دورية أكاديمية
Economic analysis of the Mediterranean Lifestyle Program for postmenopausal women with diabetes.
| العنوان: | Economic analysis of the Mediterranean Lifestyle Program for postmenopausal women with diabetes. |
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| المؤلفون: | Ritzwoller DP, Toobert D, Sukhanova A, Glasgow RE |
| المصدر: | Diabetes Educator; Sep/Oct2006, Vol. 32 Issue 5, p761-769, 9p |
| مستخلص: | PURPOSE: The purpose of this study was to evaluate costs associated with the primary intervention of the Mediterranean Lifestyle Program (MLP), which targeted postmenopausal women with type 2 diabetes at risk for coronary heart disease. METHODS: Using retrospective data collected during MLP development and implementation, the authors estimated costs for the first 6 months relative to the usual care condition and incremental costs per behavioral, biologic, and quality-of-life change. Sensitivity analyses were conducted using variations in inflation rates, implementation settings, labor and nonlabor inputs, and market wage rates. RESULTS: Of the sample of 279 study participants, 163 were randomized into the MLP condition. Total intervention costs were estimated at $211 061 ($148 022 direct costs) or $1295 per MLP participant relative to usual care ($908 direct costs). This translates to $3808 per average change in coronary heart disease risk as measured by an average 1-point reduction in hemoglobin A1C. Relative to other measured improvements, this corresponds to $2345 per unit reduction in body mass index and $644 per unit improvement in Problem Areas in Diabetes Quality-of-Life Self-care Summary score, and a $196 per-gramreduction in intake of saturated fatty acids as noted by the Food Frequency Questionnaire. A significant portion of the direct costs were related to the resources used during the recruitment phase. CONCLUSIONS: Providing a relatively intensive lifestyle self-management program for this high-risk group is associated with modest incremental costs compared with usual care, making the program potentially appealing to policy makers. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: | Complementary Index |
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