HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Online-Only Appendix Purchase Article View Shopping Cart Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Johnson, F. R. Articles by Zhang, P. Search for Related Content PubMed PubMed Citation Articles by Johnson, F. R. Articles by Zhang, P. Social Bookmarking                What's this?

High-Risk Individuals’ Willingness to Pay for Diabetes Risk-Reduction Programs

¹ RTI International, Research Triangle Park, North Carolina
² GlaxoSmithKline, Durham, North Carolina
³ the Centers for Disease Control and Prevention, Atlanta, Georgia

Address correspondence and reprint requests to Thomas J. Hoerger, RTI-UNC Center for Excellence in Health Promotion Economics, RTI International, 3040 Cornwallis Rd., P.O. Box 12194, Research Triangle Park, NC 27709. E-mail: tjh{at}rti.org

OBJECTIVE—The purpose of this study was to estimate how much at-risk individuals are willing to pay for type 2 diabetes primary prevention programs.

RESEARCH DESIGN AND METHODS—An Internet-based, choice-format conjoint survey was presented to individuals at elevated risk for type 2 diabetes. Hypothetical diabetes risk-reduction programs included seven features: diet, exercise, counseling, medication, weight loss goal, risk reduction, and program costs. The sample included 582 individuals aged 45 years, two-thirds of whom were obese. Conditional logit models were used to calculate participants’ willingness to pay for risk reduction programs. Each respondent’s self-assessed risk of developing diabetes was compared with an objective measure based on a diabetes screening tool.

RESULTS—Many respondents underestimated their personal risk of developing diabetes. Those with a low perceived risk were less likely to indicate that they would participate in a diabetes prevention program. Individuals had the strongest preference for programs with large weight loss goals, fewer restrictions on diet, and larger reductions in the risk of diabetes. Respondents were willing to pay $1,500 over 3 years to participate in a lifestyle intervention program similar to the Diabetes Prevention Program. Individuals with a high perceived risk were willing to pay more than individuals with lower perceived risk.

CONCLUSIONS—Many individuals will be willing to participate in interventions to delay or prevent diabetes if the interventions are subsidized, but most will be unwilling to pay the full program cost. Our results also offer insights for designing risk-reduction programs that appeal to potential participants.

Abbreviations: ADA, American Diabetes Association • DPP, Diabetes Prevention Program • WTP, willingness to pay

CiteULike    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				P. J. Neumann, P. D. Jacobson, and J. A. Palmer Measuring the Value of Public Health Systems: The Disconnect Between Health Economists and Public Health Practitioners Am J Public Health, December 1, 2008; 98(12): 2173 - 2180. [Abstract] [Full Text] [PDF]

				S. Capewell Will screening individuals at high risk of cardiovascular events deliver large benefits? No BMJ, August 28, 2008; 337(aug28_2): a1395 - a1395. [Full Text]

				D. G. Marrero and R. T. Ackermann Providing Long-Term Support for Lifestyle Changes: A Key to Success in Diabetes Prevention Diabetes Spectr, October 1, 2007; 20(4): 205 - 209. [Abstract] [Full Text] [PDF]

				S. Teutsch Preventing Diabetes: The time is now. Diabetes Care, June 1, 2006; 29(6): 1447 - 1448. [Full Text] [PDF]