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Economic Evaluation of Health Behavior Interventions to Prevent and Manage Type 2 Diabetes Mellitus in Asia: A Systematic Review of Randomized Controlled Trials

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  • Padam Kanta Dahal

    (School of Health, Medical and Applied Sciences, Central Queensland University, Sydney, NSW 2000, Australia
    Appleton Institute, Physical Activity Research Group, Central Queensland University, Rockhampton, QLD 4702, Australia)

  • Lal B. Rawal

    (School of Health, Medical and Applied Sciences, Central Queensland University, Sydney, NSW 2000, Australia
    Appleton Institute, Physical Activity Research Group, Central Queensland University, Rockhampton, QLD 4702, Australia
    Translational Health Research Institute (THRI), Western Sydney University, Sydney, NSW 2751, Australia)

  • Rashidul Alam Mahumud

    (NHRMC Clinical Trials Centre, Faculty of Medicine and Health, The University of Sydney, Camperdown, NSW 2006, Australia)

  • Grish Paudel

    (School of Health, Medical and Applied Sciences, Central Queensland University, Sydney, NSW 2000, Australia
    Appleton Institute, Physical Activity Research Group, Central Queensland University, Rockhampton, QLD 4702, Australia)

  • Tomohiko Sugishita

    (Section of Global Health, Division of Public Health, Department of Public Health, Tokyo Women’s Medical University, Tokyo 162-8666, Japan)

  • Corneel Vandelanotte

    (Appleton Institute, Physical Activity Research Group, Central Queensland University, Rockhampton, QLD 4702, Australia)

Abstract

Health behavior interventions implemented in Asian countries often lack economic evaluations that effectively address the problems of type 2 diabetes mellitus. This review systematically assessed the existing literature on economic evaluation of health behavior interventions to prevent and manage type 2 diabetes mellitus for people living in Asian countries. Eligible studies were identified through a search of six bibliographic databases, namely, PubMed, Scopus, Public Health Database by ProQuest, Cumulative Index to Nursing and Allied Health Literature Complete, Web of Science, and Google Scholar. Randomized controlled trials of health behavior interventions and studies published in the English language from January 2000 to May 2022 were included in the review. The search yielded 3867 records, of which 11 studies were included in the review. All included studies concluded that health behavior interventions were cost-effective. Eight of these studies undertook an evaluation from a health system perspective, two studies used both societal and health system perspectives, and one study utilized a societal and multi-payer perspective. This review identified the time horizon, direct and indirect medical costs, and discount rates as the most important considerations in determining cost effectiveness. These findings have implications in extending health behavior interventions to prevent and manage type 2 diabetes mellitus in low-resource settings, and are likely to yield the most promising outcomes for people with type 2 diabetes mellitus.

Suggested Citation

  • Padam Kanta Dahal & Lal B. Rawal & Rashidul Alam Mahumud & Grish Paudel & Tomohiko Sugishita & Corneel Vandelanotte, 2022. "Economic Evaluation of Health Behavior Interventions to Prevent and Manage Type 2 Diabetes Mellitus in Asia: A Systematic Review of Randomized Controlled Trials," IJERPH, MDPI, vol. 19(17), pages 1-20, August.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:17:p:10799-:d:902124
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    References listed on IDEAS

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    2. Roberts, Samantha & Barry, Eleanor & Craig, Dawn & Airoldi, Mara & Bevan, Gwyn & Greenhalgh, Trisha, 2017. "Preventing type 2 diabetes: systematic review of studies of cost-effectiveness of lifestyle programmes and metformin, with and without screening, for pre-diabetes," LSE Research Online Documents on Economics 86468, London School of Economics and Political Science, LSE Library.
    3. James Shearer & Miral Kalyani & Anastasios Mangelis & Dileep Silva & Padmal Silva & Mahen Wijesuriya & Janaka Karalliedde, 2021. "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," PharmacoEconomics - Open, Springer, vol. 5(4), pages 693-700, December.
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