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The Diabetes Prevention Impact Tool Kit

An Online Tool Kit to Assess the Cost-Effectiveness of Preventing Type 2 Diabetes

Lanza, Andrew MPH; Soler, Robin PhD; Smith, Bryce PhD; Hoerger, Thomas PhD; Neuwahl, Simon MSPH; Zhang, Ping PhD

Journal of Public Health Management and Practice: February 14, 2019 - Volume Publish Ahead of Print - Issue - p
doi: 10.1097/PHH.0000000000000961
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The National Diabetes Prevention Program lifestyle change program demonstrated health benefits and potential for health care cost-savings. For many states, employers, and insurers, there is a strong business case for paying for type 2 diabetes prevention, which will likely result in medical and nonmedical cost-savings as well as improved quality of life after a few years. Using an iterative feedback process with multiple stakeholders, the Centers for Disease Control and Prevention developed the Diabetes Prevention Impact Tool kit, https://nccd.cdc.gov/toolkit/diabetesimpact, which forecasts the cost impact the lifestyle change program can have for states, employers, and health insurers. We conducted key informant interviews and a qualitative analysis to evaluate the tool kit. We found that end users recognized its utility for decision making. They valued the detail of the tool kit's underlying calculations and appreciated the option of either using the default settings or revising assumptions based on their own data. The Diabetes Prevention Impact Tool kit can be a helpful tool for organizations that wish to forecast the economic costs and benefits of implementing or covering the National Diabetes Prevention Program lifestyle change program.

Division of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, Georgia (Mr Lanza and Drs Soler, Smith and Zhang) and RTI International, Research Triangle Park, North Carolina (Dr Hoerger and Mr Neuwahl).

Correspondence: Andrew Lanza, MPH, Division of Diabetes Translation, Centers for Disease Control and Prevention, 4770 Buford Hwy, MS F75, Atlanta, GA 30341 (alanza@cdc.gov).

Special thanks to Rui Li, PhD for comments on earlier versions of the manuscript and economic burden; Rachel Blacher, MPH for data on current coverage of the National Diabetes Prevention Program; Josh Petty, MPH for end user feedback; Boon Peng Ng, PhD for suggestions on the results; and Carole Craft for end user feedback and qualitative analysis.

RTI International (RTI Project Number 02113618.007.000.007) received funding from the Centers for Disease Control and Prevention to develop the Diabetes Prevention Impact Tool kit. The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

The authors declare no conflicts of interest.

Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.