Cost-Effectiveness Analysis of a Community Health Worker Intervention for Low-Income Hispanic Adults with Diabetes

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Brown, H. Shelton ; Wilson, Kimberly J. ; Pagán, José A. ; Arcari, Christine M. ; Martinez, Martha ; Smith, Kirk ; Reininger, Belinda
• Description:
  Introduction
  
  The objective of our study was to estimate the long-term cost-effectiveness of a lifestyle modification program led by community health workers (CHWs) for low-income Hispanic adults with type 2 diabetes.
  
  Methods
  
  We forecasted disease outcomes, quality-adjusted life years (QALYs) gained, and lifetime costs associated with attaining different hemoglobin A1c (A1c) levels. Outcomes were projected 20 years into the future and discounted at a 3.0% rate. Sensitivity analyses were conducted to assess the extent to which our results were dependent on assumptions related to program effectiveness, projected years, discount rates, and costs.
  
  Results
  
  The incremental cost-effectiveness ratio of the intervention ranged from $10,995 to $33,319 per QALY gained when compared with usual care. The intervention was particularly cost-effective for adults with high glycemic levels (A1c > 9%). The results are robust to changes in multiple parameters.
  
  Conclusion
  
  The CHW program was cost-effective. This study adds to the evidence that culturally sensitive lifestyle modification programs to control diabetes can be a cost-effective way to improve health among Hispanics with diabetes, particularly among those with high A1c levels.
  
  
• Subjects:
  Adolescent Adult Community Health Workers Cost-Benefit Analysis Diabetes Mellitus Diabetes Mellitus, Type 2 Female Health Promotion Health Resources Hispanic Or Latino Humans Life Style Male Middle Aged Patient Education As Topic Poverty Program Development Quality-Adjusted Life Years Self Care Socioeconomic Factors

  More +
• Source:
  Prev Chronic Dis. 9.
• ISSN:
  1545-1151
• Document Type:
  Journal Article
• Place as Subject:
  Texas
• Location:
  North America
• Volume:
  9
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:cdded0afcbcfcf2421eb5270635a2491266e476b967670fca01dd998480b430035e73efb5054f9b736b48655a2a5142f85127e2c9b6c8a5e6256d55c8d17ba71
• Download URL:
  https://stacks.cdc.gov/view/cdc/19744/cdc_19744_DS1.pdf
• File Type:
  [PDF - 234.70 KB ]