Project Details

This project has four aims: Aim 1: Strengthen self-care practices by improving access, appropriateness, and feasibility of diabetes self- management education and support (DSMES) services for priority populations. Aim 2: Prevent diabetes complications for priority populations through early detection (retinopathy & nephropathy screening). Aim 3: Increase enrollment and retention of AAs in the DPP intervention by improving access, appropriateness, and feasibility of the program. Aim 4: Support the development of multi-directional e-referral systems that support electronic exchange of information between health care, CBOs, and DPP/DSME providers. As part of Aim 3, the researchers in collaboration with Diana Bowser, estimated start-up, protocol, and implementation costs of the DPP intervention, using Activity-Based Costing methodology. The DPP protocol was developed by defining all program components, activities, personnel involved and time associated with all activities. Start-up costs were estimated utilizing data on standard start-up activities from two sites prior to launching the DPP. Implementation data has been collected from two sites during DPP implementation.

Methodology

This project uses implementation science methodology to guide the overall project, as well as activity-based costing methodology to estimate and collect cost-related data, including start-up and implementation costs.

Key Findings

• Key implementation outcomes are collected in an on-going manner.
• Results show that start-up costs totaled $75,735, with a cost per planned participant of $1,216, assuming 15 participants.
• Implementation costs, based on the developed DPP protocol are $20,738, or $1,382 per participant ($115/month), assuming 15 participants.
• Observed implementation costs, using data collected during the project are estimated at $12,263 or $817 per participant ($68/month), assuming 15 participants.