Home based education among clients with Diabetes Mellitus (DM) by Diabetes educator has been cost effective although some educational intervention have strong evidence on cost saving. This study aimed to assess the cost effectiveness of home based education programme on Diabetic treatment among clients with Diabetes Mellitus. Single blindered community based randomized controlled trial with experimental design was used in this study. Diabetic subjects who had been undergoing treatment for 3 months in Marai Malai Nagar and 9 villages at Mamandoor were selected by computer generated random sampling technique. 200 Participants for the study group, 200 in control group. After doing the pre test, the study group subjects were engaged in video education program weekly once, 4 sessions and nutritional counseling every 15 days 30 minutes for 3 months. Also stretching exercise was demonstrated for 30 minutes for 5 days in a week and the participants were made to continue for 3 months. Brisk walking was promoted daily for 20 -30 minutes. The overall post interventional result showed from the baseline compared to control group, there was an absolute mean change in direct medical cost (from Rs 2837.05 to 1674.65), cost of investigation (from Rs 319.50 to Rs 261.11), non medical cost (from Rs 369.87 to Rs 110.79), indirect cost Rs. 412.60 to Rs 303.50) with the cost effectiveness of home based education program, and there was significant association found between the cost effectiveness and age, monthly income and housing of the diabetic subjects. Home based education is cost effective and it reduced hospitalization and complications. Health professionals can contribute to tackle the current epidemic of diabetes mellitus, and hence forth the burden of diabetic treatment cost can be reduced.
Keywords: Diabetes mellitus, Cost effectiveness, Home based education, Video education programme, Nutritional counseling, Stretching exercise