# Estimated Costs and Cost-Effectiveness of a Pediatric Weight Management Program

## TL;DR

This study estimates that a pediatric weight management program is cost-effective, with a cost of about $10,554 per quality-adjusted life-year gained.

## Contribution

The study introduces a simulation model to estimate implementation costs and cost-effectiveness of a pediatric weight management program in primary care.

## Key findings

- The Connect for Health program had a cost-effectiveness ratio of $10,554 per quality-adjusted life-year gained.
- Startup costs were estimated at $58,000 and ongoing monthly costs at $1,300.
- A cohort of 534 children was needed to effectively amortize program costs.

## Abstract

What are the estimated costs and cost-effectiveness of implementing Connect for Health, a systems-level pediatric weight management program, in primary care settings?

In this economic evaluation of 2494 individuals, the Connect for Health program was associated with a cost-effectiveness ratio of $10 554 per quality-adjusted life-year gained over a 2-year implementation period.

These findings suggest that the Connect for Health program is a potentially cost-effective strategy for managing childhood obesity in primary care settings, particularly when implemented at scale.

This economic evaluation examines a simulated model of the Connect for Health program to estimate the costs of implementing the program and assessing its cost-effectiveness.

Childhood obesity remains a significant public health challenge, with ongoing racial, ethnic, and socioeconomic disparities in its prevention and treatment. Economic evaluations of pediatric obesity interventions are essential for guiding resource allocation in health care settings.

To develop and analyze a simulation model of the Connect for Health program to estimate the costs of implementing the program and assess its cost-effectiveness.

This economic evaluation used a Markov cohort model based on the Connect for Health randomized clinical trial (RCT) conducted from June 2014 through March 2016 and the Connect for Health implementation study conducted at 2 academic medical centers in Boston, MA. The study first estimated costs of implementation for new sites, and then simulated program implementation in a cohort that mirrored the RCT population. Data were analyzed from October 2023 to March 2025.

The Connect for Health pediatric weight management program.

Outcomes include costs associated with program implementation and the incremental cost-effectiveness ratio (ICER) per quality-adjusted life-year (QALY) gained.

This study used a cohort of 2494 individuals to mirror the RCT population and included 1178 female participants (47%), a mean (SD) age of 8.0 (3.0) years, and a mean (SD) body mass index z score of 1.91 (0.56). The costs of implementing the Connect for Health program in primary care settings were estimated at $58 000 in 1-time startup costs and $1300 in ongoing monthly costs. The economic model showed that the Connect for Health strategy had an ICER of $10 554 per QALY gained over 2 years compared with no intervention. The study found a threshold of 534 children in a cohort was needed to effectively amortize costs.

In this economic evaluation of a pediatric weight management program, the Connect for Health program was estimated to be cost-effective. These findings are important for health care systems that serve children who are less likely to receive obesity-related care in making decisions about program adoption.