Obesity

Is the cost‐effectiveness of an early‐childhood sleep intervention to prevent obesity affected by socioeconomic position?

Obesity (Silver Spring)Published Economic evaluation (cost-effectiveness modelling study) of the Prevention of Overweight in Infancy (POI) trial sleep intervention

Authors' conclusion

An infant sleep intervention is more cost-effective in low- and mid-SEP groups compared with high-SEP groups. Targeting this intervention to low-SEP groups would not require trade-offs between efficiency and equity.

Study context

Population
Representative cohort of 4- to 5-year-old Australian children; Socioeconomic position (SEP)-specific intervention costs and effects at age 5 years from the Prevention of Overweight in Infancy (POI) trial; QALYs and health care costs simulated until age 17 yearssimulated cohort
Participants
4,898 participants
Comparison
Infant sleep intervention, by socioeconomic position
Outcome
Incremental cost-effectiveness ratio (Australian dollars per quality-adjusted life year gained) by SEP group
Follow-up
Simulated until age 17 years
Methodological detailsSEP-specific economic evaluation, purpose-built SEP-specific simulation model
  • SEP-specific economic evaluation
  • Purpose-built SEP-specific simulation model

Main finding

As reported in the abstract

Incremental cost-effectiveness ratio, AUD per quality-adjusted life year gained

Low-SEP

$23,010

Australian dollars per QALY gained

Mid-SEP

$18,206

Australian dollars per QALY gained

High-SEP

$31,981

Australian dollars per QALY gained

Further findings

Probability that the intervention was cost-effective — High-SEP
79%
Probability that the intervention was cost-effective — Probability cost-effective in low- and mid-SEP groups (very high)
92%-100%

Original publication

Is the cost‐effectiveness of an early‐childhood sleep intervention to prevent obesity affected by socioeconomic position? Obesity (Silver Spring). Published 5 December 2022. doi:10.1002/oby.23592

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