Cost‐Effectiveness of Two Iterations of a Community‐Based Cardiovascular Disease Prevention Intervention
Authors' conclusion
SHHC-2.0 compared favorably to SHHC-1.0 and could be cost-effective for longer-term effects. Results can help guide policy makers' decisions on larger-scale community-based obesity and cardiovascular disease prevention interventions.
Study context
- Population
- Women ≥40 years with obesity, or sedentary with overweight, from rural medically underserved towns
- Comparison
- Strong Hearts, Healthy Communities (SHHC) intervention vs control
Methodological detailsQuality-adjusted life year (QALY) cost-effectiveness analysis (CEA) for hypothetical national cohort of 2.2 million women, 10-year horizon
- QALY CEA for hypothetical national cohort of 2.2 million women
- 10-year horizon
Primary result
As reported in the abstract
- SHHC-1.0 resource cost per participant
- $775
- SHHC-2.0 resource cost per participant
- $747
- ICER, payer's perspective, SHHC-1.0, per kg weight loss
- $346
- ICER, payer's perspective, SHHC-2.0, per kg weight loss, 24 weeks
- $187
- ICER, payer's perspective, SHHC-2.0, per kg weight loss, 48 weeks
- $155
Further findings
Cost to avert QALYs lost · 10-year horizon
- SHHC-1.0, societal perspective
- $238,271
- SHHC-1.0, health care sector perspective
- $62,646
- SHHC-2.0 at 24 weeks, societal perspective
- $214,257
- SHHC-2.0 at 24 weeks, health care sector perspective
- $67,747
- SHHC-2.0 at 48 weeks, societal perspective
- $94,395
- SHHC-2.0 at 48 weeks, health care sector perspective
- $11,341
- Hypothetical cohort of 2.2 million women
Original publication
Cost‐Effectiveness of Two Iterations of a Community‐Based Cardiovascular Disease Prevention Intervention. Obesity (Silver Spring). Published 16 October 2025. doi:10.
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