A cost-effectiveness and return-on-investment analysis of a worksite vitality intervention among older hospital workers: results of a randomized, controlled trial

Johanna M van Dongen, Jorien E Strijk, Karin I. Proper, Marieke F van Wier, Willem van Mechelen, Maurits W van Tulder, Allard J. Van Der Beek

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

OBJECTIVE: To conduct a cost-effectiveness and return-on-investment analysis comparing a worksite vitality intervention with usual care.

METHODS: A total of 730 older hospital workers were randomized to the intervention or control group. The 6-month intervention consisted of yoga and aerobic exercising, coaching, and fruit. At baseline, and 6 and 12 months, general vitality, work-related vitality, and need for recovery were determined. Cost data were collected on a 3-monthly basis. The cost-effectiveness analysis was performed from the societal perspective and the return-on-investment analysis from the employer's perspective using bootstrapping techniques.

RESULTS: No significant differences in costs and effects were observed. Incremental cost-effectiveness ratios in terms of general vitality (range, 0 to 100), work-related vitality (range, 0 to 6), and need for recovery (range, 0 to 100) were, respectively, €280, €7506, and €258 per point improvement. Per euro invested, €2.21 was lost.

CONCLUSIONS: The intervention was neither cost-effective nor cost-saving.

Original languageEnglish
Pages (from-to)337-346
Number of pages10
JournalJournal of Occupational and Environmental Medicine
Volume55
Issue number3
DOIs
Publication statusPublished - 2013

Keywords

  • Absenteeism
  • Aged
  • Aged, 80 and over
  • Cost-Benefit Analysis
  • Efficiency
  • Female
  • Follow-Up Studies
  • Health Promotion
  • Hospital Costs
  • Hospitals, University
  • Humans
  • Male
  • Middle Aged
  • Models, Economic
  • Netherlands
  • Occupational Diseases
  • Occupational Health
  • Personnel, Hospital
  • Surveys and Questionnaires
  • Treatment Outcome
  • Journal Article
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

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