• Phaedra S Corso, Justin B Ingels, Heather M Padilla, Heather Zuercher, David M DeJoy, Robert J Vandenberg, and Mark G Wilson.
• College of Public Health (Dr Corso, Mr Ingels, Ms Padilla, Ms Zuercher, Dr Dejoy, Dr Wilson); Terry College of Business (Dr Vandenberg), University of Georgia, Athens, Georgia.
• J. Occup. Environ. Med. 2018 Aug 1; 60 (8): 683-687.

ObjectiveConduct a cost-effectiveness analysis of the Fuel Your Life (FYL) program dissemination.MethodsEmployees were recruited from three workplaces randomly assigned to one of the conditions: telephone coaching, small group coaching, and self-study. Costs were collected prospectively during the efficacy trial. The main outcome measures of interest were weight loss and quality-adjusted life years (QALYs).ResultsThe phone condition was most costly ($601 to $589/employee) and the self-study condition was least costly ($145 to $143/employee). For weight loss, delivering FYL through the small group condition was no more effective, yet more expensive, than the self-study delivery. For QALYs, the group delivery of FYL was in an acceptable cost-effectiveness range ($22,400/QALY) relative to self-study (95% confidence interval [CI]: $10,600/QALY-dominated).ConclusionsPrevention programs require adaptation at the local level and significantly affect the cost, effectiveness, and cost-effectiveness of the program.

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