Association of Intensive Lifestyle Intervention for Type 2 Diabetes With Labor Market Outcomes

JAMA Intern MedPublished Cohort study

Main finding · EmploymentResult — go to the resultRelative change 2.9 percentage points 95% CI 0.3–5.5

Authors' conclusion

The findings of this cohort study suggest that an ILI to prevent the progression and complications of type 2 diabetes was associated with higher levels of employment. Labor market productivity should be considered when evaluating interventions to manage chronic diseases.

Study context

Population
Participants with T2D and overweight or obesity in the original trial (2001–2012), linked with Social Security Administration records; 59.4% women, mean (SD) age 58.4 (6.5) yearslinked of 5145 randomized
Participants
3,091 participants
Exposure
Intensive lifestyle intervention (ILI) vs diabetes support and education
Outcome
Employment and receipt of federal disability benefits (Supplemental Security Income and Social Security Disability Insurance), earnings, and disability benefit payments
Follow-up
1994 through 2018
Methodological detailslinked trial and Social Security Administration data, difference-in-differences models, Outcome data analyzed from July 13, 2020, to May 17, 2023
  • Linked trial and Social Security Administration data
  • Difference-in-differences models
  • Outcome data analyzed from July 13, 2020, to May 17, 2023

Main finding

Employment

Relative change

2.9 percentage points

95% CI 0.3–5.5

P = 0.03

ILIvs Control
relative change 2.9 percentage points (95% CI 0.3–5.5); P = 0.03

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeRelative change (percentage points) (95% CI)P value
Disability benefit receiptNo significant relative change−0.9 (−2.1 to 0.3)P = 0.13

Original publication

Association of Intensive Lifestyle Intervention for Type 2 Diabetes With Labor Market Outcomes. JAMA Intern Med. Published 1 October 2023. doi:10.1001/jamainternmed.2023.3283

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