A Prospective Programmatic Cost Analysis of Fuel Your Life

An accounting of the resources necessary for implementation of efficacious programs is important for economic evaluations and dissemination.A programmatic costs analysis was conducted prospectively in conjunction with an efficacy trial of Fuel Your Life (FYL), a worksite translation of the Diabetes Prevention Program. FYL was implemented through three different modalities, Group, Phone, and Self-study, using a micro-costing approach from both the employer and societal perspectives.The Phone modality was the most costly at $354.6 per participant, compared with $154.6 and $75.5 for the Group and Self-study modalities, respectively. With the inclusion of participant-related costs, the Phone modality was still more expensive than the Group modality but with a smaller incremental difference ($461.4 vs $368.1).This level of cost-related detail for a preventive intervention is rare, and our analysis can aid in the transparency of future economic evaluations.