title: A cost-effectiveness and return-on-investment analysis of a worksite vitality intervention among older hospital workers: results of a randomized controlled trial.
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.
authors: Body@Work, Research Center for Physical Activity, Work, and Health, TNO-VU University Medical Center, Amsterdam, The Netherlands.
authors: Johanna M
authors: JM
authors: van Dongen
authors: Jorien E
authors: JE
authors: Strijk
authors: Karin I
authors: KI
authors: Proper
authors: Marieke F
authors: MF
authors: van Wier
authors: Willem
authors: W
authors: van Mechelen
authors: Maurits W
authors: MW
authors: van Tulder
authors: Allard J
authors: AJ
authors: van der Beek
mesh_terms: D000041:Absenteeism; D000368:Aged; D000369:Aged, 80 and over; D003362:Cost-Benefit Analysis; D004526:Efficiency; D005260:Female; D005500:Follow-Up Studies; D006293:Health Promotion / Q000191:economics* / Q000379:methods / Q000706:statistics & numerical data; D017721:Hospital Costs; D006785:Hospitals, University / Q000191:economics* / Q000458:organization & administration; D006801:Humans; D008297:Male; D008875:Middle Aged; D018803:Models, Economic; D009426:Netherlands; D009784:Occupational Diseases / Q000191:economics / Q000517:prevention & control*; D016272:Occupational Health / Q000191:economics* / Q000706:statistics & numerical data; D010564:Personnel, Hospital; D011795:Surveys and Questionnaires; D016896:Treatment Outcome