IDEAS home Printed from https://ideas.repec.org/p/knz/dpteco/1502.html
   My bibliography  Save this paper

Economic Evaluation of the GOAL Lifestyle Intervention to Prevent Type-2 Diabetes

Author

Listed:
  • Jan Häußler

    (Department of Economics, University of Konstanz, Germany)

  • Nelli Hankonen

    (University of Helsinki, Faculty of Social Sciences, Unioninkatu 37, 00014 Helsinki, Finland)

  • Pilvikki Absetz

    (National Institute for Health and Welfare (THL), P.O. Box 30, 00271 Helsinki, Finland)

Abstract

Several RCT studies have shown that prevention of type 2 diabetes is feasible via lifestyle interventions. Nevertheless, the empirical evidence for economic effectiveness of prevention in real-world settings is scarce. We analyze costs and effectiveness of a specific type 2 diabetes prevention program in Finland, the GOAL Lifestyle Implementation Trial (GOAL LIT). We developed a Markov model with five mutually exclusive (disease) states and discrete one-year intervals to simulate the health effects of the intervention over 15 years. Based on the 3-year follow-up results from the intervention and a risk factor matched control group, we computed annual transition probabilities between BMI levels. The mortality differences between intervention and control group after 15 years are insignificant for both sexes. Projected cumulative costs of diabetes for both sexes are significantly lower in the intervention group compared to control group. From the perspective of the health care system the cost saving of the study depends on the assumed degree of complications with type 2 diabetes. For an all-male intervention group, the net benefit is positive above the threshold of 8 per cent average annual complication rate. The average overall monetary gain of the intervention then lies between €213.8 and €354.8 per person. The GOAL LIT would also be cost-effective, if the program was conducted in a representative Finnish population, with possible costs savings following the intervention between €64.8 and €155.8 per person. The results indicate that a diabetes prevention program like the GOAL LIT can be cost effective. Potential cost effects are mainly due to male participants, but nevertheless also notable in a representative population. However, our framework only focuses on one obesity related disease and thus tends to underestimate the cost savings as well as potential mortality benefits.

Suggested Citation

  • Jan Häußler & Nelli Hankonen & Pilvikki Absetz, 2015. "Economic Evaluation of the GOAL Lifestyle Intervention to Prevent Type-2 Diabetes," Working Paper Series of the Department of Economics, University of Konstanz 2015-02, Department of Economics, University of Konstanz.
    • Handle: RePEc:knz:dpteco:1502
    as

