{"doi":"10.1093/tbm/ibac081","title":"Personalized versus generic digital weight loss interventions delivered on university campuses: a 6-month cost-benefit analysis","abstract":"Cost-effectiveness analyses of weight loss programs for university students can inform administrator decision-making. This study quantifies and compares the costs and cost-effectiveness of implementing two digitally-delivered weight loss interventions designed for university populations. Healthy Body Healthy U (HBHU) was a randomized controlled trial comparing TAILORED (personalized) versus TARGETED (generic) weight loss interventions adapted specifically for young adults to a CONTROL intervention. Participants (N = 459; 23.3 ± 4.4 years; mean BMI 31.2 ± 4.4 kg/m2) were recruited from two universities. Implementation costs were examined from a payer (i.e., university) perspective, comparing both the average cost effectiveness ratio (ACER) and the incremental cost effectiveness ratio (ICER) of the two interventions. Cost-effectiveness measures were calculated for changes in body weight, abdominal circumference, HDL cholesterol, systolic and diastolic blood pressure, and HbA1c. The overall 6-month implementation costs were $105.66 per person for the TAILORED intervention and $91.44 per person for the TARGETED intervention. The ACER for weight change was $107.82 for the TAILORED and $179.29 for the TARGETED interventions. The ICER comparing TAILORED with TARGETED for change in body weight was $5.05, and was even lower ($2.28) when including only those with overweight and not obesity. The ICERs for change in abdominal circumference, HDL cholesterol, systolic and diastolic blood pressure, and HbA1c were $3.49, $59.37, $1.57, $2.64, and $47.49, respectively. The TAILORED intervention was generally more cost-effective compared with the TARGETED intervention, particularly among those with overweight. Young adults with obesity may require more resource-intensive precision-based approaches.","journal":"Translational Behavioral Medicine","year":2023,"id":378565,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":2,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9453,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":741247,"name":"Caitlin P. Bailey","orcid":"0000-0001-6141-6673","position":1,"is_corresponding":false},{"id":429603,"name":"Meghan Mavredes","orcid":null,"position":2,"is_corresponding":false},{"id":390112,"name":"Charles J. Neighbors","orcid":"0000-0002-9163-8389","position":3,"is_corresponding":false},{"id":428936,"name":"Jessica A. Whiteley","orcid":"0000-0001-5000-231X","position":4,"is_corresponding":false},{"id":616361,"name":"Michael W. Long","orcid":"0000-0002-3953-3424","position":5,"is_corresponding":false},{"id":428938,"name":"Laura L. Hayman","orcid":"0000-0003-2146-4747","position":6,"is_corresponding":false},{"id":325154,"name":"Steven K. Malin","orcid":"0000-0002-7360-6711","position":7,"is_corresponding":false},{"id":24240,"name":"Loretta DiPietro","orcid":"0000-0002-3064-3977","position":8,"is_corresponding":false},{"id":428939,"name":"Melissa A. Napolitano","orcid":"0000-0003-2141-6171","position":0,"is_corresponding":true}],"reference_count":44,"raw_metadata":null,"created_at":"2026-07-19T01:16:48.594070Z","pmid":"37186191","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}