|Benefit-Cost Summary Statistics Per Participant|
|Taxpayers||$13||Benefits minus costs||($202)|
|Participants||$6||Benefit to cost ratio||($0.19)|
|Others||$27||Chance the program will produce|
|Indirect||($78)||benefits greater than the costs||45 %|
|Net program cost||($170)|
|Benefits minus cost||($202)|
|Detailed Monetary Benefit Estimates Per Participant|
|Benefits from changes to:1||Benefits to:|
|Labor market earnings associated with obesity||$0||$0||$0||$0||$0|
|Health care associated with obesity||$13||$6||$27||$6||$52|
|Mortality associated with obesity||$0||$0||$0||$1||$1|
|Adjustment for deadweight cost of program||$0||$0||$0||($85)||($85)|
|Detailed Annual Cost Estimates Per Participant|
|Annual cost||Year dollars||Summary|
|Program costs||$162||2014||Present value of net program costs (in 2018 dollars)||($170)|
|Comparison costs||$0||2014||Cost range (+ or -)||25 %|
|Estimated Cumulative Net Benefits Over Time (Non-Discounted Dollars)|
|The graph above illustrates the estimated cumulative net benefits per-participant for the first fifty years beyond the initial investment in the program. We present these cash flows in non-discounted dollars to simplify the “break-even” point from a budgeting perspective. If the dollars are negative (bars below $0 line), the cumulative benefits do not outweigh the cost of the program up to that point in time. The program breaks even when the dollars reach $0. At this point, the total benefits to participants, taxpayers, and others, are equal to the cost of the program. If the dollars are above $0, the benefits of the program exceed the initial investment.|
|Meta-Analysis of Program Effects|
|Outcomes measured||Treatment age||No. of effect sizes||Treatment N||Adjusted effect sizes(ES) and standard errors(SE) used in the benefit - cost analysis||Unadjusted effect size (random effects model)|
|First time ES is estimated||Second time ES is estimated|
Balagopal, P., George, D., Yarandi, H., Funanage, V., & Bayne, E. (2005). Reversal of obesity-related hypoadiponectinemia by lifestyle intervention: a controlled, randomized study in obese adolescents. The Journal of Clinical Endocrinology and Metabolism, 90(11), 6192-7.
Danielsen, Y.S., Hordhus, I.H., Juliusson, P.B., Maehle, M., & Pallesen, S. (2013). Effect of a family-based cognitive behavioural intervention on body mass index, self-esteem and symptoms of depression in children with obesity (aged 7-13): A randomised waiting list controlled trial. Obesity Research and Clinical Practice, 7(16), e116-e128.
Epstein, L.H., Roemmich, J.N., Robinson, J.L., Paluch, R.A., Winiewicz, D.D., Fuerch, J.H., & Robinson, T.N. (2008). A randomized trial of the effects of reducing television viewing and computer use on body mass index in young children. Archives of Pediatrics & Adolescent Medicine, 162(3), 239-45.
Flodmark, C., Ohlsson, T., Rydén, O., & Sveger, T. (1993). Prevention of progression to severe obesity in a group of obese schoolchildren treated with family therapy. Pediatrics, 91(5), 880-884.
Golley, R.K., Magarey, A.M., Baur, L.A., Steinbeck, K.S., & Daniels, L.A. (2007). Twelve-month effectiveness of a parent-led, family-focused weight-management program for prepubertal children: a randomized, controlled trial. Pediatrics, 119(3), 517-525.
Janicke, D.M., Sallinen, B.J., Perri, M.G., Lutes, L.D., Huerta, M., Silverstein, J.H., & Brumback, B. (2008). Comparison of parent-only vs family-based interventions for overweight children in underserved rural settings: outcomes from project STORY. Archives of Pediatrics & Adolescent Medicine, 162(12), 1119-1125.
Kitzman-Ulrich, H., Hampson, R., Wilson, D.K., Presnell, K., Brown, A., & O'Boyle, M. (2009). An adolescent weight-loss program integrating family variables reduces energy intake. Journal of the American Dietetic Association, 109(3), 491-6.
Mårild, S., Gronowitz, E., Forsell, C., Dahlgren, J., & Friberg, P. (2013). A controlled study of lifestyle treatment in primary care for children with obesity. Pediatric Obesity, 8(3), 207-217.
McCallum, Z., Wake, M., Gerner, B., Baur, L. A., Gibbons, K., Gold, L. ... Waters, E. (2007). Outcome data from the LEAP (Live, Eat and Play) trial: A randomized controlled trial of a primary care intervention for childhood overweight/mild obesity. International Journal of Obesity, 31, 630-636.
O'Connor, T.M., Hilmers, A., Watson, K., Baranowski, T., & Giardino, A.P. (2013). Feasibility of an obesity intervention for paediatric primary care targeting parenting and children: Helping HAND. Child: Care, Health and Development, 39(1), 141-149.
Rocchini, A.P., Katch, V., Anderson, J., Hinderliter, J., Becque, D., Martin, M., & Marks, C. (1988). Blood pressure in obese adolescents: effect of weight loss. Pediatrics, 82(1), 16-23.
Senediak, C., & Spence, S. H. (1985). Rapid versus gradual scheduling of therapeutic contact in a family based behavioural weight control programme for children. Behavioural Psychotherapy, 13, 265-287.
Taveras, E.M., Gortmaker, S.L., Hohman, K.H., Horan, C.M., Kleinman, K.P., Mitchell, K., Price, S., ... Gillman, M.W. (2011). Randomized controlled trial to improve primary care to prevent and manage childhood obesity: the High Five for Kids study. Archives of Pediatrics & Adolescent Medicine, 165(8), 714-22.
Wake, M. B., Baur, L.A., Gerner, B., Gibbons, K. Gold, L., Gunn, J., ... Ukoumunne, O.C. (2009). Outcomes and costs of primary care surveillance and intervention for overweight or obese children: The LEAP 2 randomised controlled trial. BMJ, 339:b3308, doi. 10.1136/bmj.b3308.
West, F., Sanders, M. R., Cleghorn, G. J., & Davies, P. S. W. (2010). Randomised clinical trial of a family-based lifestyle intervention for childhood obesity involving parents as the exclusive agents of change. Behaviour Research and Therapy, 48(12), 1170-1179.