{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T12:31:59Z","timestamp":1772195519679,"version":"3.50.1"},"reference-count":36,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2019,10,14]],"date-time":"2019-10-14T00:00:00Z","timestamp":1571011200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"},{"start":{"date-parts":[[2019,10,14]],"date-time":"2019-10-14T00:00:00Z","timestamp":1571011200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["www.cambridge.org"],"crossmark-restriction":true},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1368980019002945_as1\"><jats:title>Objective:<\/jats:title><jats:p>We aimed to estimate the cost-effectiveness of brief weight-loss counselling by dietitian-trained practice nurses, in a high-income-country case study.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980019002945_as2\"><jats:title>Design:<\/jats:title><jats:p>A literature search of the impact of dietary counselling on BMI was performed to source the \u2018best\u2019 effect size for use in modelling. This was combined with multiple other input parameters (e.g. epidemiological and cost parameters for obesity-related diseases, likely uptake of counselling) in an established multistate life-table model with fourteen parallel BMI-related disease life tables using a 3 % discount rate.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980019002945_as3\"><jats:title>Setting:<\/jats:title><jats:p>New Zealand (NZ).<\/jats:p><\/jats:sec><jats:sec id=\"S1368980019002945_as4\"><jats:title>Participants:<\/jats:title><jats:p>We calculated quality-adjusted life-years (QALY) gained and health-system costs over the remainder of the lifespan of the NZ population alive in 2011 (<jats:italic>n<\/jats:italic>4\u00b74 million).<\/jats:p><\/jats:sec><jats:sec id=\"S1368980019002945_as5\"><jats:title>Results:<\/jats:title><jats:p>Counselling was estimated to result in an increase of 250 QALY (95 % uncertainty interval \u221270, 560 QALY) over the population\u2019s lifetime. The incremental cost-effectiveness ratio was 2011 $NZ 138 200 per QALY gained (2018 $US 102 700). Per capita QALY gains were higher for M\u0101ori (Indigenous population) than for non-M\u0101ori, but were still not cost-effective. If willingness-to-pay was set to the level of gross domestic product per capita per QALY gained (i.e. 2011 $NZ 45 000 or 2018 $US 33 400), the probability that the intervention would be cost-effective was 2 %.<\/jats:p><\/jats:sec><jats:sec id=\"S1368980019002945_as6\"><jats:title>Conclusions:<\/jats:title><jats:p>The study provides modelling-level evidence that brief dietary counselling for weight loss in primary care generates relatively small health gains at the population level and is unlikely to be cost-effective.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1368980019002945","type":"journal-article","created":{"date-parts":[[2019,10,14]],"date-time":"2019-10-14T09:10:54Z","timestamp":1571044254000},"page":"83-93","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":7,"title":["Health benefits and costs of weight-loss dietary counselling by nurses in primary care: a cost-effectiveness analysis"],"prefix":"10.1017","volume":"23","author":[{"given":"Christine L","family":"Cleghorn","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nick","family":"Wilson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nisha","family":"Nair","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giorgi","family":"Kvizhinadze","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nhung","family":"Nghiem","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa","family":"McLeod","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tony","family":"Blakely","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2019,10,14]]},"reference":[{"key":"S1368980019002945_ref9","doi-asserted-by":"publisher","DOI":"10.1093\/heapro\/13.3.197"},{"key":"S1368980019002945_ref12","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001856"},{"key":"S1368980019002945_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)61766-8"},{"key":"S1368980019002945_ref13","doi-asserted-by":"publisher","DOI":"10.1136\/tobaccocontrol-2015-052846"},{"key":"S1368980019002945_ref21","unstructured":"21. New Zealand Ministry of Health (2016) Health targets \u2013 2015\/16 quarter 1 \u2013 results summary. http:\/\/www.health.govt.nz\/new-zealand-health-system\/health-targets\/how-my-dhb-performing\/how-my-dhb-performing-2015-16\/health-targets-2015-16-quarter-1-results-summary (accessed May 2017)."},{"key":"S1368980019002945_ref35","volume-title":"Technical Report: Estimating the Modelling Parameters Around Dietary Counselling for Preventing Cardiovascular Disease in New Zealand","author":"Wilson","year":"2014"},{"key":"S1368980019002945_ref6","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-147-1-200707030-00007"},{"key":"S1368980019002945_ref33","volume-title":"Assessing Cost-Effectiveness of Obesity Prevention Policies in Australia 2018 (ACE-Obesity Policy)","author":"Ananthapavan","year":"2018"},{"key":"S1368980019002945_ref8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-789X.2012.01029.x"},{"key":"S1368980019002945_ref30","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2016.1231"},{"key":"S1368980019002945_ref14","doi-asserted-by":"publisher","DOI":"10.1136\/tobaccocontrol-2016-053585"},{"key":"S1368980019002945_ref19","volume-title":"A Focus on Nutrition: Key Findings of the 2008\/09 New Zealand Adult Nutrition Survey","year":"2011"},{"key":"S1368980019002945_ref4","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12220"},{"key":"S1368980019002945_ref26","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.4836"},{"key":"S1368980019002945_ref22","doi-asserted-by":"crossref","first-page":"1048S","DOI":"10.1093\/ajcn\/77.4.1048S","article-title":"Dietary advice in clinical practice: the views of general practitioners in Europe","volume":"77","author":"Brotons","year":"2003","journal-title":"Am J Clin Nutr"},{"key":"S1368980019002945_ref16","doi-asserted-by":"publisher","DOI":"10.2196\/11118"},{"key":"S1368980019002945_ref29","doi-asserted-by":"publisher","DOI":"10.1038\/s41366-018-0295-7"},{"key":"S1368980019002945_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jada.2007.07.017"},{"key":"S1368980019002945_ref7","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1111\/j.1365-2702.2006.01862.x","article-title":"Literature review of nursing practice in managing obesity in primary care: developments in the UK","volume":"17","author":"Brown","year":"2008","journal-title":"J Clin Nurs"},{"key":"S1368980019002945_ref15","doi-asserted-by":"publisher","DOI":"10.1136\/tobaccocontrol-2017-053914"},{"key":"S1368980019002945_ref10","doi-asserted-by":"publisher","DOI":"10.3310\/hta16330"},{"key":"S1368980019002945_ref25","doi-asserted-by":"publisher","DOI":"10.1186\/1478-7954-12-15"},{"key":"S1368980019002945_ref32","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0078298"},{"key":"S1368980019002945_ref18","volume-title":"Technical Report for BODE3 Intervention and Diet MSLT models, Version 1. 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