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Cost of a group translation of the Diabetes Prevention Program: Healthy Living Partnerships to Prevent Diabetes.


ABSTRACT:

Background

Although numerous studies have translated the Diabetes Prevention Program lifestyle intervention into various settings, no study to date has reported a formal cost analysis.

Purpose

To describe costs associated with the Healthy Living Partnerships to Prevent Diabetes (HELP PD) trial.

Design

HELP PD was a 24-month RCT testing the impact of a lifestyle weight-loss intervention administered through a diabetes education program and delivered by community health workers (CHWs) on blood glucose and body weight among prediabetics.

Setting/participants

In all, 301 participants with prediabetes were randomized in Forsyth County NC. Data reported in these analyses were collected in 2007-2011 and analyzed in 2011-2012.

Intervention

The lifestyle weight-loss group had a 7% weight loss goal achieved and maintained by caloric restriction and increased physical activity. The usual care group received two visits with a registered dietitian and monthly newsletters.

Main outcome measures

Measures are direct medical costs, direct nonmedical costs, and indirect costs over the 2-year study period. Research costs are excluded.

Results

The direct medical cost (in 2010 dollars) to identify one participant was $16.85. Direct medical costs per capita for participants in the usual care group were $142 and $850 for lifestyle weight-loss participants. Per capita direct costs of care outside the study were $7454 for the usual care group and $5177 for the lifestyle weight-loss group. Per capita direct nonmedical costs were $12,881 for the usual care group and $13,836 for the lifestyle weight-loss group. The lifestyle weight-loss group in HELP PD cost $850 in direct medical costs for 2 years, compared to $2631 in direct medical costs for the first 2 years of DPP.

Conclusions

A community-based translation of the DPP can be delivered effectively and with reduced costs.

SUBMITTER: Lawlor MS 

PROVIDER: S-EPMC3839056 | biostudies-literature | 2013 Apr

REPOSITORIES: biostudies-literature

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Publications

Cost of a group translation of the Diabetes Prevention Program: Healthy Living Partnerships to Prevent Diabetes.

Lawlor Michael S MS   Blackwell Caroline S CS   Isom Scott P SP   Katula Jeffrey A JA   Vitolins Mara Z MZ   Morgan Timothy M TM   Goff David C DC  

American journal of preventive medicine 20130401 4 Suppl 4


<h4>Background</h4>Although numerous studies have translated the Diabetes Prevention Program lifestyle intervention into various settings, no study to date has reported a formal cost analysis.<h4>Purpose</h4>To describe costs associated with the Healthy Living Partnerships to Prevent Diabetes (HELP PD) trial.<h4>Design</h4>HELP PD was a 24-month RCT testing the impact of a lifestyle weight-loss intervention administered through a diabetes education program and delivered by community health worke  ...[more]

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