Universität zu Köln

Benning, Tim M., Alayli-Goebbels, Adrienne F. G., Aarts, Marie-Jeanne, Stolk, Elly, de Wit, G. Ardine ORCID: 0000-0002-1375-7657, Prenger, Rilana, Braakman-Jansen, Louise M. A. and Evers, Silvia M. A. A. (2015). Exploring Outcomes to Consider in Economic Evaluations of Health Promotion Programs: What Broader Non-Health Outcomes Matter Most? BMC Health Serv. Res., 15. LONDON: BMC. ISSN 1472-6963

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Abstract

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.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Benning, Tim M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Alayli-Goebbels, Adrienne F. G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Aarts, Marie-Jeanne UNSPECIFIED UNSPECIFIED UNSPECIFIED Stolk, Elly UNSPECIFIED UNSPECIFIED UNSPECIFIED de Wit, G. Ardine UNSPECIFIED orcid.org/0000-0002-1375-7657 UNSPECIFIED Prenger, Rilana UNSPECIFIED UNSPECIFIED UNSPECIFIED Braakman-Jansen, Louise M. A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Evers, Silvia M. A. A. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-398835
DOI:	10.1186/s12913-015-0908-y
Journal or Publication Title:	BMC Health Serv. Res.
Volume:	15
Date:	2015
Publisher:	BMC
Place of Publication:	LONDON
ISSN:	1472-6963
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PUBLIC-HEALTH; CHOICE EXPERIMENTS; FOLLOW-UP; PREFERENCES; CAPABILITY; EXPERIENCE; PRIORITIES; GUIDANCE; CARE Multiple languages Health Care Sciences & Services Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/39883