Priority-setting for obesity prevention—The Assessing Cost-Effectiveness of obesity prevention policies in Australia (ACE-Obesity Policy) study Ananthapavan, Jaithri, Sacks, Gary, Brown, Victoria, Moodie, Marjory, Nguyen, Kim Phuong, Veerman, Lennert, Mantilla Herrera, Ana Maria, Lal, Anita, Peeters, Anna and Carter, Robert 2020, Priority-setting for obesity prevention—The Assessing Cost-Effectiveness of obesity prevention policies in Australia (ACE-Obesity Policy) study, PLoS ONE, vol. 15, no. 6, pp. 1-19, doi: 10.1371/journal.pone.0234804. Attached Files Name Description MIMEType Size Downloads ananthapavan-prioritysetting-2020.pdf Published version application/pdf 635.18KB 13 Title Priority-setting for obesity prevention—The Assessing Cost-Effectiveness of obesity prevention policies in Australia (ACE-Obesity Policy) study Author(s) Ananthapavan, Jaithri orcid.org/0000-0002-5957-6931 Sacks, Gary orcid.org/0000-0001-9736-1539 Brown, Victoria orcid.org/0000-0003-2891-9476 Moodie, Marjory orcid.org/0000-0001-6890-5250 Nguyen, Kim Phuong Veerman, Lennert Mantilla Herrera, Ana Maria orcid.org/0000-0001-6921-6617 Lal, Anita orcid.org/0000-0003-4340-9132 Peeters, Anna orcid.org/0000-0002-1586-5619 Carter, Robert Journal name PLoS ONE Volume number 15 Issue number 6 Start page 1 End page 19 Total pages 19 Publisher PLOS Place of publication San Francisco, CA Publication date 2020-06-19 ISSN 1932-6203 Keyword(s) obesity governments food Cost-effectiveness analysis beverages physical activity weight gain health economics Science & Technology Multidisciplinary Sciences Science & Technology - Other Topics INTERVENTIONS ADOLESCENTS CHILDREN LIFE Summary The aim of the ACE-Obesity Policy study was to assess the economic credentials of a suite of obesity prevention policies across multiple sectors and areas of governance for the Australian setting. The study aimed to place the cost-effectiveness results within a broad decision-making context by providing an assessment of the key considerations for policy implementation. The Assessing Cost-Effectiveness (ACE) approach to priority-setting was used. Systematic literature reviews were undertaken to assess the evidence of intervention effectiveness on body mass index and/or physical activity for selected interventions. A standardised evaluation framework was used to assess the cost-effectiveness of each intervention compared to a ‘no intervention’ comparator, from a limited societal perspective. A multi-state life table Markov cohort model was used to estimate the long-term health impacts (quantified as health adjusted life years (HALYs)) and health care cost-savings resulting from each intervention. In addition to the technical cost-effectiveness results, qualitative assessments of implementation considerations were undertaken. All 16 interventions evaluated were found to be cost-effective (using a willingness-to-pay threshold of AUD50,000 per HALY gained). Eleven interventions were dominant (health promoting and cost-saving). The incremental cost-effectiveness ratio for the non-dominant interventions ranged from AUD1,728 to 28,703 per HALY gained. Regulatory interventions tended to rank higher on their cost-effectiveness results, driven by lower implementation costs. However, the program-based policy interventions were generally based on higher quality evidence of intervention effectiveness. This comparative analysis of the economic credentials of obesity prevention policies for Australia indicates that there are a broad range of policies that are likely to be cost-effective, although policy options vary in strength of evidence for effectiveness, affordability, feasibility, acceptability to stakeholders, equity impact and sustainability. Implementation of these policies will require sustained co-ordination across jurisdictions and multiple government sectors in order to generate the predicted health benefits for the Australian population. Language eng DOI 10.1371/journal.pone.0234804 Indigenous content off HERDC Research category C1 Refereed article in a scholarly journal Copyright notice ©2020, Ananthapavan et al. Free to Read? Yes Use Rights Persistent URL http://hdl.handle.net/10536/DRO/DU:30139344 Document type: Journal Article Collections: Faculty of Health School of Health and Social Development PVC's Office - Health Open Access Collection Institute for Health Transformation Related Links Link Description Link to full-text (open access)     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au. Versions Version Filter Type Thu, 25 Jun 2020, 09:08:35 EST Fri, 26 Jun 2020, 05:00:18 EST Sun, 28 Jun 2020, 16:50:54 EST Sat, 11 Jul 2020, 02:32:46 EST Sat, 25 Jul 2020, 02:30:11 EST Tue, 12 Jan 2021, 05:04:22 EST Thu, 04 Feb 2021, 11:13:47 EST Thu, 04 Feb 2021, 11:15:26 EST Filtered Full Citation counts:   Cited 2 times in TR Web of Science Cited 3 times in Scopus Search Google Scholar Access Statistics: 45 Abstract Views, 13 File Downloads  -  Detailed Statistics Created: Thu, 25 Jun 2020, 09:08:35 EST

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