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dc.contributor.authorReeves, P
dc.contributor.authorEdmunds, K
dc.contributor.authorSzewczyk, Z
dc.contributor.authorGrady, A
dc.contributor.authorYoong, SL
dc.contributor.authorWolfenden, L
dc.contributor.authorWyse, R
dc.contributor.authorFinch, M
dc.contributor.authorStacey, F
dc.contributor.authorWiggers, J
dc.contributor.authorSearles, A
dc.date.accessioned2021-03-29T05:22:38Z
dc.date.available2021-03-29T05:22:38Z
dc.date.issued2021
dc.identifier.issn1748-5908en_US
dc.identifier.doi10.1186/s13012-020-01068-xen_US
dc.identifier.urihttp://hdl.handle.net/10072/403478
dc.description.abstractBackground Despite the known benefits of healthy eating in childhood, few Australian childcare services provide food that is consistent with dietary guidelines. The effectiveness of a web-based menu planning intervention to increase childcare service provision of healthy foods and decrease provision of discretionary foods in long day-care services in Australia was assessed in a randomised controlled trial. Here we consider the costs, consequences, cost-effectiveness and budget impact of the intervention using data collected within the trial. Methods The prospective trial-based economic evaluation involved 54 childcare services across New South Wales (NSW), Australia. Services were randomised to a 12-month intervention or usual care. The intervention involved access to a web-based menu planning and decision support tool and online resources. Effectiveness measures included mean number of food groups, overall menu and individual food group compliance with dietary guidelines, and mean servings of food groups at 12 months. Costs (reported in $AUD, 2017/18) were evaluated from both health sector and societal perspectives. The direct cost to support uptake of the intervention was calculated, as were costs to each childcare service. The incremental cost of the intervention was calculated as the net difference in the cost to undertake menu planning and review plus the direct cost of the intervention. Incremental cost-effectiveness ratios (ICERs) including uncertainty intervals were estimated for differences in costs and effects between intervention and control groups. A relative value index was calculated to determine overall value for money. Results Over the 12 months of the trial, we calculated a difference in cost between usual practice and intervention groups of − $482 (95% UI − $859, − $56). While the measured increase in menu and food group compliance within the trial did not reach statistical significance, there were significant improvements in mean servings of fruit and discretionary food, represented in the cost-consequence analysis. The calculated relative value index of 1.1 suggests that the intervention returns acceptable value for money for the outcomes generated. Conclusion Compared to usual practice, web-based programmes may offer an efficient and sustainable alternative for childcare services to improve the provision of healthy foods to children in their care.en_US
dc.description.peerreviewedYesen_US
dc.languageengen_US
dc.publisherSpringer Science and Business Media LLCen_US
dc.relation.ispartofpagefrom1en_US
dc.relation.ispartofissue1en_US
dc.relation.ispartofjournalImplementation Scienceen_US
dc.relation.ispartofvolume16en_US
dc.subject.fieldofresearchPublic Health and Health Servicesen_US
dc.subject.fieldofresearchInformation and Computing Sciencesen_US
dc.subject.fieldofresearchMedical and Health Sciencesen_US
dc.subject.fieldofresearchcode1117en_US
dc.subject.fieldofresearchcode08en_US
dc.subject.fieldofresearchcode11en_US
dc.subject.keywordsChildhood obesity preventionen_US
dc.subject.keywordsCost-consequenceen_US
dc.subject.keywordsDietary interventionen_US
dc.subject.keywordsEconomic evaluationen_US
dc.titleEconomic evaluation of a web-based menu planning intervention to improve childcare service adherence with dietary guidelinesen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Articlesen_US
dcterms.bibliographicCitationReeves, P; Edmunds, K; Szewczyk, Z; Grady, A; Yoong, SL; Wolfenden, L; Wyse, R; Finch, M; Stacey, F; Wiggers, J; Searles, A, Economic evaluation of a web-based menu planning intervention to improve childcare service adherence with dietary guidelines, Implementation Science, 2021, 16 (1), pp. 1en_US
dcterms.dateAccepted2020-12-01
dcterms.licensehttp://creativecommons.org/licenses/by/4.0en_US
dc.date.updated2021-03-26T06:16:55Z
dc.description.versionVersion of Record (VoR)en_US
gro.rights.copyright© The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material.en_US
gro.hasfulltextFull Text
gro.griffith.authorEdmunds, Kim


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