Type 2 diabetes patients’ preferences and willingness to pay for lifestyle programs: a discrete choice experiment

BMC Public Health

Research Article

Jeroen N Struijs¹  Paul F van Gils¹  Mattijs S Lambooij¹  Jorien Veldwijk²  G Ardine de Wit²  Henriëtte A Smit³ 

[1] National Institute for Public Health and the Environment (RIVM), Center for Nutrition, Prevention and Health Services, PO Box 1 (101), 3720, Bilthoven, BA, The Netherlands;National Institute for Public Health and the Environment (RIVM), Center for Nutrition, Prevention and Health Services, PO Box 1 (101), 3720, Bilthoven, BA, The Netherlands;University Medical Center Utrecht, Julius Center for Health Sciences and Primary Care, Utrecht, The Netherlands;University Medical Center Utrecht, Julius Center for Health Sciences and Primary Care, Utrecht, The Netherlands;

关键词: Discrete choice experiment;    Preferences;    Diabetes mellitus type 2;    Lifestyle program;    Participation rate;    Willingness to participate;    Willingness to pay;   

DOI  :  10.1186/1471-2458-13-1099

 received in 2013-06-03, accepted in 2013-11-19,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundParticipation rates of lifestyle programs among type 2 diabetes mellitus (T2DM) patients are less than optimal around the globe. Whereas research shows notable delays in the development of the disease among lifestyle program participants. Very little is known about the relative importance of barriers for participation as well as the willingness of T2DM patients to pay for participation in such programs. The aim of this study was to identify the preferences of T2DM patients with regard to lifestyle programs and to calculate participants’ willingness to pay (WTP) as well as to estimate the potential participation rates of lifestyle programs.MethodsA Discrete Choice Experiment (DCE) questionnaire assessing five different lifestyle program attributes was distributed among 1250 Dutch adults aged 35–65 years with T2DM, 391 questionnaires (31%) were returned and included in the analysis. The relative importance of the program attributes (i.e., meal plan, physical activity (PA) schedule, consultation structure, expected program outcome and out-of-pocket costs) was determined using panel-mixed logit models. Based on the retrieved attribute estimates, patients’ WTP and potential participation rates were determined.ResultsThe out-of-pocket costs (β = −0.75, P < .001), consultation structure (β = −0.46, P < .001) and expected outcome (β = 0.72, P < .001) were the most important factors for respondents when deciding whether to participate in a lifestyle program. Respondents were willing to pay €128 per year for individual instead of group consultation and €97 per year for 10 kilograms anticipated weight loss. Potential participation rates for different lifestyle-program scenarios ranged between 48.5% and 62.4%.ConclusionsWhen deciding whether to participate in a lifestyle program, T2DM patients are mostly driven by low levels of out-of-pocket costs. Thereafter, they prefer individual consultation and high levels of anticipated outcomes with respect to weight loss.

【 授权许可】

CC BY   
© Veldwijk et al.; licensee BioMed Central Ltd. 2013