Cost-Effectiveness of a Lifestyle Intervention in Preventing Assignment

Assignment Task

Background

NHS resources are scarce, and this intervention could impose significant costs on the NHS. Information as to the cost-effectiveness of the intervention was thereby requested.

For the purposes of this assessment we have created a hypothetical data set from a primary care practice which has monitored certain elements of resource use and outcomes for two groups of adults who were enrolled in a randomised controlled trial (see accompanying excel spreadsheet). All trial participants were diagnosed with T2DM (1.). Those assigned to group 1 received a group lifestyle intervention (diet and exercise) delivered by a physiotherapist (up to 6 sessions of 1 hour of face-to-face contact with up to 12 group members). Those assigned to group 2 received written information about Type 2 diabetes and the impact of lifestyle modification but no in-person lifestyle intervention for their T2DM (this should be considered ‘usual care’ for the purposes of this assignment). Both groups were followed up for 2 years post-randomisation. A data dictionary is attached to help you understand the spreadsheet.

In the light of this new data we would like you to discuss whether the aforementioned lifestyle intervention represents a cost-effective use of health care resources and justify your answer. The commentary (of no more than 4,000 words) should explain the analysis undertaken and its relevance to practice and policy.

A successful essay will be clearly written and will: define the question addressed in the study, be written in accordance appropriate checklists e.g. Drummond et al. 2015 / Husereau et al. 2022 review existing work, showing ability to find such studies, justify the form of evaluation chosen, outline and justify any assumptions that are taken within the analysis, report findings in line with guidelines for economic evaluation, reflect on the validity of the results for the purpose intended and their generalisability, discuss the implications of the findings

The report should be written in the style of a paper to e.g. be submitted to the International Journal of Health Technology Assessment (Manuscript type: Assessment). Supplementary material should be included to show your workings for an individual patient from each arm of the study (please list the ID).

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