Stumbo Scott P, Yarborough Bobbi Jo H, Yarborough Micah T, Janoff Shannon L, Stevens Victor J, Lewinsohn Mark, Green Carla A
Center for Health Research, Kaiser Permanente Northwest, 3800 N. Interstate Avenue, Portland, OR 97227 USA.
LifeWorks Northwest, Portland, OR USA.
Transl Behav Med. 2015 Sep;5(3):269-76. doi: 10.1007/s13142-015-0322-3.
Little research has examined costs of adopting a successful lifestyle intervention for people with serious mental illnesses in community clinics. The study aims to calculate the real-world costs of implementing a group-based weight-loss and lifestyle intervention in community settings. We used empirically derived costs to estimate implementation costs and conducted sensitivity analyses to estimate costs: (1) when implementing the intervention in high/low resource-intensive environments and (2) assuming variability in participant enrollment. To implement the STRIDE program for 15 individuals with serious mental illnesses, we estimated costs for the 12-month (30-session) intervention, with materials available in the public domain, at $16,427 or $1095 per participant. The majority of costs, $12,767, were associated with direct labor costs. Replication costs are largely associated with labor. Community health centers offer an untapped resource for implementing behavioral-lifestyle interventions, particularly under the Affordable Care Act, though additional payment reforms or incentives may be needed.
很少有研究考察在社区诊所为患有严重精神疾病的人采用成功的生活方式干预措施的成本。该研究旨在计算在社区环境中实施基于小组的减肥和生活方式干预措施的实际成本。我们使用经验得出的成本来估计实施成本，并进行敏感性分析以估计成本：（1）在高/低资源密集型环境中实施干预措施时；（2）假设参与者招募存在差异。为15名患有严重精神疾病的人实施STRIDE项目，我们估计了为期12个月（30节课程）的干预措施的成本，使用公共领域可用的材料，成本为16427美元，即每位参与者1095美元。大部分成本（12767美元）与直接劳动力成本相关。复制成本在很大程度上与劳动力有关。社区卫生中心为实施行为生活方式干预措施提供了未开发的资源，特别是在《平价医疗法案》下，不过可能需要额外的支付改革或激励措施。
