Methodology of the health economic evaluation of the Feel4Diabetes-study
Abstract Background The clinical and economic burden of type 2 diabetes mellitus on society is rising. Effective and efficient preventive measures may stop the increasing prevalence, given that type 2 diabetes mellitus is mainly a lifestyle-driven disease. The Feel4Diabetes-study aimed to tackle unh...
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doaj-030345b23c6f416a88e935c46da0b7852020-11-25T03:42:08ZengBMCBMC Endocrine Disorders1472-68232020-03-0120S111110.1186/s12902-019-0471-3Methodology of the health economic evaluation of the Feel4Diabetes-studyRuben Willems0Lore Pil1Christina-Paulina Lambrinou2Jemina Kivelä3Katja Wikström4Esther M. Gonzalez-Gil5Pilar De Miguel-Etayo6Anna Nánási7Csilla Semánová8Vicky Van Stappen9Greet Cardon10Kaloyan Tsochev11Violeta Iotova12Nevena Chakarova13Konstantinos Makrilakis14George Dafoulas15Patrick Timpel16Peter Schwarz17Yannis Manios18Lieven Annemans19on behalf of the Feel4Diabetes research groupDepartment of Public Health and Primary Care, Ghent UniversityDepartment of Public Health and Primary Care, Ghent UniversityDepartment of Nutrition and Dietetics, Harokopio UniversityDepartment of Public Health Solutions, National Institute for Health and WelfareDepartment of Public Health Solutions, National Institute for Health and WelfareGrowth, Exercise, Nutrition and Development (GENUD) Research Group, University of ZaragozaGrowth, Exercise, Nutrition and Development (GENUD) Research Group, University of ZaragozaDepartment of Family and Occupational Medicine, University of DebrecenDepartment of Family and Occupational Medicine, University of DebrecenDepartment of Movement and Sports Sciences, Ghent UniversityDepartment of Movement and Sports Sciences, Ghent UniversityDepartment of Paediatrics, Medical University VarnaDepartment of Paediatrics, Medical University VarnaDepartment of Diabetology, Clinical Center of Endocrinology, Medical University SofiaNational and Kapodistrian University of AthensNational and Kapodistrian University of AthensDepartment for Precention and Care of Diabetes, Technische Universität DresdenDepartment for Precention and Care of Diabetes, Technische Universität DresdenDepartment of Nutrition and Dietetics, Harokopio UniversityDepartment of Public Health and Primary Care, Ghent UniversityAbstract Background The clinical and economic burden of type 2 diabetes mellitus on society is rising. Effective and efficient preventive measures may stop the increasing prevalence, given that type 2 diabetes mellitus is mainly a lifestyle-driven disease. The Feel4Diabetes-study aimed to tackle unhealthy lifestyle (unhealthy diet, lack of physical activity, sedentary behaviour, and excess weight) of families with a child in the first grades of elementary school. These schools were located in regions with a relatively low socio-economic status in Belgium, Bulgaria, Finland, Greece, Hungary and Spain. Special attention was paid to families with a high risk of developing type 2 diabetes mellitus. Methods The aim of this paper is to describe the detailed methodology of the intervention’s cost-effectiveness analysis. Based on the health economic evaluation of the Toybox-study, both a decision analytic part and a Markov model have been designed to assess the long-term (time horizon of 70 year with one-year cycles) intervention’s value for money. Data sources used for the calculation of health state incidences, transition probabilities between health states, health state costs, and health state utilities are listed. Intervention-related costs were collected by questionnaires and diaries, and attributed to either all families or high risk families only. Conclusions The optimal use of limited resources is pivotal. The future results of the health economic evaluation of the Feel4Diabetes-study will contribute to the efficient use of those resources.http://link.springer.com/article/10.1186/s12902-019-0471-3Health economicsType 2 diabetes mellitusLifestyleInterventionVulnerable group |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ruben Willems Lore Pil Christina-Paulina Lambrinou Jemina Kivelä Katja Wikström Esther M. Gonzalez-Gil Pilar De Miguel-Etayo Anna Nánási Csilla Semánová Vicky Van Stappen Greet Cardon Kaloyan Tsochev Violeta Iotova Nevena Chakarova Konstantinos Makrilakis George Dafoulas Patrick Timpel Peter Schwarz Yannis Manios Lieven Annemans on behalf of the Feel4Diabetes research group |
spellingShingle |
Ruben Willems Lore Pil Christina-Paulina Lambrinou Jemina Kivelä Katja Wikström Esther M. Gonzalez-Gil Pilar De Miguel-Etayo Anna Nánási Csilla Semánová Vicky Van Stappen Greet Cardon Kaloyan Tsochev Violeta Iotova Nevena Chakarova Konstantinos Makrilakis George Dafoulas Patrick Timpel Peter Schwarz Yannis Manios Lieven Annemans on behalf of the Feel4Diabetes research group Methodology of the health economic evaluation of the Feel4Diabetes-study BMC Endocrine Disorders Health economics Type 2 diabetes mellitus Lifestyle Intervention Vulnerable group |
author_facet |
Ruben Willems Lore Pil Christina-Paulina Lambrinou Jemina Kivelä Katja Wikström Esther M. Gonzalez-Gil Pilar De Miguel-Etayo Anna Nánási Csilla Semánová Vicky Van Stappen Greet Cardon Kaloyan Tsochev Violeta Iotova Nevena Chakarova Konstantinos Makrilakis George Dafoulas Patrick Timpel Peter Schwarz Yannis Manios Lieven Annemans on behalf of the Feel4Diabetes research group |
author_sort |
Ruben Willems |
title |
Methodology of the health economic evaluation of the Feel4Diabetes-study |
title_short |
Methodology of the health economic evaluation of the Feel4Diabetes-study |
title_full |
Methodology of the health economic evaluation of the Feel4Diabetes-study |
title_fullStr |
Methodology of the health economic evaluation of the Feel4Diabetes-study |
title_full_unstemmed |
Methodology of the health economic evaluation of the Feel4Diabetes-study |
title_sort |
methodology of the health economic evaluation of the feel4diabetes-study |
publisher |
BMC |
series |
BMC Endocrine Disorders |
issn |
1472-6823 |
publishDate |
2020-03-01 |
description |
Abstract Background The clinical and economic burden of type 2 diabetes mellitus on society is rising. Effective and efficient preventive measures may stop the increasing prevalence, given that type 2 diabetes mellitus is mainly a lifestyle-driven disease. The Feel4Diabetes-study aimed to tackle unhealthy lifestyle (unhealthy diet, lack of physical activity, sedentary behaviour, and excess weight) of families with a child in the first grades of elementary school. These schools were located in regions with a relatively low socio-economic status in Belgium, Bulgaria, Finland, Greece, Hungary and Spain. Special attention was paid to families with a high risk of developing type 2 diabetes mellitus. Methods The aim of this paper is to describe the detailed methodology of the intervention’s cost-effectiveness analysis. Based on the health economic evaluation of the Toybox-study, both a decision analytic part and a Markov model have been designed to assess the long-term (time horizon of 70 year with one-year cycles) intervention’s value for money. Data sources used for the calculation of health state incidences, transition probabilities between health states, health state costs, and health state utilities are listed. Intervention-related costs were collected by questionnaires and diaries, and attributed to either all families or high risk families only. Conclusions The optimal use of limited resources is pivotal. The future results of the health economic evaluation of the Feel4Diabetes-study will contribute to the efficient use of those resources. |
topic |
Health economics Type 2 diabetes mellitus Lifestyle Intervention Vulnerable group |
url |
http://link.springer.com/article/10.1186/s12902-019-0471-3 |
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