{"id":25639,"date":"2015-07-01T00:00:00","date_gmt":"2018-12-03T21:24:43","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/modeling-the-cost-effectiveness-of-child-care-policy-changes\/"},"modified":"2018-12-03T22:24:43","modified_gmt":"2018-12-03T21:24:43","slug":"modeling-the-cost-effectiveness-of-child-care-policy-changes","status":"publish","type":"resume","link":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/modeling-the-cost-effectiveness-of-child-care-policy-changes\/","title":{"rendered":"Modeling the Cost Effectiveness of Child Care Policy Changes in the U.S."},"content":{"rendered":"<p style=\"text-align:justify\"><strong>INTRODUCTION<\/strong><br \/>\nChild care facilities influence diet and physical activity, making them ideal obesity prevention settings. The purpose of this study is to quantify the health and economic impacts of a multi-component regulatory obesity policy intervention in licensed U.S. child care facilities.<\/p>\n<p style=\"text-align:justify\"><strong>METHODS<\/strong><br \/>\nTwo-year costs and BMI changes resulting from changes in beverage, physical activity, and screen time regulations affecting a cohort of up to 6.5 million preschool-aged children attending child care facilities were estimated in 2014 using published data. A Markov cohort model simulated the intervention&#039;s impact on changes in the U.S. population from 2015 to 2025, including short-term BMI effects and 10-year healthcare expenditures. Future outcomes were discounted at 3% annually. Probabilistic sensitivity analyses simulated 95% uncertainty intervals (UIs) around outcomes.<\/p>\n<p style=\"text-align:justify\"><strong>RESULTS<\/strong><br \/>\nRegulatory changes would lead children to watch less TV, get more minutes of moderate and vigorous physical activity, and consume fewer sugar-sweetened beverages. Within the 6.5 million eligible population, national implementation could reach 3.69 million children, cost $4.82 million in the first year, and result in 0.0186 fewer BMI units (95% UI=0.00592 kg\/m(2), 0.0434 kg\/m(2)) per eligible child at a cost of $57.80 per BMI unit avoided. Over 10 years, these effects would result in net healthcare cost savings of $51.6 (95% UI=$14.2, $134) million. The intervention is 94.7% likely to be cost saving by 2025.<\/p>\n<p style=\"text-align:justify\"><strong>CONCLUSIONS<\/strong><br \/>\nChanging child care regulations could have a small but meaningful impact on short-term BMI at low cost. If effects are maintained for 10 years, obesity-related healthcare cost savings are likely.<\/p>\n","protected":false},"template":"","mots_cles":[],"class_list":["post-25639","resume","type-resume","status-publish","hentry"],"acf":{"adresse":"Department of Pediatrics, University of Washington School of Medicine, Seattle, Washington. Electronic address: davene.wright@seattlechildrens.org.","annee":"2015","mois":"7","numero":"49:1","page":"135-47","auteurs":[{"ID":15748,"post_author":"0","post_date":"2018-12-03 19:30:24","post_date_gmt":"2018-12-03 18:30:24","post_content":"","post_title":"Y Claire Wang","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"y-claire-wang","to_ping":"","pinged":"","post_modified":"2018-12-03 19:30:24","post_modified_gmt":"2018-12-03 18:30:24","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/y-claire-wang\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":1866,"post_author":"0","post_date":"2018-12-03 16:50:07","post_date_gmt":"2018-12-03 15:50:07","post_content":"","post_title":"Gary Sacks","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"gary-sacks","to_ping":"","pinged":"","post_modified":"2018-12-03 16:50:07","post_modified_gmt":"2018-12-03 15:50:07","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/gary-sacks\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":2895,"post_author":"0","post_date":"2018-12-03 17:00:12","post_date_gmt":"2018-12-03 16:00:12","post_content":"","post_title":"Erica L Kenney","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"erica-l-kenney","to_ping":"","pinged":"","post_modified":"2018-12-03 17:00:12","post_modified_gmt":"2018-12-03 16:00:12","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/erica-l-kenney\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":2896,"post_author":"0","post_date":"2018-12-03 17:00:13","post_date_gmt":"2018-12-03 16:00:13","post_content":"","post_title":"Angie L Cradock","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"angie-l-cradock","to_ping":"","pinged":"","post_modified":"2018-12-03 17:00:13","post_modified_gmt":"2018-12-03 16:00:13","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/angie-l-cradock\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":2897,"post_author":"0","post_date":"2018-12-03 17:00:13","post_date_gmt":"2018-12-03 16:00:13","post_content":"","post_title":"Catherine M 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18:37:32","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/stephen-c-resch\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":25636,"post_author":"0","post_date":"2018-12-03 22:24:40","post_date_gmt":"2018-12-03 21:24:40","post_content":"","post_title":"Marj L Moodie","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"marj-l-moodie","to_ping":"","pinged":"","post_modified":"2018-12-03 22:24:40","post_modified_gmt":"2018-12-03 21:24:40","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/marj-l-moodie\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":25637,"post_author":"0","post_date":"2018-12-03 22:24:41","post_date_gmt":"2018-12-03 21:24:41","post_content":"","post_title":"Davene R Wright","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"davene-r-wright","to_ping":"","pinged":"","post_modified":"2018-12-03 22:24:41","post_modified_gmt":"2018-12-03 21:24:41","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/davene-r-wright\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":25638,"post_author":"0","post_date":"2018-12-03 22:24:42","post_date_gmt":"2018-12-03 21:24:42","post_content":"","post_title":"Robert C Carter","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"robert-c-carter","to_ping":"","pinged":"","post_modified":"2018-12-03 22:24:42","post_modified_gmt":"2018-12-03 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