Cost-effectiveness analysis of a cluster-randomized, culturally tailored, community health worker home-visiting diabetes intervention versus standard care in American Samoa.

ABSTRACT:

Background

Type 2 diabetes mellitus (T2DM) is highly prevalent in American Samoa. Community health worker (CHW) interventions may improve T2DM care and be cost-effective. Current cost-effectiveness analyses (CEA) of CHW interventions have either overlooked important cost considerations or not been based on randomized clinical trials (RCTs). The Diabetes Care in American Samoa (DCAS) intervention which occurred in 2009-2010 was a cluster-randomized, culturally tailored, home-visiting CHW intervention and improved HbA1c levels.

Objective

To analyze the cost-effectiveness of the DCAS intervention against standard care using a RCT in a low-resource setting.

Methods

We collected clinical, utilization, and cost data over 2 years and modeled quality-adjusted life years (QALY

SUBMITTER: Huang SJ 

PROVIDER: S-EPMC6402127 | biostudies-literature | 2019 Mar

REPOSITORIES: biostudies-literature