A Naturopathic Approach to the Prevention of Cardiovascular Disease

Cost-Effectiveness Analysis of a Pragmatic Multi-Worksite Randomized Clinical Trail

Published In: Journal of Occupational and Environmental Medicine, v. 56, no. 2, Feb. 2014, p. 171–176

Posted on RAND.org on February 01, 2014

by Patricia M. Herman, Orest Szczurko, Kieran Cooley, Dugald Seely

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OBJECTIVE: To determine the cost-effectiveness of a worksite-based naturopathic (individualized lifestyle counseling and nutritional medicine) approach to primary prevention of cardiovascular disease (CVD). METHODS: Economic evaluation alongside a pragmatic, multi-worksite, randomized controlled trial comparing enhanced usual care (EUC; usual care plus biometric screening) to the addition of a naturopathic approach to CVD prevention (NC+EUC). RESULTS: After 1 year, NC+EUC resulted in a net decrease of 3.3 (confidence interval: 1.7 to 4.8) percentage points in 10-year CVD event risk (number needed to treat = 30). These risk reductions came with average net study-year savings of $1138 in societal costs and $1187 in employer costs. There was no change in quality-adjusted life years across the study year. CONCLUSIONS: A naturopathic approach to CVD primary prevention significantly reduced CVD risk over usual care plus biometric screening and reduced costs to society and employers in this multi-worksite—based study.

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