التفاصيل البيبلوغرافية
| العنوان: |
Economic costs of implementing group interventions to reduce diabetes distress in adults with type 1 diabetes mellitus in the T1-REDEEM trial |
| المؤلفون: |
Shumway, Martha, Fisher, Lawrence, Hessler, Danielle, Bowyer, Vicky, Polonsky, William H, Masharani, Umesh |
| المصدر: |
Journal of Diabetes and its Complications, vol 33, iss 11 |
| بيانات النشر: |
eScholarship, University of California |
| سنة النشر: |
2019 |
| المجموعة: |
University of California: eScholarship |
| مصطلحات موضوعية: |
Biomedical and Clinical Sciences, Clinical Sciences, Clinical Trials and Supportive Activities, Prevention, Autoimmune Disease, Diabetes, Clinical Research, Metabolic and endocrine, Adult, Anxiety, Cost-Benefit Analysis, Depression, Diabetes Mellitus, Type 1, Group Processes, Health Care Costs, Humans, Implementation Science, Middle Aged, Patient Acceptance of Health Care, Patient Education as Topic, Psychological Distress, Psychotherapy, Group, Self Care, Stress, Psychological, Type 1 diabetes, Costs, Cost analysis |
| الوصف: |
AimsThis study evaluated the implementation costs of two group interventions, one focused on diabetes education (KnowIt) and one focused directly on diabetes distress (OnTrack), that reduced diabetes distress and HbA1C in adults with poorly controlled type 1 diabetes (T1DM) in the T1-REDEEM trial.MethodsResources used to provide interventions were enumerated using activity-based micro-costing methods. Costs were assigned to resources in 2017 US dollars. US median wage and benefit rates were used to calculate costs of staff time. Cost per unit change was calculated for diabetes distress and HbA1C.ResultsFor both interventions, per participant implementation costs were approximately $250 and cost per 1.0 percentage point (11 mmol/mol) change in HbA1C was $1400. Cost per unit change in diabetes distress was $364 for KnowIt and $335 for OnTrack. No statistically significant differences in costs were observed.ConclusionsThis is the first study to examine the costs of implementing interventions targeting diabetes distress in the context of T1DM. Both interventions had per participant implementation costs in the lower end of the range of previously examined diabetes self-management interventions ($219 to $5390). These inventions and their costs merit further attention because reducing diabetes distress may impact long term T1DM outcomes.Clinical trials registrationClinicalTrials.govNCT02175732. |
| نوع الوثيقة: |
article in journal/newspaper |
| وصف الملف: |
application/pdf |
| اللغة: |
unknown |
| العلاقة: |
qt2nt5w61n; https://escholarship.org/uc/item/2nt5w61nTest |
| الإتاحة: |
https://escholarship.org/uc/item/2nt5w61nTest |
| حقوق: |
public |
| رقم الانضمام: |
edsbas.7DBC3790 |
| قاعدة البيانات: |
BASE |
