Cost-effectiveness of Community-Based Depression Interventions for Rural and Urban Adults With Type 2 Diabetes: Projections From Program ACTIVE (Adults Coming Together to Increase Vital Exercise) II.

ABSTRACT:

Objective

We estimated the cost-effectiveness of the Program ACTIVE (Adults Coming Together to Increase Vital Exercise) II community-based exercise (EXER), cognitive behavioral therapy (CBT), and EXER+CBT interventions in adults with type 2 diabetes and depression relative to usual care (UC) and each other.

Research design and methods

Data were integrated into the Michigan Model for Diabetes to estimate cost and health outcomes over a 10-year simulation time horizon from the health care sector and societal perspectives, discounting costs and benefits at 3% annually. Primary outcome was cost per quality-adjusted life-year (QALY) gained.

Results

From the health care sector perspective, the EXER intervention strategy saved $313 (USD) per patient and produced 0.38 more QA

SUBMITTER: Kuo S 

PROVIDER: S-EPMC7985429 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature