Cost analysis of mobile technology and supervised exercise training in type 2 diabetes mellitus tip 2 diabetes mellitus'ta mobil teknoloji ve denetimli egzersiz eğitiminin maliyet analizi

Purpose: Our research is another study examining the cost analysis of a randomized controlled trial. This research aimed to evaluate, for people with type-2 diabetes mellitus (T2DM), the cost incurred to deploy smartphone apps and smartwatches for 12 weeks in a clinical trial. Methods: The cost-effectiveness and cost-utility analysis based on a randomized, controlled trial with three parallel groups with T2DM were performed in this study. Group-specific exercises were applied for 12 weeks to different groups with Type-2 diabetes, which consisted of supervised exercise, smartphone application and smartwatch groups. At the end of the study, the payments made by the Social Security Institution were determined and the cost-effectiveness was calculated by a societal perspective. Results: The Quality Adjusted Life Years (QALYs) per Turkish Liras (TL) were calculated for the three groups and they were: 14.863 TL ($1777) per QALY in the supervised exercise group; 6056 TL ($724) in the smartphone apps group, and 7379 TL ($882) in the smartwatch group. In the comparison of the groups, the smartphone apps group was determined to be the exercise treatment option with the highest cost efficiency. Conclusion: In the cost analysis in the present study, the changes in QALY values were calculated as 0.11 in the supervised exercise group, 0.12 in the smartphone apps group, and 0.11 in the smartwatch group. For the cost-effectiveness between groups, the smartphone apps group was highly cost-effectiveness followed by smartwatch group, while the supervised exercise treatment option was the least.