenzies Centre for Health Policy and Economics, School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0003-2363-8827
Li Ming WenNational Health and Medical Research Council Centre of Research Excellence in the Early Prevention of Obesity in Childhood, Australia.ORCID 0000-0003-1381-4022
Eng Joo TanDeakin Health Economics, Institute for Health Transformation, School of Health and Social Development, Faculty of Health, Deakin University, Burwood, Victoria, Australia.ORCID 0000-0003-4449-4404
Sarah MarshallNational Health and Medical Research Council Centre of Research Excellence in the Early Prevention of Obesity in Childhood, Australia.ORCID 0000-0002-1462-3087
Sarah TakiNational Health and Medical Research Council Centre of Research Excellence in the Early Prevention of Obesity in Childhood, Australia.ORCID 0000-0002-7228-8993
Limin BuchananNational Health and Medical Research Council Centre of Research Excellence in the Early Prevention of Obesity in Childhood, Australia.ORCID 0000-0002-4438-5761
Chris RisselNational Health and Medical Research Council Centre of Research Excellence in the Early Prevention of Obesity in Childhood, Australia.ORCID 0000-0002-2156-8581
Huilan XuHealth Promotion Unit, Population Health Research and Evaluation Hub, Sydney Local Health District, Sydney, New South Wales, Australia.ORCID 0000-0002-9488-8121
Louise A BaurNational Health and Medical Research Council Centre of Research Excellence in the Early Prevention of Obesity in Childhood, Australia.ORCID 0000-0002-4521-9482
Alison HayesNational Health and Medical Research Council Centre of Research Excellence in the Early Prevention of Obesity in Childhood, Australia.ORCID 0000-0002-8679-6040

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to conduct an economic evaluation of the Communicating Healthy Beginnings Advice by Telephone (CHAT) trial to prevent childhood obesity.

methodsCost-effectiveness analyses were conducted for the telephone and short message service (SMS) delivery of Healthy Beginnings advice, compared with usual care, which included child health services unrelated to Healthy Beginnings. Costs were valued in 2018 Australian dollars, and costs and outcomes were discounted at 5% per year. The costs of upscaling both delivery modes to all yearly births in New South Wales, Australia, were estimated and compared with the original Healthy Beginnings home-visiting intervention.

resultsAt child age 2 years, the SMS delivery was more cost-effective ($5154 per unit BMI and $979 per 0.1 BMI z score units avoided) than the telephone delivery ($10,665 per unit BMI and $2017 per 0.1 BMI z score units avoided). The costs of upscaling the SMS ($7.64 million) and the telephone delivery modes ($37.65 million) were lower than the home-visiting intervention ($108.45 million).

conclusionsSMS delivery of Healthy Beginnings advice was more cost-effective than telephone delivery but less cost-effective than the original home-visiting approach ($4230 per unit BMI avoided, as calculated in an earlier study). Both the SMS and telephone interventions were more affordable than the home-visiting approach.

Indexed as

Pediatric ObesityAustraliaChild, PreschoolCost-Benefit AnalysisFemaleHouse CallsHumansTelephone

Identifiers

PMID36168138
PMCPMC9828236

What OpenQuestion holds

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Registered trials

None linked

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.