Date of Award

January 2021

Document Type

Open Access Thesis

Degree Name

Master of Public Health (MPH)

Department

School of Public Health

First Advisor

Mona Sharifi

Abstract

This study analyzed the intervention cost of a novel early childhood obesity prevention program -- Preventing Childhood Obesity Through a Mindfulness-Based Parent Stress Intervention (PMH+N) conducted by Yale Stress Center. The randomized clinical trial started from 11/01/2018 and will enroll 240 participants in total. Parents were included in the trial if they had: a child in the 2- to 5-year age group, a body mass index (BMI) over 28 kg/m2, high levels of perceived stress as assessed by the Perceived Stress Scale (PSS) (score >25) and were able to read and write in English. For 12 weeks, about 13 parents in the PMH+N group meet weekly in a group setting for 2 hours with approximately 1.5 hours spent on stress reduction and mindfulness (PMH) and 30 minutes on nutrition and physical activity counselling(N). The control group (C+N) also includes approximately13 parents in each group and meets weekly for 12 weeks. To approximately match the contact time of the PMH+N group, the C+N sessions include about 1.5-hour of watching a relaxing video, and 30-minute on nutrition and physical activity counselling which is same as the PMH+N group. The cost analysis included the cost of all materials, services, and other resources that would be needed to implement or replicate the intervention. The total intervention cost was approximately $238,153 (95% UI, $190,204-$300,552) for the PMH+N group and $215,767 (95% UI, $174,243-$273,143) for the C+N group. The cost per person is $1,985 (95 UI, $1,585-$2,505) for the PMH+N intervention and $1,798 (95%UI, $1,452-$2,276) for the C+N intervention. The incremental cost of PMH+N compared with C+N is $22,386 (95% UI, -$14-$55,047) in total and $187 (95% UI, $0-$459) per person.

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This is an Open Access Thesis.

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