Evidence map›Paper›PMID 36473682›Full record

ArticleContemporary clinical trials2023

How much did it cost to develop and implement an eHealth intervention for a minority children population that overlapped with the COVID-19 pandemic?

Alexandra Monashefsky, Dar Alon, Tom Baranowski, Tiago V Barreira, Kelly A Chiu, Amy Fleischman, Melanie C Green, Shirley Huang, Ronald C Samuels, Caio Victor Sousa and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Contemporary clinical trials, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 19% of its field
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, 4 citations in OpenAlex.

  1. Trial
  2. Article
  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

12 authors at 10 institutions in 1 country.

Alexandra MonashefskyPrecision Link Biobank, Boston Children's Hospital, 300 Longwood Ave, Boston, MA 02115, United States.
Dar AlonHarvard T.H Chan School of Public Health, 677 Huntington Ave, Boston, MA 02115, United States.
Tom BaranowskiBaylor College of Medicine, 1100 Bates St, Houston, TX, 77030, United States.
Tiago V BarreiraExercise Science Department, Syracuse University, 820 Commstock Ave, Syracuse, NY 13244, United States.
Kelly A ChiuHarvard Medical School, Boston Children's Hospital, 300 Longwood Ave, Boston, MA 02130, United States.
Amy FleischmanHarvard Medical School, Optimal Wellness for Life Clinic, Boston Children's Hospital, Boston, MA 02115, United States.
Melanie C GreenDepartment of Communication, University at Buffalo, 359 Baldy Hall, Buffalo, NY 14260, United States.
Shirley HuangTufts University School of Medicine, Tufts Medical Center, Boston, MA 02111, United States.
Ronald C SamuelsChildren's Hospital of Montefiore and Einstein Medical School, 3411 Wayne Ave, Bronx, NY, 10467, United States.
Caio Victor SousaHealth and Human Sciences Department, Loyola Marymount University, 1 LMU Drive, MS 8888, Los Angeles, CA 90045, United States.
Debbe ThompsonUSDA/ARS Children's Nutrition Research Center, Baylor College of Medicine, 1100 Bates Avenue, Houston, TX 77030, United States.
Amy S LuHealth Technology Lab, Department of Communication Studies, College of Arts, Media, and Design, Department of Health Sciences, Bouvé College of Health Sciences, Northeastern University, 360 Huntington Ave, Boston, MA 02115, United States. Electronic address: a.lu@northeastern.edu.
Boston Children's Hospital · USHarvard University · USAlbert Einstein College of Medicine · USBaylor College of Medicine · USChildren's Nutrition Research Center at Baylor College of Medicine · USLoyola Marymount University · USNortheastern University · USSyracuse University · USTufts Medical Center · USUniversity at Buffalo, State University of New York · US

Funding

The Narrative Effect of Active Video Games on Long-term Moderate-to-Vigorous Physical ActivityR01DK109316 · NIDDK · NORTHEASTERN UNIVERSITY · PI LU, AMY SHIRONG · 2016 to 2020
$3.2M
NIDDK NIH HHS R01 DK109316
6 · The paper itself

Abstract

backgroundeHealth interventions using active video games (AVGs) offer an alternative method to help children exercise, especially during a pandemic where options are limited. There is limited data on costs associated with developing and implementing such interventions.

objectivesWe quantified the costs of delivering an eHealth RCT intervention among minority children during COVID-19.

methodsWe categorized the total trial cost into five subcategories: intervention material development, advertising and recruitment, intervention delivery, personnel salaries, and COVID-19-related equipment costs.

resultsThe total RCT cost was $1,927,807 (Direct: $1,227,903; Indirect: $699,904) with three visits required for each participant. The average cost per participant completing the RCT (79 participants/237 visits) was $24,403 (Direct: $15,543; Indirect: $8860). Due to no-shows and cancellations (198 visits) and dropouts before study completion (61 visits; 56 participants), 496 visits had to be scheduled to ensure complete data collection on 79 participants. If all 496 visits were from participants completing the three-visit protocol, that would correspond to 165 participants, bringing the average cost per participant down to $11,684 (Direct: $7442; Indirect: $4242). Of the subcategories, intervention material development accounted for the largest portion, followed by personnel salaries. While the direct COVID-19-specific cost constituted <1% of the entire budget, the indirect effects were much larger and significantly impacted the trial.

conclusionRCTs typically involve significant resources, even more so during a pandemic. Future eHealth intervention investigators should budget and plan accordingly to prepare for unexpected costs such as recruitment challenges to increase flexibility while maximizing the intervention efficacy.

Indexed as

COVID-19TelemedicineChildCosts and Cost AnalysisExerciseHumansPandemicsActive video gameBudget planningChild obesityExergameIntervention costPhysical activity

Identifiers

PMID36473682
PMCPMC9721158
OpenAlexW4310721716

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.