an economic evaluation of adaptive e-learning devices to promote weight loss via dietary change for people with obesity自适应电子学习设备的经济评价,促进通过饮食改变肥胖的人减肥.pdfVIP

Miners et al. BMC Health Services Research 2012, 12:190 /1472-6963/12/190 RESEARCH ARTICLE Open Access An economic evaluation of adaptive e-learning devices to promote weight loss via dietary change for people with obesity 1* 2 2 3 4 2 Alec Miners , Jody Harris , Lambert Felix , Elizabeth Murray , Susan Michie and Phil Edwards Abstract Background: The prevalence of obesity is over 25 % in many developed countries. Obesity is strongly associated with an increased risk of fatal and chronic conditions such as cardiovascular disease and type 2 diabetes. Therefore it has become a major public health concern for many economies. E-learning devices are a relatively novel approach to promoting dietary change. The new generation of devices are ‘adaptive’ and use interactive electronic media to facilitate teaching and learning. E-Learning has grown out of recent developments in information and communication technology, such as the Internet, interactive computer programmes, interactive television and mobile phones. The aim of this study is to assess the cost-effectiveness of e-learning devices as a method of promoting weight loss via dietary change. Methods: An economic evaluation was performed using decision modelling techniques. Outcomes were expressed in terms of Quality-Adjusted Life-Years (QALYs) and costs were estimated from a health services perspective. All parameter estimates were derived from the literature. A systematic review was undertaken to derive the estimate of relative treatment effect. Results: The base case results from the e-Learning Economic Evaluation Model (e-LEEM) suggested that the incremental cost-effectiveness ratio was approximately £102,000 per Quality-Adjusted