Implementation considerations provide a comparative assessment of how the interventions performed against important criteria difficult to capture in the quantitative analyses, including strength of evidence, equity, acceptability, feasibility and sustainability.
Given that the technical cost-effectiveness results are only one consideration in the decision making process, it is important to consider the league table results, along with the implementation considerations. The table is ordered based on the strength of evidence criteria followed by the equity criteria.
Intervention | Intervention type | Strength of evidence - BMI | Strength of evidence - PA/diet | Equity | Acceptability - Government | Acceptability - Industry | Acceptability - Public | Feasibility | Sustainability | ICER (mean, $/HALY gained) |
---|---|---|---|---|---|---|---|---|---|---|
Community-based interventions | Program | High | N/A | Neutral | High | High | High | Medium | Medium | $8,155 |
Financial incentives for weight loss by private health insurers | Program | High | N/A | Negative | High | Medium | Medium | High | Medium | $7,376 |
School-based intervention to reduce sedentary behaviour | Program | Medium | Medium | Positive | High | High | High | High | Medium | Dominant |
School-based intervention to increase physical activity | Program | Medium | Medium | Positive | High | High | High | High | Medium | Dominant |
Reformulation in response to the Health Star Rating system (voluntary) | Regulatory | Low | Medium | Positive | High | Medium | High | High | Medium | $1,728 |
Restricting television advertising of unhealthy foods (mandatory) | Regulatory | Low | Medium | Positive | Medium | Low | High | High | High | Dominant |
Reformulation to reduce sugar in sugar sweetened beverages (voluntary) | Regulatory | Low | Medium | Positive | High | Medium | Medium | High | Medium | Dominant |
Menu kilojoule labelling on fast food | Regulatory | Low | Medium | Neutral | High | Medium | High | High | High | Dominant |
Supermarket shelf tags on healthier products (voluntary) | Program | Low | Medium | Neutral | High | Medium | High | High | Medium | Dominant |
Workplace intervention to reduce sedentary behaviour | Program | Low | Medium | Neutral | High | Medium | High | Medium | Low | $28,703 |
Sugar-sweetened beverages tax (20%) | Regulatory | Low | Medium | Neutral | Medium | Low | Medium | High | High | Dominant |
Alcohol price increase: uniform volumetric tax | Regulatory | Low | Medium | Negative | Medium | Low | Low | High | High | Dominant |
Package size cap on sugar-sweetened beverages (mandatory) | Regulatory | Low | Low | Positive | Low | Low | Low | Low | Medium | Dominant |
National mass media campaign related to sugar-sweetened beverages | Program | Low | Low | Neutral | Medium | Medium | Medium | High | Medium | Dominant |
Fuel excise: 10c per litre increase | Regulatory | Low | Low | Negative | Low | Medium | Low | High | High | $7,684 |
Restrictions on price promotions of sugar-sweetened beverages (mandatory) | Regulatory | Low | Low | Negative | Low | Low | Low | Low | High | Dominant |