Measuring commissioners’ willingness-to-pay for community based childhood obesity prevention programmes using a discrete choice experiment

Background In the UK, rates of childhood obesity remain high. Community based programmes for child obesity prevention are available to be commissioned by local authorities. However, there is a lack of evidence regarding how programmes are commissioned and which attributes of programmes are valued mo...

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Vydáno v:BMC public health Ročník 20; číslo 1; s. 1535 - 11
Hlavní autoři: Webb, Edward J. D., Stamp, Elizabeth, Collinson, Michelle, Farrin, Amanda J., Stevens, June, Burton, Wendy, Rutter, Harry, Schofield, Holly, Bryant, Maria
Médium: Journal Article
Jazyk:angličtina
Vydáno: London BioMed Central 12.10.2020
BioMed Central Ltd
Springer Nature B.V
BMC
Témata:
Biostatistics
Care and treatment
Child
Child health
Childhood
Childhood obesity
Children
Choice Behavior
Commissioning
Costs
Decision making
Discrete choice experiment
Environmental Health
Epidemiology
Family
Female
Food intake
Fruit
Fruits
Government finance
Health policies
Health policy
Health promotion
Humans
Male
Medicine
Medicine & Public Health
Methods
Obesity
Parental education
Parents
Parents & parenting
Pediatric Obesity - economics
Pediatric Obesity - prevention & control
Preferences
Prevention
Public Health
Research Article
Service commissioners
State Medicine - economics
Supervisors (Local government)
Surveys and Questionnaires
systems and management in high-income countries
United Kingdom
Vaccine
Vegetables
Willingness to pay
United Kingdom
United Kingdom > UK
Childhood obesity
Parental education
Willingness-to-pay
Service commissioners
Discrete choice experiment
ISSN:1471-2458, 1471-2458
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Shrnutí:Background In the UK, rates of childhood obesity remain high. Community based programmes for child obesity prevention are available to be commissioned by local authorities. However, there is a lack of evidence regarding how programmes are commissioned and which attributes of programmes are valued most by commissioners. The aim of this study was to determine the factors that decision-makers prioritise when commissioning programmes that target childhood obesity prevention. Methods An online discrete choice experiment (DCE) was used to survey commissioners and decision makers in the UK to assess their willingness-to-pay for childhood obesity programmes. Results A total of 64 commissioners and other decision makers completed the DCE. The impact of programmes on behavioural outcomes was prioritised, with participants willing to pay an extra £16,600/year if average daily fruit and vegetable intake increased for each child by one additional portion. Participants also prioritised programmes that had greater number of parents fully completing them, and were willing to pay an extra £4810/year for every additional parent completing a programme. The number of parents enrolling in a programme (holding the number completing fixed) and hours of staff time required did not significantly influence choices. Conclusions Emphasis on high programme completion rates and success increasing children’s fruit and vegetable intake has potential to increase commissioning of community based obesity prevention programmes.
Bibliografie:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:1471-2458
1471-2458
DOI:10.1186/s12889-020-09576-7