Cost-effectiveness analysis of a community health worker intervention for low-income Hispanic adults with diabetes.

H. Shelton Brown, Kimberly J. Wilson, José A. Pagán, Christine M. Arcari, Martha Martinez, Kirk Smith, Belinda Reininger

Research output: Contribution to journalArticle

60 Citations (Scopus)

Abstract

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. 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. 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. 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.

Original languageEnglish (US)
JournalPreventing chronic disease
Volume9
StatePublished - 2012
Externally publishedYes

Fingerprint

Hispanic Americans
Cost-Benefit Analysis
Costs and Cost Analysis
Quality-Adjusted Life Years
Life Style
Program Evaluation
Type 2 Diabetes Mellitus
Hemoglobins
Health

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health Policy

Cite this

Brown, H. S., Wilson, K. J., Pagán, J. A., Arcari, C. M., Martinez, M., Smith, K., & Reininger, B. (2012). Cost-effectiveness analysis of a community health worker intervention for low-income Hispanic adults with diabetes. Preventing chronic disease, 9.

Cost-effectiveness analysis of a community health worker intervention for low-income Hispanic adults with diabetes. / Brown, H. Shelton; Wilson, Kimberly J.; Pagán, José A.; Arcari, Christine M.; Martinez, Martha; Smith, Kirk; Reininger, Belinda.

In: Preventing chronic disease, Vol. 9, 2012.

Research output: Contribution to journalArticle

Brown, HS, Wilson, KJ, Pagán, JA, Arcari, CM, Martinez, M, Smith, K & Reininger, B 2012, 'Cost-effectiveness analysis of a community health worker intervention for low-income Hispanic adults with diabetes.', Preventing chronic disease, vol. 9.
Brown, H. Shelton ; Wilson, Kimberly J. ; Pagán, José A. ; Arcari, Christine M. ; Martinez, Martha ; Smith, Kirk ; Reininger, Belinda. / Cost-effectiveness analysis of a community health worker intervention for low-income Hispanic adults with diabetes. In: Preventing chronic disease. 2012 ; Vol. 9.
@article{445f6bc1472346e19d79ca756e956b6e,
title = "Cost-effectiveness analysis of a community health worker intervention for low-income Hispanic adults with diabetes.",
abstract = "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. 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. 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. 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.",
author = "Brown, {H. Shelton} and Wilson, {Kimberly J.} and Pag{\'a}n, {Jos{\'e} A.} and Arcari, {Christine M.} and Martha Martinez and Kirk Smith and Belinda Reininger",
year = "2012",
language = "English (US)",
volume = "9",
journal = "Preventing chronic disease",
issn = "1545-1151",
publisher = "U.S. Department of Health and Human Services",

}

TY - JOUR

T1 - Cost-effectiveness analysis of a community health worker intervention for low-income Hispanic adults with diabetes.

AU - Brown, H. Shelton

AU - Wilson, Kimberly J.

AU - Pagán, José A.

AU - Arcari, Christine M.

AU - Martinez, Martha

AU - Smith, Kirk

AU - Reininger, Belinda

PY - 2012

Y1 - 2012

N2 - 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. 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. 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. 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.

AB - 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. 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. 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. 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.

UR - http://www.scopus.com/inward/record.url?scp=84871696534&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84871696534&partnerID=8YFLogxK

M3 - Article

C2 - 22916995

AN - SCOPUS:84871696534

VL - 9

JO - Preventing chronic disease

JF - Preventing chronic disease

SN - 1545-1151

ER -