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29 million adults in the United States
have diabetes type 2 diabetes is the
most common kind the cost of treating
this condition and its consequences can
be quite high thankfully diabetes
prevention lifestyle change programs
recognized by CDC through the National
diabetes prevention program for national
DPP helped reduce the risk of type 2
diabetes among people who have
pre-diabetes or are at an increased risk
for developing the disease many
employers insurers and state health
plans offer these programs as a covered
benefit how do you know if offering
these programs will benefit your
employees or covered lives and how can
you predict if such programs will be a
cost-effective option for your
organization CDC's diabetes prevention
impact toolkit can help this online
interactive toolkit projects the health
benefits and economic costs of providing
national DPP lifestyle change programs
to a state employers or insurers
population click on an icon or a tab at
the top of the page to select your
module each module has an input
dashboard where you will enter data and
a results dashboard where you'll see the
projections of health benefits and
economic costs associated with offering
a national DPP lifestyle change program
for your population a health page has
several documents to help you navigate
the tool and understand the results
generated throughout the impact toolkit
you'll find two tips hover over these
little eyes to find helpful explanations
and definitions for this tutorial we'll
pretend you're an employer most steps
will be the same no matter which module
you choose but will note any differences
as we go
on the employer input dashboard you'll
see two data inputs population
characteristics and risk group to
participate in the program for both the
employer and insurer modules these are
the two minimum inputs required for the
state module you'll select your state
and a risk group to participate for the
employer and insurer modules enter the
number of employees covered for age sex
race or ethnicity and body weight for
your population use the default values
shown which are based on national survey
data or change some or all of the values
you can also select population
characteristics based on national state
industry or occupation averages will
select assume industry average for
population characteristics
notice that the breakdowns disappear
when you do that and an additional field
appears for some assumptions you will
need to make one more selection here
we'll select construction for industry
type from the pulldown menu next select
a risk group to participate in the
program use the tool tips to learn more
about each group for this example we'll
select persons with pre-diabetes at the
bottom of this section you can leave the
annual probability of diabetes as the
default value unless you happen to have
this information for your population now
you have a choice to make
you can get quick baseline results by
clicking on the green get results button
the impact toolkit will calculate
results based on the two inputs we've
discussed so far default values for your
population and cost and program
effectiveness estimates obtained from
the literature or for customized results
using data that more closely reflect
your own population and tasks program
experience click the blue customize
further button to reveal more inputs
enter as many data points as you have
available for this example we'll enter
data for program costs and productivity
costs productivity costs are only found
in the employer module before you
customize data inputs it may be helpful
to work through the data input checklist
for your module to gather information
consult other members of your
organization as needed you will find the
checklist on the help page when you've
entered your data click get results the
toolkit will take you to the results
dashboard in all modules this dashboard
displays eight results you'll also see a
selected inputs panel on the left it
summarizes the values you entered or
default values if you did not enter
custom data for select inputs click on
the plus sign for a data element to see
details click the minus sign to close
the details
many of the data are based on the number
of projected program participants the
first result on the dashboard the figure
titles note whether data are presented
for projected participants as a group or
for a single participant remember if
you're not sure what a result means use
the tooltip to get more information for
each figure hover over a point or bar to
reveal the exact data click on show data
table to reveal a table containing all
data used in the figure and in some
cases additional related data and
footnotes close the data tables by
clicking hide data table if you find
that some of the results are not helpful
you can remove them from the results
dashboard simply click the light grey X
in the top right corner of the figure if
you change your mind about deleting
figures click the restore results button
at the top-right of the dashboard you
may save your results as an Excel
spreadsheet or PDF these files contain
both the results and the inputs used to
generate those results it's important to
note that the impact tool kit cannot
save results once you close the site or
modify your inputs let's say you want to
change some of your inputs to see how
results would change maybe you want to
see the effect of a lower program cost
on the net costs per participant you can
change this input in the selected inputs
panel enter your new program cost and
click the modify button at the bottom of
the panel then look at the net costs
figure to see how it changed the
selected inputs panel contains the data
elements for which users are most likely
to have customized data it does not
contain every data input available
to see all inputs go back to the input
dashboard click the link in the
Selective inputs panel or click the
modify inputs button on the top right of
the results dashboard once you're back
on the input dashboard click the
customize further button to change
inputs you can modify some or all of the
inputs perhaps you want to see the
impact of setting a maximum budget of
$20,000 and you want to change the risk
group from persons with pre-diabetes to
persons with high-risk pre-diabetes
after you enter your new inputs click
get results and see how your results
change comparing results from one
scenario to another can be hard if
you're looking at more than one or two
figures to do a thorough comparison of
results there are two options save and
download the results from the first
scenario then make changes to your input
data and download the new results and
review the spreadsheet or PDF files
side-by-side or compare scenarios
side-by-side on the screen using two
browser windows for this option copy the
toolkit URL open a second browser window
not a tab and paste the URL to launch
the impact toolkit there change inputs
as desired either in the selected inputs
panel or input dashboard and get new
results in the second window resize both
windows to see the two results
dashboards side by side you may notice
the dashboard formatting changes when
you resize the windows now compare the
various results you can also download
the results from both windows to save
these data to share results with others
you can simply email the excel or PDF
files or walk through the tool during an
in-person meeting
additional tools for sharing the impact
toolkit and its results are being added
to the help page take a look and see
what's new
we hope this toolkit will help you make
an informed decision about offering a
national DPP lifestyle change program -
you're covered population