Obesity

Socioeconomic differences in the cost-effectiveness of a telephone-based intervention for obesity prevention in early childhood

Int J Obes (Lond)Published Model-based economic evaluation

Authors' conclusion

A telephone and SMS intervention was more cost-effective in low-SEP groups compared with high-SEP groups. Prioritizing families from socioeconomically disadvantaged backgrounds for this intervention will reduce healthy weight inequalities in childhood.

Study context

Population
Mothers of children aged 2–4 years; cohort of 4- to 5-year-old Australian children modelled until 17 years of age
Comparison
Telephone and short message service (SMS) support intervention, by socioeconomic position
Outcome
Incremental cost-effectiveness ratios (ICERs) per BMI unit avoided and per QALY gained, by SEP group
Follow-up
Until 17 years of age
Methodological detailsSocioeconomic position (SEP)-specific, microsimulation model (EQ-EPOCH), Australian health payer perspective, 2023 Australian dollars
  • SEP-specific
  • Microsimulation model (EQ-EPOCH)
  • Australian health payer perspective
  • 2023 Australian dollars

Main finding

As reported in the abstract

ICER
GroupICER per body mass index (BMI) unit avoidedICER per QALY gained
Low-SEP$131$6549
High-SEP$1161$41,462

ICER per body mass index (BMI) unit avoided

Low-SEP$131
High-SEP$1161

ICER per QALY gained

Low-SEP$6549
High-SEP$41,462

Further findings

Probability cost-effective at WTP threshold of $50,000 per QALY gained

Original publication

Socioeconomic differences in the cost-effectiveness of a telephone-based intervention for obesity prevention in early childhood. Int J Obes (Lond). Published 6 September 2025. doi:10.1038/s41366-025-01904-4

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