Costs and cost-effectiveness of a culturally adapted diabetes self-management and education program for Marshallese adults.

ABSTRACT:

Background

Culturally adapted diabetes self-management education (DSME) programs are effective in improving glycemic control and diabetes outcomes among minority populations, but data on program costs and cost-effectiveness are limited. This study aimed to assess the cost and cost-effectiveness of a culturally adapted DSME (adapted DSME) compared to a standard DSME model among Marshallese adults with type 2 diabetes (T2D).

Methods

Retrospective cost and cost-effectiveness analyses (CEA) were conducted using data from the community-based trial, conducted between May 2015 and May 2018. We applied an activity-based costing approach to quantify the implementation resources. The CEA was performed using an incremental implementation cost-effectiveness ratio (ICER) measure, express

SUBMITTER: Michaud TL 

PROVIDER: S-EPMC12895454 | biostudies-literature | 2026

REPOSITORIES: biostudies-literature