Explore and develop methods for the economic evaluation of school-based interventions to prevent childhood obesity in low and middle income countries

Zanganeh, Mandana (2020). Explore and develop methods for the economic evaluation of school-based interventions to prevent childhood obesity in low and middle income countries. University of Birmingham. Ph.D.

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Abstract

Childhood obesity is a major global public health challenge with associated health, social, and emotional consequences, leading to long term direct and indirect costs. However, there are few published economic evaluations of interventions and only one from a Chinese setting. This thesis aims to explore and develop methods for the economic evaluation of school-based interventions to prevent obesity in children in low and middle income countries, thus making a methodological contribution to the literature.
The methods for the economic evaluation were derived from a combination of published literature and guidelines for conducting economic evaluation. The systematic review undertaken within this thesis discovered heterogeneity regarding methods applied. The evaluation, conducted alongside the CHIRPY DRAGON trial, reported the intervention to be highly cost-effective. A number of methodological issues were explored: measuring household cost and outcome data and the construct validity of the CHU-9D in a Chinese sample. Including societal costs and effects increased the incremental cost-effectiveness ratio, however the intervention remained cost-effective using conventional decision making rules and throughout a series of sensitivity analyses. Furthermore, the thesis findings provide support for the construct validity of the CHU-9D within this population.

Type of Work:

Thesis (Doctorates > Ph.D.)

Award Type:

Doctorates > Ph.D.

Supervisor(s):