MT11 Are Mhealth Interventions to Prevent Diabetes Cost-Effective? a Systematic Review

To synthesize evidence on the cost effectiveness of mHealth interventions designed to prevent diabetes. We conducted a systematic review economic evaluation studies evaluating used development Studies meeting search criteria and published between January 2000 December 2020 underwent blinded by two researchers using pre-specified criteria. were analyzed for key component including study setting population, decision model, interventions, outcomes, results. categorized strength as strong, supportive, or uncertain. One hundred sixty met initial Of these, four qualified inclusion. All after 2015. The types assessed included digital behavioral counseling program, online diabetes prevention SMS messaging. Two had non-United States settings. most common perspective was healthcare system (3 studies). found strong cost-effectiveness program A programs showed supportive such intervention. different an at willingness pay threshold $20,000. resulted in poor assessment intervention because health effects arm negative relative comparator with no significant effect prevalence intermediate hyperglycemia type 2 Our results suggest there is limited demonstrating value people prediabetes. growing popularity across chronic conditions prediabetes should warrant additional evaluations facilitate stakeholders' their prior widespread adoption.