Objectives: To evaluate the cost-effectiveness and return-on-investment (ROI) of 20-week ergonomic intervention to reduce physical exertion at work compared with usual-practice among childcare workers.
Methods: One hundred ninety workers from 16 institutions were cluster-(institute)-randomized to intervention (n = 96) and usual-practice (n = 94) group. The intervention group participated in three workshops to develop/implement action plans improving ergonomic conditions. The rating of physical exertion (RPE) was measured at baseline and 20-weeks. Employer-perspective-based costs of intervention, absenteeism, and presenteeism were estimated.
Results: Although statistically non-significant, one-unit reduction in RPE was associated with saving of 592 EUR/worker. Per-EUR invested by the employer was associated with 1.6 EUR (95% CI: -3.1; 6.5) return in the intervention compared with usual practice.
Conclusion: The intervention tended to gain monetary benefit for the employer. The results should be replicated in larger populations for improved precision of economic evaluation estimates.Trial registration: ISRCTN10928313.
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http://dx.doi.org/10.1097/JOM.0000000000002510 | DOI Listing |
Contemp Clin Trials
December 2024
Butler Hospital and the Department of Psychiatry & Human Behavior, Brown University, 345 Blackstone Boulevard, Suite 2, Providence, RI 02906, United States of America. Electronic address:
Purpose: To develop and evaluate the effectiveness of an asynchronously delivered app, InBloom, for postpartum depression (PPD) prevention relative to an evidence-based synchronously delivered in-person intervention, ROSE (Reach Out, Stay Strong, Essentials for mothers of newborns) for depression and return on investment via a prospective randomized controlled trial and quasi-experimental cohort analyses.
Background: PPD affects 1 in 7 gestational parents in the US, causing emotional distress, consequences for infant development and child adjustment, disruptions in family relationships, and financial burden. ROSE is an evidence-based intervention administered as four in-person group sessions plus one postpartum booster session.
Front Vet Sci
December 2024
School of Veterinary Medicine and Science, University of Nottingham, Sutton Bonington, Leicestershire, United Kingdom.
The housed environment for dairy cattle is of critical importance to their health, wellbeing, and productivity. Lack of space is an important factor for housing quality assessment due to links with increased likelihood of disease. A recently published randomized controlled trial identified that greater living space provision increased lying time, milk volume production, and also increased time to conception.
View Article and Find Full Text PDFHealthcare (Basel)
November 2024
UR Medicine Employee Wellness, School of Nursing, University of Rochester Medical Center, Rochester, NY 14642, USA.
Background: Evidence for the effectiveness and cost-savings of workplace wellness programs (WWPs) is varied, likely due to the variability in program design, as not all WWPs meet the five-point criteria of a "comprehensive WWP" set by the U.S. Centers for Disease Control and Prevention.
View Article and Find Full Text PDFJ Occup Environ Med
December 2024
Institute for Public Health and Medicine, Northwestern University, Feinberg School of Medicine, Chicago, IL, USA.
Objective: To systematically review the cost-effectiveness or return on investment (ROI) from worksite health centers (WHCs) in the US.
Methods: We searched four databases and the grey literature for studies that conducted economic evaluation and provided economic outcomes of US-based WHCs. The quality and risk of bias were assessed using JBI Critical Appraisal Tools of Economic Evaluations.
Clin Mol Hepatol
December 2024
Department of Pharmacy, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China.
Background: The WHO set the goal of eliminating hepatitis C virus (HCV) by 2030, with 80% and 65% reductions in HCV incidence and mortality rates, respectively. We aimed to evaluate the health benefits, cost-effectiveness and return on investment (ROI) of HCV elimination.
Methods: Using an HCV transmission compartmental model, we evaluated the benefits and costs of different strategies combining screening and treatment for Chinese populations.
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