Cost-Effectiveness of Peer-Educator–Delivered Lifestyle Modification for Type 2 Diabetes Prevention in a Young Healthy Population in Sri Lanka: A Trial-Based Economic Evaluation and Economic Model

• DOI: 10.1007/s41669-021-00284-5
• Publication Date: 2021-07-12T20:02:47Z
• Authors: James Shearer; Miral Kalyani; Anastasios Mangelis; Dileep de Silva; Padmal de Silva; Mahen Wijesuriya; Janaka Karalliedde
• Keywords: Economic Evaluation; Economic cost

This study evaluated the cost effectiveness of an intensive lifestyle modification (LSM) intervention delivered by peer educators for prevention type 2 diabetes mellitus in a young at-risk population low healthcare resource setting.The aim this was to evaluate short-term and long-term urban Sri Lanka.This economic evaluation using outcome data from randomized controlled trial. We 3539 healthy individuals aged 5-40 years with risk factors either 3-monthly (P-LSM n = 1727) or 12-monthly (C-LSM 1812) peer-educator advice aimed at reducing weight, improving diet, psychological stress increasing physical activity. A cost-effectiveness analysis conducted health system perspective outcomes expressed as disability-adjusted life-years (DALYs). Intervention costs were collected during median clinical trial period 3 extrapolated lifetime horizon modelling. Uncertainty model explored structural probabilistic sensitivity analyses.The more support programme partially offset reduced complications recorded over completely savings 6000 LKR. The P-LSM also averted DALYs, estimated 0.456 DALYs participants.In Lanka population, LSM effective, averting acceptable additional than much less programme. Early people represents good value money Lankan care payer perspective.