在2型糖尿病中应用程序和基于奖励的干预措施的有效性和成本效益:一个随机对照试验
Eric Andrew Finkelstein1, Daphne Su-Lyn Gardner2, Kwang Wei Tham3
1Health Services & Systems Research, Duke-NUS Medical School, Singapore, Singapore.
Diabetes, obesity & metabolism
|December 5, 2024
概括
一个基于应用程序的糖尿病自我管理计划与奖励改善了2型糖尿病患者的血糖控制. 这种数字健康干预是基于价值的医疗保健的成本效益.
科学领域:
- 数字健康数字健康
- 糖尿病管理 糖尿病管理
- 卫生经济学 卫生经济学
背景情况:
- 数字健康干预和经济激励措施显示出糖尿病自我管理的潜力.
- 有奖励的基于应用程序的综合计划的证据有限.
- 2型糖尿病的自我管理需要有效和成本效益的策略.
研究的目的:
- 评估基于应用程序的糖尿病自我管理计划与奖励 (DMP+) 的有效性.
- 评估DMP+与常规护理 (UC) 相比的成本效益.
- 分析2型糖尿病患者对血糖控制 (HbA1c) 的影响.
主要方法:
- 随机对照试验 (TRIal to slow the Progression Of Diabetes - TRIPOD) 涉及269名患有2型糖尿病的成年人. 这项研究涉及269名患有2型糖尿病的成年人.
- 三个部门:常规护理 (UC),糖尿病管理计划 (DMP) 和带奖励的DMP (DMP+).
- 治疗意图分析侧重于12个月后的HbA1c变化和成本效益.
主要成果:
- 与UC相比,DMP+显示了0.4%的显著平均HbA1c改善 (p=0.015).
- 改善HbA1c>0.5%的几率是DMP+对UC的2.12倍 (p=0.013).
- 对于DMP+的增量成本效益比为每增加的质量调整后寿命年SGD 8,516.
结论:
- 基于应用程序的糖尿病自我管理计划与奖励 (DMP+) 有效地改善了2型糖尿病的血糖控制.
- 该干预措施证明了成本效益,支持其在医疗保健中的价值.
- 基于价值的医疗保健中的组织应该考虑补贴类似的数字健康干预措施.
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