Abstract
Objectives: Little is known about the costs and the effects of cardiovascular prevention programs targeted at medical and behavioral risk factors. The aim was to evaluate the cost-utility of a cardiovascular prevention program in a general sample of highly educated adults after 1 year of intervention. Methods: The participants were randomly assigned to intervention (n = 208) and usual care conditions (n = 106). The intervention consisted of medical interventions and optional behavior-change interventions (e.g., a tailored Web site). Cost data were registered from a healthcare perspective, and questionnaires were used to determine effectiveness (e.g., quality-adjusted life-years [QALYs]). A cost-utility analysis and sensitivity analyses using bootstrapping were performed on the intermediate results. Results: When adjusting for baseline utility differences, the incremental cost was (sic)433 and the incremental effectiveness was 0.016 QALYs. The incremental cost-effectiveness ratio was (sic)26,91 0 per QALY. Conclusions: The intervention was cost-effective compared with usual care in this sample of highly educated adults after 1 year of intervention. Increased participation would make this intervention highly cost-effective.
Original language | English |
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Pages (from-to) | 11-19 |
Journal | International Journal of Technology Assessment in Health Care |
Volume | 26 |
Issue number | 1 |
DOIs | |
Publication status | Published - Jan 2010 |
Keywords
- Cost-utility
- Cost-effectiveness
- Cardiovascular prevention
- Behavior