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

Abstract

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.

Original languageEnglish (US)
Article number120074
JournalPreventing chronic disease
Volume9
Issue number8
DOIs
StatePublished - Aug 2012

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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

Shelton Brown, H., 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(8), [120074]. https://doi.org/10.5888/pcd9.120074

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

In: Preventing chronic disease, Vol. 9, No. 8, 120074, 08.2012.

Research output: Contribution to journalArticle

Shelton Brown, H, 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, no. 8, 120074. https://doi.org/10.5888/pcd9.120074
Shelton Brown, H. ; 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, No. 8.
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