Ritzwoller Debra P, Sukhanova Anna, Gaglio Bridget, Glasgow Russell E
Institute for Health Research, Kaiser Permanente Colorado, P.O. Box 378066, Denver, CO 80237-8066, USA.
Ann Behav Med. 2009 Apr;37(2):218-27. doi: 10.1007/s12160-009-9088-5. Epub 2009 Mar 17.
BACKGROUND/PURPOSE: Cost and cost effectiveness of behavioral interventions are critical parts of dissemination and implementation into non-academic settings. Due to the lack of indicative data and policy makers' increasing demands for both program effectiveness and efficiency, cost analyses can serve as valuable tools in the evaluation process.
To stimulate and promote broader use of practical techniques that can be used to efficiently estimate the implementation costs of behavioral interventions, we propose a set of analytic steps that can be employed across a broad range of interventions.
RESULTS/CONCLUSIONS: Intervention costs must be distinguished from research, development, and recruitment costs. The inclusion of sensitivity analyses is recommended to understand the implications of implementation of the intervention into different settings using different intervention resources. To illustrate these procedures, we use data from a smoking reduction practical clinical trial to describe the techniques and methods used to estimate and evaluate the costs associated with the intervention. Estimated intervention costs per participant were $419, with a range of $276 to $703, depending on the number of participants.
背景/目的：行为干预措施的成本及成本效益是其在非学术环境中推广和实施的关键部分。由于缺乏指示性数据，且政策制定者对项目有效性和效率的要求不断提高，成本分析可作为评估过程中的重要工具。
为鼓励和促进更广泛地使用可用于有效估算行为干预措施实施成本的实用技术，我们提出了一套可应用于广泛干预措施的分析步骤。
结果/结论：干预成本必须与研究、开发和招募成本区分开来。建议纳入敏感性分析，以了解使用不同干预资源在不同环境中实施干预措施的影响。为说明这些程序，我们使用一项减少吸烟实用临床试验的数据来描述用于估算和评估与干预措施相关成本的技术和方法。根据参与者数量，每位参与者的干预成本估计为419美元，范围在276美元至703美元之间。