    Download full text from publisher

    File URL: http://www.uni-konstanz.de/FuF/wiwi/workingpaperseries/WP_2_Haeussler-Hankonen-Absetz_2015.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Giorgio Brunello & Pierre-Carl Michaud & Anna Sanz-de-Galdeano, 2009. "The rise of obesity in Europe: an economic perspective [‘Disease and development: the effect of life expectancy on economic growth’]," Economic Policy, CEPR, CESifo, Sciences Po;CES;MSH, vol. 24(59), pages 551-596.
    2. A. Konnopka & M. Bödemann & H.-H. König, 2011. "Health burden and costs of obesity and overweight in Germany," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 12(4), pages 345-352, August.
    3. Ruhm Christopher J, 2007. "Current and Future Prevalence of Obesity and Severe Obesity in the United States," Forum for Health Economics & Policy, De Gruyter, vol. 10(2), pages 1-28, September.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Donal O'Neill & Olive Sweetman, 2013. "Estimating Obesity Rates in Europe in the Presence of Self-Reporting Errors," Economics Department Working Paper Series n236-13.pdf, Department of Economics, National University of Ireland - Maynooth.
    2. Lauber, Verena & Thomas, Lampert, 2014. "The Effect of Early Universal Daycare on Child Weight Problems," VfS Annual Conference 2014 (Hamburg): Evidence-based Economic Policy 100399, Verein für Socialpolitik / German Economic Association.
    3. Alois Stutzer & Armando N. Meier, 2016. "Limited Self‐control, Obesity, and the Loss of Happiness," Health Economics, John Wiley & Sons, Ltd., vol. 25(11), pages 1409-1424, November.
    4. Julian M. Alston & Joanna P. MacEwan & Abigail M. Okrent, 2016. "Effects of U.S. Public Agricultural R&D on U.S. Obesity and its Social Costs," Applied Economic Perspectives and Policy, Agricultural and Applied Economics Association, vol. 38(3), pages 492-520.
    5. Edel Doherty & Michelle Queally & Ciaran O’Neill, 2015. "An examination of the relationships between service use and alternative measures of obesity among community-dwelling adults in Ireland," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(9), pages 951-956, December.
    6. repec:ags:remeag:163038 is not listed on IDEAS
    7. Baum II, Charles L. & Ruhm, Christopher J., 2009. "Age, socioeconomic status and obesity growth," Journal of Health Economics, Elsevier, vol. 28(3), pages 635-648, May.
    8. Costa-Font, Joan & Fabbri, Daniele & Gil, Joan, 2009. "Decomposing body mass index gaps between Mediterranean countries: A counterfactual quantile regression analysis," Economics & Human Biology, Elsevier, vol. 7(3), pages 351-365, December.
    9. MORIKAWA Masayuki, 2018. "Smoking, Obesity, and Labor Market Outcomes: Evidence from Japan," Discussion papers 18023, Research Institute of Economy, Trade and Industry (RIETI).
    10. Cavaco, Sandra & Eriksson, Tor & Skalli, Ali, 2014. "Life cycle development of obesity and its determinants in six European countries," Economics & Human Biology, Elsevier, vol. 14(C), pages 62-78.
    11. Kazuma Sato, 2021. "Relationship between marital status and body mass index in Japan," Review of Economics of the Household, Springer, vol. 19(3), pages 813-841, September.
    12. Duncan Ermini Leaf & Bryan Tysinger & Dana P. Goldman & Darius N. Lakdawalla, 2021. "Predicting quantity and quality of life with the Future Elderly Model," Health Economics, John Wiley & Sons, Ltd., vol. 30(S1), pages 52-79, November.
    13. Michaud, Pierre-Carl & Goldman, Dana P. & Lakdawalla, Darius N. & Zheng, Yuhui & Gailey, Adam H., 2012. "The value of medical and pharmaceutical interventions for reducing obesity," Journal of Health Economics, Elsevier, vol. 31(4), pages 630-643.
    14. R Nakamura & L Siciliani, 2010. "Education and Body Mass Index: Evidence from ECHP," Discussion Papers 10/04, Department of Economics, University of York.
    15. O’Neill, Donal, 2015. "Measuring obesity in the absence of a gold standard," Economics & Human Biology, Elsevier, vol. 17(C), pages 116-128.
    16. M. Lette & W. Bemelmans & J. Breda & L. Slobbe & J. Dias & H. Boshuizen, 2016. "Health care costs attributable to overweight calculated in a standardized way for three European countries," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 17(1), pages 61-69, January.
    17. Peracchi, Franco & Arcaleni, Emilia, 2011. "Early-life environment, height and BMI of young men in Italy," Economics & Human Biology, Elsevier, vol. 9(3), pages 251-264, July.
    18. Tobias Effertz & Susanne Engel & Frank Verheyen & Roland Linder, 2016. "The costs and consequences of obesity in Germany: a new approach from a prevalence and life-cycle perspective," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 17(9), pages 1141-1158, December.
    19. Raquel Fonseca & Pierre-Carl Michaud & Titus Galama & Arie Kapteyn, 2021. "Accounting for the Rise of Health Spending and Longevity," Journal of the European Economic Association, European Economic Association, vol. 19(1), pages 536-579.
    20. Lechner, Michael, 2008. "Long-Run Labour Market Effects of Individual Sports Activities," IZA Discussion Papers 3559, Institute of Labor Economics (IZA).
    21. Alston, Julian M. & Okrent, Abigail M. & Parks, Joanna, 2013. "Effects of U.S. Public Agricultural R&D on U.S. Obesity and its Social Costs- Revised," Working Papers 162530, Robert Mondavi Institute Center for Wine Economics.

    More about this item

    Keywords

    Obesity; Diabetes; Prevention; Evaluation;
    All these keywords.

    JEL classification:

    • I19 - Health, Education, and Welfare - - Health - - - Other

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:knz:dpteco:1502. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Office Ursprung (email available below). General contact details of provider: https://edirc.repec.org/data/fwkonde.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.