工作场所体重管理计划的成本效益：Fuel Your Life 的翻译。
Cost Effectiveness of a Weight Management Program Implemented in the Worksite: Translation of Fuel Your Life.
机构信息
College of Public Health (Dr Corso, Mr Ingels, Ms Padilla, Ms Zuercher, Dr Dejoy, Dr Wilson); Terry College of Business (Dr Vandenberg), University of Georgia, Athens, Georgia.
出版信息
J Occup Environ Med. 2018 Aug;60(8):683-687. doi: 10.1097/JOM.0000000000001343.
OBJECTIVE
Conduct a cost-effectiveness analysis of the Fuel Your Life (FYL) program dissemination.
METHODS
Employees were recruited from three workplaces randomly assigned to one of the conditions: telephone coaching, small group coaching, and self-study. Costs were collected prospectively during the efficacy trial. The main outcome measures of interest were weight loss and quality-adjusted life years (QALYs).
RESULTS
The phone condition was most costly ($601 to $589/employee) and the self-study condition was least costly ($145 to $143/employee). For weight loss, delivering FYL through the small group condition was no more effective, yet more expensive, than the self-study delivery. For QALYs, the group delivery of FYL was in an acceptable cost-effectiveness range ($22,400/QALY) relative to self-study (95% confidence interval [CI]: $10,600/QALY-dominated).
CONCLUSIONS
Prevention programs require adaptation at the local level and significantly affect the cost, effectiveness, and cost-effectiveness of the program.
目的
对 Fuel Your Life（FYL）项目传播进行成本效益分析。
方法
从三个工作场所随机招募员工，将其随机分配到以下条件之一：电话辅导、小组辅导和自学。在疗效试验期间前瞻性收集成本。主要观察指标为体重减轻和质量调整生命年（QALY）。
结果
电话条件成本最高（每位员工 601 至 589 美元），自学条件成本最低（每位员工 145 至 143 美元）。就体重减轻而言，通过小组辅导方式提供 FYL 并不比自学更有效，但成本更高。对于 QALYs，与自学相比，小组辅导 FYL 的成本效益处于可接受范围（22400 美元/QALY）（95%置信区间 [CI]：10600 美元/QALY 主导）。
结论
预防计划需要在地方层面进行调整，这会显著影响计划的成本、效果和成本效益。
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