The cost-utility of diet and exercise interventions in non-insulin-dependent diabetes mellitus

Kaplan, Robert M.; Atkins, Catherine J.; Wilson, Dawn K.

doi:10.1093/heapro/2.4.331

Cited by 29 publications

(22 citation statements)

References 3 publications

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“…A noncoercive approach, however, in which only those persons not adverse to exercise undertake the program is actually cost-saving. The figure of $11,313 is similar to that obtained from an experimental study of diet and exercise for controlling of non-insulin-dependent diabetes melitus; the es timated cost was $10,870 per "well-year" gained (21).…”

Section: Chronic Disease In the 1990s 287supporting

confidence: 66%

Chronic Disease In The 1990s

Rothenberg¹

1990

Annual Review of Public Health

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Section: Chronic Disease In the 1990s 287supporting

confidence: 66%

Chronic Disease In The 1990s

Rothenberg¹

1990

Annual Review of Public Health

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“…A number of complex interventions have been evaluated using RCTs. Examples include an evaluation of postnatal support for new mothers (Morrell et al, 2000), diet-exercise programmes for people with diabetes (Kaplan et al, 1988) and community care packages for people suffering from a mental illness (Byford et aI., 2000). These interventions raise many of the issues discussed in previous sections.…”

Section: Methodsmentioning

confidence: 99%

Economic Evaluation of Complex Health and Social Care Interventions

Byford¹,

Sefton

2003

Natl. Inst. econ. rev.

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The use of economic evaluation in relatively complex areas of health and social care has been limited. The level of complexity is influenced by the nature of the problems and interventions under evaluation, being dependent upon the degree of user involvement and the complexity of the inputs and outcomes. Complexity does not preclude the achievement of a good quality economic evaluation, but it can add significant difficulties. Efforts must be made to ensure scientific validity of evaluations, whilst recognising that the complexity inherent in many health and social care interventions may require deviations from and additions to traditional evaluation models. Fundamentally, the net effect will be the need for more time and money than would perhaps be required for the evaluation of a simpler intervention.

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“…MAU analysis, for example, has been employed within the management sciences for a number of years as a means of structuring decision-making (Bier & Connel, 1994;Carroll & Johnson, 1990;Christenson, 1993;Doyle, 1995;Dyer, Fishburn, Steuer, Walleins & Zionts, 1992;Hanson, Kidwell & Ray, 199 1;Huber, 1974;Keeney & Raiffa, 1976;Pandey & Kengpol, 1995;Poole & DeSanctis, 1990;Samuelson, 1993) and evaluating programme alternatives (Dicker & Dicker, 1991;Edwards & Newman, 1982). It has had extensive use in the private sector and even some use in assessing social programmes, especially in the fields of public health (Alemi, Stephens, Llorens & Orris, 1995;Camasso & Dick, 1993;Kaplan, Atkins & Wilson, 1988;Salazar & de Moor, 1995), social services (Hidalgo-Hardeman, 1993;Kemp & Willetts, 1995;Lewis, Johnson & Mangen, 1998), consumer choice (Kahn & Baron, 1995;Kahn & Meyer, 1991), environmental studies (Brown, 199 1;McDaniels, 1996;Tzeng, Teng & Hu, 199 l), transportation studies (Levine, 1996), education (Levin, 1983;Lewis, 1989;Lewis & Kallsen, 1995) and in the criminal justice system (Edwards, 1980). However, only recently has such a technique been proposed for use in making decisions about programme goals and alternatives in the field of disability studies (Lewis, Johnson, Erickson & Bruininks, 1994;Lewis et al, 1998;Lewis & Johnson, 2000).…”

Section: Mau Modelmentioning

confidence: 99%