Cost-effectiveness of the ReDIRECT/counterweight-plus weight management programme to alleviate symptoms of long COVID.

Publication date: Jul 01, 2025

Long-term effects of COVID-19 infection, termed Long COVID (LC), are associated with reduced quality of life. Symptoms associated with overweight/obesity overlap with and may aggravate those of LC. This paper reports the economic evaluation alongside the ReDIRECT Trial, which evaluated the impact of an evidence-based, remotely-delivered weight management programme on self-reported symptoms of LC in those living with overweight/obesity in the United Kingdom. Recruited participants (n = 234) were randomly allocated to the intervention group (weight management) or control group (usual care). Incremental costs and Quality-Adjusted Life Years (QALYs) were calculated using intervention cost, healthcare resource use and EQ-5D-5L data collected at baseline, three and 6 months. In this work, we show that the ReDIRECT intervention is likely cost-effective in improving LC symptoms from an NHS/PSS perspective, compared to usual care (Incremental Cost-Effectiveness Ratio of lb14,754/QALY). Adopting a broader societal perspective, the intervention becomes potentially cost saving compared to usual care.

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Concepts Keywords
Covid Adult
Economic Aged
Healthcare Cost-Benefit Analysis
Months COVID-19
Obesity Female
Humans
Male
Middle Aged
Obesity
Overweight
Quality of Life
Quality-Adjusted Life Years
SARS-CoV-2
United Kingdom
Weight Reduction Programs

Semantics

Type Source Name
disease MESH long COVID
disease MESH COVID-19
disease MESH infection
disease IDO quality
disease MESH overweight
disease MESH obesity
disease IDO intervention
drug DRUGBANK Ranitidine
disease MESH breathlessness
disease MESH cognitive dysfunction
disease IDO symptom
disease MESH weight loss
disease MESH Anxiety
disease MESH depression
drug DRUGBANK Ethionamide
disease MESH chronic fatigue syndrome
disease MESH lifestyle
drug DRUGBANK Isoxaflutole
disease IDO facility
disease IDO blood
disease IDO process
disease MESH Syndrome
drug DRUGBANK Isosorbide Mononitrate
disease MESH complications
disease MESH hypertension
disease MESH asthma
pathway KEGG Asthma
disease MESH necrosis
disease MESH inflammation
disease MESH osteoarthritis
disease MESH Arthritis
drug DRUGBANK Ilex paraguariensis leaf
disease IDO history
disease IDO country
drug DRUGBANK Coenzyme M
drug DRUGBANK Naproxen
drug DRUGBANK Etoperidone
drug DRUGBANK Trestolone
disease MESH ARC
drug DRUGBANK 3 7 11 15-Tetramethyl-Hexadecan-1-Ol
pathway REACTOME Reproduction

Original Article

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