Centre for Applied Health Economics, Griffith University, Nathan, QLD 4111, Australia.
School of Psychology, University of Newcastle, Callaghan, NSW 2308, Australia.
Int J Environ Res Public Health. 2021 May 12;18(10):5097. doi: 10.3390/ijerph18105097.
BackTrack is a multi-component, community-based intervention designed to build capacity amongst 14-17-year-old high risk young people. The aim of the current study seeks to explore community value and preferences for reducing youth crime and improving community safety using BackTrack in a rural setting in Armidale, New South Wales, Australia. The study design used discrete choice experiments (DCEs), designed in accordance with the 10-item checklist outlined by the International Society for Pharmacoeconomics and Outcomes Research. The DCE was pilot tested on 43 participants to test feasibility and comprehension. A revised version of the survey was subsequently completed by 282 people over a 12-day period between 30 May 2016 and 10 June 2016, representing a survey response rate of 35%. Ninety per cent of respondents were residents of Armidale, the local rural town where BackTrack was implemented. The DCE generated results that consistently demonstrated a preference for social programs to address youth crime and community safety in the Armidale area. Respondents chose BackTrack over Greater Police Presence 75% of the time with an annual benefit of Australian dollars (AUD) 150 per household, equivalent to a community benefit of AUD 2.04 million. This study estimates a strong community preference for BackTrack relative to more policing (a community willing to pay equivalent to AUD 2.04 million) highlighting the clear value of including community preferences when evaluating community-based programs for high-risk young people.
BackTrack 是一个多组成部分、基于社区的干预措施，旨在为 14-17 岁的高风险青少年培养能力。本研究旨在探索在澳大利亚新南威尔士州阿米代尔的农村地区使用 BackTrack 减少青少年犯罪和提高社区安全性的社区价值和偏好。该研究设计使用离散选择实验（DCEs），根据国际药物经济学和结果研究学会概述的 10 项清单进行设计。DCE 在 43 名参与者中进行了试点测试，以测试可行性和理解性。随后，在 2016 年 5 月 30 日至 6 月 10 日的 12 天内，282 人完成了经修订的调查，调查回复率为 35%。90%的受访者是阿米代尔的居民，这是实施 BackTrack 的当地农村城镇。DCE 的结果始终表明，人们更倾向于通过社会项目来解决阿米代尔地区的青少年犯罪和社区安全问题。受访者 75%的时间选择 BackTrack 而不是增加警力，每年每户家庭的收益为 150 澳元（AUD），相当于社区收益为 204 万澳元。这项研究估计，社区对 BackTrack 的偏好明显强于更多的警力（社区愿意支付相当于 204 万澳元的费用），这突显了在评估针对高风险青少年的基于社区的项目时纳入社区偏好的重要性。
