Evidence map›Paper›PMID 40534181›Full record

ArticlePediatric obesity2025

Development and application of a cost tool for a primary care-based intensive health behaviour and lifestyle treatment.

Cara F Ruggiero, Dustin D French, Justin D Smith, Meghan E Perkins, Janice Liebhart, Jeanne Lindros, Jeremiah Salmon, Vincent Biggs, Allison J Wu, Davene R Wright and 2 more

Abstract read
In one paragraph

Article in Pediatric obesity, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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.

Cara F RuggieroDivision of General Academic Pediatrics, Department of Pediatrics, Mass General for Children, Boston, Massachusetts, USA.
Dustin D FrenchDepartment of Ophthalmology and Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Justin D SmithDivision of Health Systems Innovation and Research, Department of Population Health Sciences, Spencer Fox Eccles School of Medicine at the University of Utah, Salt Lake City, Utah, USA.ORCID https://orcid.org/0000-0003-3264-8082
Meghan E PerkinsDivision of General Academic Pediatrics, Department of Pediatrics, Mass General for Children, Boston, Massachusetts, USA.
Janice LiebhartAmerican Academy of Pediatrics Institute for Healthy Childhood Weight, Itasca, Illinois, USA.
Jeanne LindrosAmerican Academy of Pediatrics Institute for Healthy Childhood Weight, Itasca, Illinois, USA.
Jeremiah SalmonAmerican Academy of Pediatrics Institute for Healthy Childhood Weight, Itasca, Illinois, USA.
Vincent BiggsHolyoke Health Center, Holyoke, Massachusetts, USA.
Allison J WuDivision of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0002-3162-5439
Davene R WrightDepartment of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts, USA.
Elsie M TaverasDivision of General Academic Pediatrics, Department of Pediatrics, Mass General for Children, Boston, Massachusetts, USA.
Lauren FiechtnerDivision of General Academic Pediatrics, Department of Pediatrics, Mass General for Children, Boston, Massachusetts, USA.

Funding

Creating effective childhood obesity interventions through the study ofpositive outliersK23HD090222 · NICHD · MASSACHUSETTS GENERAL HOSPITAL · PI FIECHTNER, LAUREN GEHLER · 2018 to 2021
$696k
Intervening in Food Insecurity to Reduce and Mitigate (InFoRM) Childhood ObesityK23DK135822 · NIDDK · BOSTON CHILDREN'S HOSPITAL · PI Allison Jane Wu · 2024 to 2026
$586k
CDC HHS U18DP006424National Institute of Child Health and Human Development K23HD090222NCCDPHP CDC HHS U18 DP006424NICHD NIH HHS K23 HD090222NIDDK NIH HHS K23 DK135822NIDDK NIH HHS K23DK135822
6 · The paper itself

Abstract

objectiveThis paper aims to describe the development and application of a cost tool to help predict return on investment and sustainability of the Healthy Weight Clinic Family Healthy Weight Program (FHWP) through insurance reimbursement.

methodsCase studies to apply the cost tool were conducted with 3 sites to assess the break-even point for clinic patient volume (i.e., financial neutral point: operational costs = revenue) during implementation. Financial neutral points were based on average reimbursement rates per health centre.

resultsThe annual fixed cost of the intervention ranged from $65 252 to $79 024. The average revenue ranged from $806-$1663 per patient through medical reimbursement, and the clinics needed to care for an average of 37-81 patients annually to break even.

conclusionsUse of an adaptable cost tool that captures reimbursement of clinical provider time and a minimum stream of clinical volume can equip decision-makers in planning financially to implement and sustain a clinically based FHWP.

Indexed as

budget impact analysisfamily healthy weight programimplementation scienceintensive health behaviour and lifestyle treatmentpaediatrics

Identifiers

PMID40534181
PMCPMC12288091

What OpenQuestion holds

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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.