Cost-Effectiveness Analysis of the Self-Management Program for Thai Patients with Metabolic Syndrome

Sakulsupsiri, Anut; Sakthong, Phantipa; Winit‐Watjana, Win

doi:10.1016/j.vhri.2015.10.004

Cited by 8 publications

(7 citation statements)

References 24 publications

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“…Unfortunately, optimal diabetes care is hindered by many factors, including the lifestyle choices of patients and lack of patient education ( 5 ). Establishing and implementing self-management require the right method and support ( 6 ).…”

Section: Contextmentioning

confidence: 99%

Potential Methods to Improve Self-management in Those with Type 2 Diabetes: A Narrative Review

Sukartini

Nursalam

Pradipta

et al. 2023

Int J Endocrinol Metab

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Context: The ability to self-manage is important for type 2 diabetes mellitus (T2DM) patients, and it is supported and depends on the method used. We aimed to summarize the potential method of self-management to improve self-empowerment. Evidence Acquisition: To obtain the related data, 5 databases, including Scopus, Science Direct, ProQuest, CINAHL, and SAGE, were comprehensively searched. The search was done in advance using the Boolean operator. The full texts of articles presenting data on self-management methods were screened and retrieved. Results: A total of 22 studies were included in this review. Various self-management techniques were covered with primary and secondary outcomes. Primary outcomes included blood pressure, fasting blood glucose (FBG), low-density lipoprotein (LDL), and high-density lipoprotein (HDL). Secondary outcomes included knowledge, self-efficacy, lifestyle habits, physical activity, diet, smoking, medical treatment, support, and health behavior. A goal-setting-oriented approach was effective in setting targets and gaining support from family members. A family-centered approach was effective in taking care of and taking good care of patients with T2DM. Strength training exercises provide patients with a choice of physical activity that can help them manage their blood sugar and blood pressure. Acceptance and commitment therapy (ACT) is a stress-reduction technique. The patient’s acceptance of the disease and treatment for diabetes is aided by education. Conclusions: A successful self-management method is one which balances and adapts to the patient’s condition. Regardless of the age of the patients, the overall findings from the review suggest that self-management methods can help patients become healthier and improve their quality of life by controlling their hemoglobin A1c (HbA1c) level.

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Section: Contextmentioning

confidence: 99%

Potential Methods to Improve Self-management in Those with Type 2 Diabetes: A Narrative Review

Sukartini

Nursalam

Pradipta

et al. 2023

Int J Endocrinol Metab

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“…In the one-way sensitivity analysis, we varied the cost parameters and utility weights associated with IFG by ±20%, and we varied the discount rates from 1-5%. Risk reduction of the intervention on diabetes and CVD was estimated, including distributions and 95% confidence intervals [30]. Probabilistic sensitivity analyses were conducted using Monte Carlo simulations of 1000 iterations.…”

Section: Plos Onementioning

confidence: 99%

Cost-effectiveness of the Da Qing diabetes prevention program: A modelling study

Liu

et al. 2020

PLoS ONE

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Objective The Da Qing Diabetes Prevention program (DQDP) was a randomized lifestyle modification intervention conducted in 1986 for the prevention and control of type 2 diabetes in individuals with impaired glucose tolerance. The current study estimated long-term cost-effectiveness of the program based on the health utilities from the Chinese population. Methods A Markov Monte Carlo model was developed to estimate the impact of the intervention from the healthcare system perspective. The analysis was run over 30-year and lifetime periods and costs were estimated respectively as health management service costs. Baseline characteristics and intervention effects were assessed from the DQDP. Utilities and costs were generated from relevant literature. The outcome measures were program cost per quality-adjusted life-years (QALYs) gained and incremental cost-effectiveness ratio (ICER) of the intervention. Sensitivity analyses and threshold analyses were performed. Results Using a 30-year horizon, the intervention strategy was cost-saving and was associated with better health outcomes (increase of 0.74 QALYs per intervention participant). Using a lifetime horizon, the intervention strategy was cost-saving and was associated with additional 1.44 QALYs. Sensitivity analyses showed that the overall ICER was most strongly influenced by the hazard ratio of cardiovascular disease event. Conclusions The Da Qing lifestyle intervention in a Chinese population with impaired glucose tolerance is likely to translate into substantial economic value. It is cost-saving over a 30-year time and lifetime frame.

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“…Physical activity alone is not capable of achieving large weight losses, usually less than 5 kilos [12], although it does achieve notable benefits in other cardiovascular parameters such as diastolic blood pressure or triglycerides. However, research has shown that in the short term, lifestyle modification (diet and exercise) reduces obesity by obtaining cardiovascular benefits [13,14].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of an Interdisciplinary Program Performed on Obese People Regarding Nutritional Habits and Metabolic Comorbidity: A Randomized Controlled Clinical Trial

Fernández-Ruiz

Ramos-Morcillo

Solé-Agustí³

et al. 2020

IJERPH

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Obesity is an important public health problem. The combined use of different therapies performed by an interdisciplinary group can improve the management of this health issue. The main goal of this research is to determine the effectiveness of a multidisciplinary program based on healthy eating, exercise, cognitive-behavioral therapy, and health education in improving metabolic comorbidity, Body Mass Index (BMI), and nutritional habits among obese adults, at short (12 months) and long term (24 months). A randomized controlled clinical trial was conducted at a community care center between February 2014 and February 2016. A random sampling was done (299), total population (3262). A sample of 74 subjects diagnosed with obesity (experimental group, n = 37 and control group, n = 37) was conducted. Inclusion criteria: obese people (BMI: >30 kg/m2) with metabolic comorbidity and bad nutritional habits. Exclusion criteria: other comorbidities. A 12-month interdisciplinary program (with pre-test, 12 months and 24 months of follow-up) was applied. Intervention is based on healthy eating, exercise, and cognitive behavioral therapy. The intervention had a positive effect on nutritional habits (F2;144 = 115.305; p < 0.001). The experimental group increased fruit and vegetable intake (F2;144 = 39.604, p < 0.001), as well as fortified foods (F2;144 = 10,076, p < 0.001) and reduced fats, oils, and sweets F2;144 = 24,086, p < 0.001). In the experimental group, a BMI reduction of 2.6 to 24 months was observed. At follow-up, no participant had inadequate nutritional habits, compared to 35.1% of the control group (χ22 = 33,398; p < 0.001). There was also a positive response of metabolic comorbidities in the intervention group. The interdisciplinary program improved all participants’ metabolic parameters, BMI, and nutritional habits while maintaining the long-term effects (24 months).

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Cost-Effectiveness Analysis of the Self-Management Program for Thai Patients with Metabolic Syndrome

Abstract: The SMP provided by the health care settings is marginally cost-effective, and the persistence results support the implementation of the program to minimize the complications and economic burden of patients with MetS.

Cited by 8 publications

References 24 publications

Potential Methods to Improve Self-management in Those with Type 2 Diabetes: A Narrative Review

Potential Methods to Improve Self-management in Those with Type 2 Diabetes: A Narrative Review

Cost-effectiveness of the Da Qing diabetes prevention program: A modelling study

Effectiveness of an Interdisciplinary Program Performed on Obese People Regarding Nutritional Habits and Metabolic Comorbidity: A Randomized Controlled Clinical Trial

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