Evidence map›Paper›PMID 28202032›Full record

Trial reportBMC health services research2017

Cost-effectiveness analysis for a tele-based health coaching program for chronic disease in primary care.

Erja Oksman, Miika Linna, Iiris Hörhammer, Johanna Lammintakanen, Martti Talja

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00552903 (Randomised Trial of Health Coaching in Secondary Prevention of Diabetes and Heart Disease), which is not on this map. Cited by 43 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 10 pooled it
4.3field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00552903 phase3unknown statusnot on this map

Randomised Trial of Health Coaching in Secondary Prevention of Diabetes and Heart Disease

TypeinterventionalSponsorPaijat-Hame Hospital DistrictRan2007 to 2010Enrolled1,500ConditionsDiabetes Mellitus, Type 2, Heart Failure, Coronary DiseaseArmsHealth coaching
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 10 syntheses or guidelines pooled it, 80 citations in OpenAlex.

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  10. Disease management interventions for heart failure.The Cochrane database of systematic reviews · 2019
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  19. Cost-Effectiveness of a Lifestyle and Behavioral Care Model Targeting Cardiometabolic Disease Progression.International journal of environmental research and public health · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Erja OksmanPäijät-Häme Social and Health Care District, Keskussairaalankatu 7, 15 850, Lahti, Finland. erja.oksman@phsotey.fi.ORCID 0000-0001-5304-9121
Miika LinnaHealthcare Engineering, Management and Architecture Institute, Aalto University, Espoo, Finland.
Iiris HörhammerHealthcare Engineering, Management and Architecture Institute, Aalto University, Espoo, Finland.
Johanna LammintakanenDepartment of Social and Health Management, University of Eastern Finland, Joensuu, Finland.
Martti TaljaPäijät-Häme Social and Health Care District, Keskussairaalankatu 7, 15 850, Lahti, Finland.
Aalto University · FIPäijät-Hämeen Keskussairaala · FIUniversity of Eastern Finland · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe burden of chronic disease and multimorbidity is rapidly increasing. Self-management support interventions are effective in reduce cost, especially when targeted at a single disease group; however, economical evidence of such complex interventions remains scarce. The objective of this study was to evaluate a cost-effectiveness analysis of a tele-based health-coaching intervention among patients with type 2 diabetes (T2D), coronary artery disease (CAD) and congestive heart failure (CHF).

methodsA total of 1570 patients were blindly randomized to intervention (n = 970) and control (n = 470) groups. The intervention group received monthly individual health coaching by telephone from a specially trained nurse for 12-months in addition to routine social and healthcare. Patients in the control group received routine social and health care. Quality of life was assessed at the beginning of the intervention and follow-up measurements were made after 12 months health coaching. The cost included all direct health-care costs supplemented with home care and nursing home-care costs in social care. Utility was based on a Health Related Quality of Life (HRQoL) measurement (15D instrument), and cost effectiveness was assessed using incremental cost-effectiveness ratios (ICERs).

resultsThe cost-effectiveness of health coaching was highest in the T2D group (ICER €20,000 per Quality-Adjusted Life Years [QALY]). The ICER for the CAD group was more modest (€40,278 per QALY), and in the CHF group, costs increased with no marked effect on QoL. Probabilistic sensitivity analysis indicated that at the societal willingness to pay threshold of €50,000 per QALY, the probability of health coaching being cost effective was 55% in the whole study group.

conclusionsThe cost effectiveness of health coaching may vary substantially across patient groups, and thus interventions should be targeted at selected subgroups of chronically ill. Based on the results of this study, health coaching improved the QoL of T2D and CAD patients with moderate costs. However, the results are grounded on a short follow-up period, and more evidence is needed to evaluate the long-term outcomes of health-coaching programs.

trial registrationNCT00552903 [Prospectively registered, registration date 1

Indexed as

AgedChronic DiseaseCoronary Artery DiseaseCost-Benefit AnalysisDiabetes Mellitus, Type 2FemaleHealth Care CostsHealth PromotionHeart FailureHome Care ServicesHumansMaleMentoringPrimary Health CareQuality-Adjusted Life YearsQuality of Life15DChronic diseaseCost-effectivenessHealth coachingHealth-related quality of lifeSelf-management

Identifiers

PMID28202032
PMCPMC5312514
OpenAlexW2588912122

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.