Exploring Outcomes to Consider in Economic Evaluations of Health Promotion Programs: What Broader Non-Health Outcomes Matter Most?

• Published in: BMC health services research 2015-07, Vol.15 (1), p.266-266, Article 266
• Main Authors: Benning, Tim M, Alayli-Goebbels, Adrienne F G, Aarts, Marie-Jeanne, Stolk, Elly, de Wit, G Ardine, Prenger, Rilana, Braakman-Jansen, Louise M A, Evers, Silvia M A A
• Format: Article
• Language: English
• Subjects: Academic achievement; Adolescent; Adult; Aged; Aged, 80 and over; Analysis; Cost-Benefit Analysis; Economic aspects; Evaluation Studies as Topic; Family Characteristics; Female; Health aspects; Health Behavior; Health care; Health promotion; Health Promotion - standards; Humans; Lifestyles; Male; Methods; Middle Aged; Netherlands; Population; Public health; Quality of life; Researchers; Social aspects; Social Environment; Social Support; Surveys and Questionnaires; Wellness programs; Young Adult
• ISSN: 1472-6963; 1472-6963
• DOI: 10.1186/s12913-015-0908-y

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. 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. 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. 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.