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Exploring Outcomes to Consider in Economic Evaluations of Health Promotion Programs: What Broader Non-Health Outcomes Matter Most?
BACKGROUND: Attention is increasing on the consideration of broader non-health outcomes in economic evaluations. It is unknown which non-health outcomes are valued as most relevant in the context of health promotion. The present study fills this gap by investigating the relative importance of non-he...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4501101/ https://www.ncbi.nlm.nih.gov/pubmed/26169779 http://dx.doi.org/10.1186/s12913-015-0908-y |
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author | Benning, Tim M. Alayli-Goebbels, Adrienne F.G. Aarts, Marie-Jeanne Stolk, Elly de Wit, G. Ardine Prenger, Rilana Braakman-Jansen, Louise M.A. Evers, Silvia M.A.A. |
author_facet | Benning, Tim M. Alayli-Goebbels, Adrienne F.G. Aarts, Marie-Jeanne Stolk, Elly de Wit, G. Ardine Prenger, Rilana Braakman-Jansen, Louise M.A. Evers, Silvia M.A.A. |
author_sort | Benning, Tim M. |
collection | PubMed |
description | BACKGROUND: Attention is increasing on the consideration of broader non-health outcomes in economic evaluations. It is unknown which non-health outcomes are valued as most relevant in the context of health promotion. The present study fills this gap by investigating the relative importance of non-health outcomes in a health promotion context. METHOD: We investigated the relative importance of ten non-health outcomes of health promotion programs not commonly captured in QALYs. Preferences were elicited from a sample of the Dutch general public (N = 549) by means of a ranking task. These preferences were analyzed using Borda scores and rank-ordered logit models. RESULTS: The relative order of preference (from most to least important) was: self-confidence, insights into own (un)healthy behavior, perceived life control, knowledge about a certain health problem, social support, relaxation, better educational achievements, increased labor participation and work productivity, social participation, and a reduction in criminal behavior. The weight given to a particular non-health outcome was affected by the demographic variables age, gender, income, and education. Furthermore, in an open question, respondents mentioned a number of other relevant non-health outcomes, which we classified into outcomes relevant for the individual, the direct social environment, and for society as a whole. CONCLUSION: The study provides valuable insights in the non-health outcomes that are considered as most important by the Dutch general population. Ideally, researchers should include the most important non-health outcomes in economic evaluations of health promotion. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12913-015-0908-y) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-4501101 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-45011012015-07-15 Exploring Outcomes to Consider in Economic Evaluations of Health Promotion Programs: What Broader Non-Health Outcomes Matter Most? Benning, Tim M. Alayli-Goebbels, Adrienne F.G. Aarts, Marie-Jeanne Stolk, Elly de Wit, G. Ardine Prenger, Rilana Braakman-Jansen, Louise M.A. Evers, Silvia M.A.A. BMC Health Serv Res Research Article BACKGROUND: Attention is increasing on the consideration of broader non-health outcomes in economic evaluations. It is unknown which non-health outcomes are valued as most relevant in the context of health promotion. The present study fills this gap by investigating the relative importance of non-health outcomes in a health promotion context. METHOD: We investigated the relative importance of ten non-health outcomes of health promotion programs not commonly captured in QALYs. Preferences were elicited from a sample of the Dutch general public (N = 549) by means of a ranking task. These preferences were analyzed using Borda scores and rank-ordered logit models. RESULTS: The relative order of preference (from most to least important) was: self-confidence, insights into own (un)healthy behavior, perceived life control, knowledge about a certain health problem, social support, relaxation, better educational achievements, increased labor participation and work productivity, social participation, and a reduction in criminal behavior. The weight given to a particular non-health outcome was affected by the demographic variables age, gender, income, and education. Furthermore, in an open question, respondents mentioned a number of other relevant non-health outcomes, which we classified into outcomes relevant for the individual, the direct social environment, and for society as a whole. CONCLUSION: The study provides valuable insights in the non-health outcomes that are considered as most important by the Dutch general population. Ideally, researchers should include the most important non-health outcomes in economic evaluations of health promotion. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12913-015-0908-y) contains supplementary material, which is available to authorized users. BioMed Central 2015-07-14 /pmc/articles/PMC4501101/ /pubmed/26169779 http://dx.doi.org/10.1186/s12913-015-0908-y Text en © Benning et al. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Benning, Tim M. Alayli-Goebbels, Adrienne F.G. Aarts, Marie-Jeanne Stolk, Elly de Wit, G. Ardine Prenger, Rilana Braakman-Jansen, Louise M.A. Evers, Silvia M.A.A. Exploring Outcomes to Consider in Economic Evaluations of Health Promotion Programs: What Broader Non-Health Outcomes Matter Most? |
title | Exploring Outcomes to Consider in Economic Evaluations of Health Promotion Programs: What Broader Non-Health Outcomes Matter Most? |
title_full | Exploring Outcomes to Consider in Economic Evaluations of Health Promotion Programs: What Broader Non-Health Outcomes Matter Most? |
title_fullStr | Exploring Outcomes to Consider in Economic Evaluations of Health Promotion Programs: What Broader Non-Health Outcomes Matter Most? |
title_full_unstemmed | Exploring Outcomes to Consider in Economic Evaluations of Health Promotion Programs: What Broader Non-Health Outcomes Matter Most? |
title_short | Exploring Outcomes to Consider in Economic Evaluations of Health Promotion Programs: What Broader Non-Health Outcomes Matter Most? |
title_sort | exploring outcomes to consider in economic evaluations of health promotion programs: what broader non-health outcomes matter most? |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4501101/ https://www.ncbi.nlm.nih.gov/pubmed/26169779 http://dx.doi.org/10.1186/s12913-015-0908-y |
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