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CC, conventional care; e-LD, e-learning device; QALYs, quality-adjusted life-years; ICER, incremental cost-effectiveness ratio.
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This finding was robust to most alternative assumptions, except a much lower fixed cost of providing e-learning devices.
Dom, e-learning is 'dominant'; *59 % probability e-LD is cost-effective at £30,000 per additional QALY; CC, conventional care; e-LDs; e-learning devices.
Only when the fixed cost of the e-LD was removed, or substantially lowered, did e-learning devices appear to be cost-effective.
The aim of this study is to assess the cost-effectiveness of e-learning devices as a method of promoting weight loss via dietary change.
The annual costs of CC and those associated with e-learning devices were taken from a UK-based RCT of web-based support package [ 24].
This is because people treated with e-learning devices live longer on average with these conditions, even though they are less likely to develop them in the first instance.
Indeed the interventions evaluated by Krukowski [ 46] and Hersey [ 47] included an element of interaction with other patients, individual/group coaching sessions and telephone support, they were not e-learning devices.
However, these figures reduced to between £8 M and £36 M if the time horizon was reduced to 2 years The aim of this study was to assess the cost-effectiveness of e-learning devices (e-LDs) compared with conventional care (CC) in people with obesity.
The current economic evidence base suggests that e-learning devices for managing the weight of obese individuals are unlikely to be cost-effective unless their fixed costs are much lower than estimated or future devices prove to be much more effective.
This is because despite the evidence of a relatively small clinical effect on BMI, the e-LDs are relatively cheap and the number of obese people is high compared with many other conditions The e-LEEM model was built to assess the cost-effectiveness of e-learning devices compared to CC for people with obesity, as methods of promoting healthier eating and weight loss.
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