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Cost-effectiveness of Lifestyle Africa: an adaptation of the diabetes prevention programme for delivery by community health workers in urban South Africa.
Whittington, Melanie D; Goggin, Kathy; Tsolekile, Lungiswa; Puoane, Thandi; Fox, Andrew T; Resnicow, Ken; Fleming, Kandace K; Smyth, Joshua M; Materia, Frank T; Hurley, Emily A; Vitolins, Mara Z; Lambert, Estelle V; Levitt, Naomi S; Catley, Delwyn.
Afiliación
  • Whittington MD; Department of Population Health, University of Kansas Medical Center, Kansas City, KS, USA.
  • Goggin K; Department of Pediatrics, University of Missouri - Kansas City School of Medicine, Kansas City, MO, USA.
  • Tsolekile L; Health Services and Outcomes Research, Children's Mercy Hospitals and Clinics, Kansas City, MO, USA.
  • Puoane T; School of Public Health, University of the Western Cape, Cape Town, South Africa.
  • Fox AT; School of Public Health, University of the Western Cape, Cape Town, South Africa.
  • Resnicow K; Health Services and Outcomes Research, Children's Mercy Hospitals and Clinics, Kansas City, MO, USA.
  • Fleming KK; School of Public Health, University of Michigan, Ann Arbor, MI, USA.
  • Smyth JM; Life Span Institute, University of Kansas, Lawrence, KS, USA.
  • Materia FT; College of Health and Human Development, Penn State University, University Park, PA, USA.
  • Hurley EA; Health Services and Outcomes Research, Children's Mercy Hospitals and Clinics, Kansas City, MO, USA.
  • Vitolins MZ; Department of Pediatrics, University of Missouri - Kansas City School of Medicine, Kansas City, MO, USA.
  • Lambert EV; Health Services and Outcomes Research, Children's Mercy Hospitals and Clinics, Kansas City, MO, USA.
  • Levitt NS; Department of Epidemiology & Prevention, Wake Forest School of Medicine, Winston-Salem, NC, USA.
  • Catley D; UCT Research Centre for Health through Physical Activity, Lifestyle and Sport (HPALS), Division of Research Unit for Exercise Science and Sports Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
Glob Health Action ; 16(1): 2212952, 2023 12 31.
Article en En | MEDLINE | ID: mdl-37220094
BACKGROUND: Lifestyle Africa is an adapted version of the Diabetes Prevention Program designed for delivery by community health workers to socioeconomically disadvantaged populations in low- and middle-income countries (LMICs). Results from the Lifestyle Africa trial conducted in an under-resourced community in South Africa indicated that the programme had a significant effect on reducing haemoglobin A1c (HbA1c). OBJECTIVE: To estimate the cost of implementation and the cost-effectiveness (in cost per point reduction in HbA1c) of the Lifestyle Africa programme to inform decision-makers of the resources required and the value of this intervention. METHODS: Interviews were held with project administrators to identify the activities and resources required to implement the intervention. A direct-measure micro-costing approach was used to determine the number of units and unit cost for each resource. The incremental cost per one point improvement in HbA1c was calculated. RESULTS: The intervention equated to 71 United States dollars (USD) in implementation costs per participant and a 0.26 improvement in HbA1c per participant. CONCLUSIONS: Lifestyle Africa reduced HbA1c for relatively little cost and holds promise for addressing chronic disease in LMIC. Decision-makers should consider the comparative clinical effectiveness and cost-effectiveness of this intervention when making resource allocation decisions. TRIAL REGISTRATION: Trial registration is at ClinicalTrials.gov (NCT03342274).
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Agentes Comunitarios de Salud / Diabetes Mellitus Tipo 2 Tipo de estudio: Health_economic_evaluation / Prognostic_studies Límite: Humans País/Región como asunto: Africa Idioma: En Revista: Glob Health Action Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Agentes Comunitarios de Salud / Diabetes Mellitus Tipo 2 Tipo de estudio: Health_economic_evaluation / Prognostic_studies Límite: Humans País/Región como asunto: Africa Idioma: En Revista: Glob Health Action Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos