Journal article

Health benefits and costs of weight-loss dietary counselling by nurses in primary care: a cost-effectiveness analysis

Christine L Cleghorn, Nick Wilson, Nisha Nair, Giorgi Kvizhinadze, Nhung Nghiem, Melissa McLeod, Tony Blakely

Public Health Nutrition | CAMBRIDGE UNIV PRESS | Published : 2020

Abstract

OBJECTIVE: We aimed to estimate the cost-effectiveness of brief weight-loss counselling by dietitian-trained practice nurses, in a high-income-country case study. DESIGN: A literature search of the impact of dietary counselling on BMI was performed to source the 'best' effect size for use in modelling. This was combined with multiple other input parameters (e.g. epidemiological and cost parameters for obesity-related diseases, likely uptake of counselling) in an established multistate life-table model with fourteen parallel BMI-related disease life tables using a 3 % discount rate. SETTING: New Zealand (NZ). PARTICIPANTS: We calculated quality-adjusted life-years (QALY) gained and health-sys..

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Grants

Awarded by Ministry of Business Innovation & Employment (MBIE)


Awarded by Health Research Council of New Zealand


Funding Acknowledgements

This research was funded by the Ministry of Business Innovation & Employment (MBIE; project number UOOX1406). The authors are supported by the BODE<SUP>3</SUP> Programme which is studying the effectiveness and cost-effectiveness of various preventive interventions and receives funding support from the Health Research Council of New Zealand (project number 10/248). Neither the MBIE or the Health Research Council of New Zealand had any role in the design, analysis or writing of this article.