A cost-analysis of complex workplace nutrition education and environmental dietary modification interventions
| dc.contributor.author | Fitzgerald, Sarah | |
| dc.contributor.author | Kirby, Ann | |
| dc.contributor.author | Murphy, Aileen | |
| dc.contributor.author | Geaney, Fiona | |
| dc.contributor.author | Perry, Ivan J. | |
| dc.contributor.funder | Health Research Board | en |
| dc.contributor.funder | Department of Agriculture, Fisheries and Food, Ireland | en |
| dc.date.accessioned | 2017-01-17T12:17:40Z | |
| dc.date.available | 2017-01-17T12:17:40Z | |
| dc.date.issued | 2017-01-09 | |
| dc.date.updated | 2017-01-17T12:07:39Z | |
| dc.description.abstract | Background: The workplace has been identified as a priority setting to positively influence individuals’ dietary behaviours. However, a dearth of evidence exists regarding the costs of implementing and delivering workplace dietary interventions. This study aimed to conduct a cost-analysis of workplace nutrition education and environmental dietary modification interventions from an employer’s perspective. Methods: Cost data were obtained from a workplace dietary intervention trial, the Food Choice at Work Study. Micro-costing methods estimated costs associated with implementing and delivering the interventions for 1 year in four multinational manufacturing workplaces in Cork, Ireland. The workplaces were allocated to one of the following groups: control, nutrition education alone, environmental dietary modification alone and nutrition education and environmental dietary modification combined. A total of 850 employees were recruited across the four workplaces. For comparison purposes, total costs were standardised for 500 employees per workplace. Results: The combined intervention reported the highest total costs of €31,108. The nutrition education intervention reported total costs of €28,529. Total costs for the environmental dietary modification intervention were €3689. Total costs for the control workplace were zero. The average annual cost per employee was; combined intervention: €62, nutrition education: €57, environmental modification: €7 and control: €0. Nutritionist’s time was the main cost contributor across all interventions, (ranging from 53 to 75% of total costs). Conclusions: Within multi-component interventions, the relative cost of implementing and delivering nutrition education elements is high compared to environmental modification strategies. A workplace environmental modification strategy added marginal additional cost, relative to the control. Findings will inform employers and public health policy-makers regarding the economic feasibility of implementing and scaling dietary interventions. Trial registration: Current Controlled Trials: ISRCTN35108237. Date of registration: The trial was retrospectively registered on 02/07/2013. | en |
| dc.description.sponsorship | Health Research Board, Ireland and Department of Agriculture, Fisheries and Food, Ireland (HRB Centre for Health & Diet Research grant (HRC2007/13)); Health Research Board, Ireland (HRB Scholar Programme in Health Services Research under Grant No. PHD/2007/16) | en |
| dc.description.status | Peer reviewed | en |
| dc.description.version | Published Version | en |
| dc.format.mimetype | application/pdf | en |
| dc.identifier.citation | Fitzgerald, S., Kirby, A., Murphy, A., Geaney, F. and Perry, I. J. (2017) 'A cost-analysis of complex workplace nutrition education and environmental dietary modification interventions', BMC Public Health, 17(1), pp. 49. doi:10.1186/s12889-016-3988-7 | en |
| dc.identifier.doi | 10.1186/s12889-016-3988-7 | |
| dc.identifier.endpage | 49-10 | en |
| dc.identifier.issn | 1471-2458 | |
| dc.identifier.journaltitle | BMC Public Health | en |
| dc.identifier.startpage | 49-1 | en |
| dc.identifier.uri | https://hdl.handle.net/10468/3474 | |
| dc.identifier.volume | 17 | en |
| dc.language.iso | en | en |
| dc.publisher | BioMed Central | en |
| dc.rights | © The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. 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. | en |
| dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | en |
| dc.subject | Cost-analysis | en |
| dc.subject | Micro-costing | en |
| dc.subject | Workplace dietary interventions | en |
| dc.subject | Environmental dietary modification | en |
| dc.subject | Workplace health promotion | en |
| dc.title | A cost-analysis of complex workplace nutrition education and environmental dietary modification interventions | en |
| dc.type | Article (peer-reviewed) | en |
