J. Mick Tilford

Comparing Behavioral Weight Loss Modalities: Incremental Cost‐Effectiveness of an Internet‐Based Versus an In‐Person Condition

The objective of this study was to assess the costs associated with a group behavioral weight loss intervention and compare cost‐effectiveness based on treatment delivery modality (in‐person vs. Internet). A randomized controlled trial examined efficacy of a group behavioral obesity intervention across in‐person and Internet treatment modalities. Participants (N = 323, 93% women, mean BMI = 35.8) from two centers were randomized to treatment modality, and contact time was matched between conditions. Primary outcome was weight loss. Cost‐effectiveness measures calculated life years gained (LYG) from changes in weight at 6 months, based on excess years of life lost (YLL) algorithm and the cost of the two modalities. In‐person participants had significantly greater weight losses (−8.0 ± 6.1 kg) than Internet participants (−5.5 ± 5.6 kg), whereas differences in LYG were insignificant. Estimated LYG was 0.58 (95% confidence interval: 0.45, 0.71) and 0.47 (95% confidence interval: 0.34, 0.60) for the in‐person and Internet condition, respectively. Total cost of conducting the in‐person condition was

Retrospective Assessment of Cost Savings From Prevention

706 per person and the Internet condition was

Autism spectrum disorders: a review of measures for clinical, health services and cost-effectiveness applications.

372 per person with the difference mainly due to increased travel cost of

Caring for a Child with Autism Spectrum Disorder and Parents’ Quality of Life: Application of the CarerQol

158 per person. The incremental cost‐effectiveness ratio was

Computer-assisted behavioral therapy and contingency management for cannabis use disorder.

2,160 per (discounted) LYG for the Internet modality relative to no intervention/no weight loss and

The WORD (Wholeness, Oneness, Righteousness, Deliverance): design of a randomized controlled trial testing the effectiveness of an evidence-based weight loss and maintenance intervention translated for a faith-based, rural, African American population using a community-based participatory approach

7,177 per (discounted) LYG for the in‐person modality relative to the Internet modality. Participant time costs are recognized as an important cost of medical and behavioral interventions. When participant time costs are included in an economic evaluation of a behavioral weight loss intervention, Internet‐based weight loss delivery may be a more cost‐effective approach to obesity treatment.

Predicting Health Utilities for Children with Autism Spectrum Disorders

INTRODUCTION Although fortification of food with folic acid has been calculated to be cost saving in the U.S., updated estimates are needed. This analysis calculates new estimates from the societal perspective of net cost savings per year associated with mandatory folic acid fortification of enriched cereal grain products in the U.S. that was implemented during 1997-1998. METHODS Estimates of annual numbers of live-born spina bifida cases in 1995-1996 relative to 1999-2011 based on birth defects surveillance data were combined during 2015 with published estimates of the present value of lifetime direct costs updated in 2014 U.S. dollars for a live-born infant with spina bifida to estimate avoided direct costs and net cost savings. RESULTS The fortification mandate is estimated to have reduced the annual number of U.S. live-born spina bifida cases by 767, with a lower-bound estimate of 614. The present value of mean direct lifetime cost per infant with spina bifida is estimated to be

Progress in measuring family spillover effects for economic evaluations.

791,900, or

Impact of Economic Constraints on Public Health Delivery Systems Structures

577,000 excluding caregiving costs. Using a best estimate of numbers of avoided live-born spina bifida cases, fortification is estimated to reduce the present value of total direct costs for each years birth cohort by

Financial Performance of Hospitals in the Mississippi Delta Region Under the Hospital Readmissions Reduction Program and Hospital Value-based Purchasing Program

603 million more than the cost of fortification. A lower-bound estimate of cost savings using conservative assumptions, including the upper-bound estimate of fortification cost, is