Parents' Willingness to Pay for Pediatric Weight Management Programs

Acad Pediatr. 2019 Sep-Oct;19(7):764-772. doi: 10.1016/j.acap.2019.05.124. Epub 2019 May 23.

Abstract

Objective: To examine parents' interest in continuing and willingness to pay (WTP) for 2 pediatric weight management programs following their participation.

Methods: Participants were parents of 2- to 12-year-old children with body mass index ≥ 85th percentile who participated in the Connect for Health trial. One group received enhanced primary care (EPC) and the other received EPC plus individualized coaching (EPC+C). At 1 year, we assessed parents' self-reported WTP for a similar program and the maximum amount ($/month) they would pay. We used multivariable regression to examine differences in WTP and WTP amount by intervention arm and by individual and family-level factors.

Results: Of 638 parents who completed the survey, 85% were interested in continuing and 38% of those parents were willing to pay (31% in the EPC group and 45% in the EPC+C group). The median amount parents were willing to pay was $25/month (interquartile range, $15-$50). In multivariable models, the EPC+C parents were more likely to endorse WTP than the EPC parents (odds ratio, 1.53; 95% confidence interval, 1.05-2.22). Parents of children with Hispanic/Latino versus white ethnicity and those reporting higher satisfaction with the program were also more likely to endorse WTP.

Conclusions: Most parents of children in a weight management program were interested in continuing it after it ended, but fewer were willing to pay out of pocket for it. A greater proportion of parents were willing to pay if the program included individualized health coaching.

Keywords: obesity; pediatrics; weight management program; willingness to pay.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Child
  • Child, Preschool
  • Female
  • Health Expenditures*
  • Humans
  • Male
  • Parents / psychology*
  • Patient Acceptance of Health Care*
  • Pediatric Obesity / therapy*
  • Surveys and Questionnaires
  • Volition
  • Weight Reduction Programs / economics*