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Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/10340

Title: Cost-utility of a cardiovascular prevention program in highly educated adults: Intermediate results of a randomized controlled trial
Authors: JACOBS, Nele
EVERS, Silvia
Ament, Andre
CLAES, Neree
Issue Date: 2010
Publisher: Cambridge University Press
Citation: INTERNATIONAL JOURNAL OF TECHNOLOGY ASSESSMENT IN HEALTH CARE, 26(1). p. 11-19
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 €433 and the incremental effectiveness was 0.016 QALYs. The incremental cost-effectiveness ratio was €26,910 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.
URI: http://hdl.handle.net/1942/10340
DOI: 10.1017/S0266462309990353
ISI #: 000273836800003
ISSN: 0266-4623
Category: A1
Type: Journal Contribution
Validation: ecoom, 2011
Appears in Collections: Research publications

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