ECONOMIC ANALYSIS OF THE FAST TRACK INTERVENTION

快速通道干预的经济分析

• 批准号: 6903455
• 负责人: Edward Michael Foster
• 金额: $ 56.34万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-15 至 2008-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6903455
• 关键词: academic achievement; adolescence (12-20); age at pregnancy; behavior prediction; behavioral /social science research tag; child rearing; conduct disorder; cost effectiveness; health care service utilization; health economics; human subject; juvenile delinquency; longitudinal human study; low socioeconomic status; mathematical model; mental disorder prevention; mental health services; model design /development; patient oriented research; quality of life; remedial /special education; sexually transmitted diseases; social service; substance abuse related disorder

DESCRIPTION (provided by applicant): In response to the relative dearth of economic analyses of prevention programs, the proposed project will provide a cost-of-illness or social cost study of the Fast Track (FT) intervention. FT is an ongoing multi-site randomized trial designed to prevent the onset of serious conduct disorder and its concomitants in adolescence. The potential benefits include reductions in substance abuse and other behaviors that are costly to the participants, their families and society. The intervention is the focus of an ongoing evaluation being conducted at four sites-Nashville, Tennessee; rural Pennsylvania; Seattle, Washington; and Durham, North Carolina. The evaluation focuses on the experiences of 891 high-risk children living in high-poverty areas. These children were randomly assigned to intervention or control groups and are being followed over time. The ongoing ten-year evaluation involves information collected from the child?s teacher, parents, tutors, mentors, peers, and the child him- or herself. Evidence to date suggests that Fast Track produces real benefits for its participants. After the first seven years, the intervention promotes academic and social-cognitive skills and reduces conduct problem behaviors and special education placements. The proposed project will last five years. because the participants in FT are currently completing grades 8, 9, or 10, the next five years are the optimal time to conduct an economic analysis. The proposed project has four specific aims: (1) identify the impact of Fast Track on the costs of illness for the high-risk children participating in the study that have occurred or will occur through the first 14 years of the study; (2) calculate cost-effectiveness ratios for key outcomes, including measures of mental health status, delinquency, teenage pregnancy, drug and alcohol use, and sexually transmitted diseases as well as a measure of quality of life and of the impact on care givers? well-being; (3) project the future costs of illness for study participants (when the participants are age 20 or older); (4) identify subgroups of participants for whom the benefits of the intervention are especially large or small. The requested funds would be used to support the following activities: (1) analyses of the relevant outcomes from the evaluation data (such as drug use and use of mental health services); (2) continued reviews of agency and provider records; (3) collection and analysis of budgetary information (e.g., from school districts) required to estimate the dollar costs of the services involved (e.g., special education); (4) collection and processing of administrative data (e.g., on welfare receipt); (5) development and estimation of statistical models used to predict future social costs.

描述（由申请人提供）：针对相对缺乏 预防计划的经济分析，拟议项目将提供 快速通道 (FT) 干预的疾病成本或社会成本研究。 FT 是 一项正在进行的多中心随机试验，旨在预防严重疾病的发生 青春期的品行障碍及其伴随症状。潜在的好处 包括减少药物滥用和其他代价高昂的行为 参与者、他们的家庭和社会。干预的重点是 正在田纳西州纳什维尔的四个地点进行持续评估；乡村的 宾夕法尼亚州；华盛顿州西雅图；和北卡罗来纳州达勒姆。评价 关注891名生活在高度贫困中的高危儿童的经历 地区。这些孩子被随机分配到干预组或对照组 并随着时间的推移而受到关注。正在进行的十年评估涉及 从孩子的老师、家长、辅导员、导师收集的信息， 同伴和孩子本人。迄今为止的证据表明，快速通道 为其参与者带来真正的利益。在最初的七年之后， 干预可促进学术和社会认知技能并减少行为 问题行为和特殊教育安置。 拟议的项目将持续五年。因为 FT 的参与者是 目前已完成 8、9 或 10 年级，未来五年是最佳选择 是时候进行经济分析了。拟议项目有四个具体内容 目标：(1) 确定快速通道对疾病成本的影响 参与研究的已发生或将要发生的高危儿童 通过前 14 年的学习； (2)计算成本效益 主要结果的比率，包括心理健康状况的衡量标准， 犯罪、少女怀孕、吸毒和酗酒以及性传播 疾病以及生活质量和护理影响的衡量标准 给予者？福利; (3) 预测未来因疾病而导致的学习费用 参与者（当参与者年满 20 岁或以上时）； (4) 识别 干预措施的益处所在的参与者亚组 特别大或特别小。所请求的资金将用于支持 以下活动： (1) 评估相关结果分析 数据（例如药物使用和心理健康服务的使用）； (2) 续 审查机构和提供商的记录； (3) 收集与分析 估算所需的预算信息（例如，来自学区的信息） 所涉及服务的美元成本（例如特殊教育）； (4) 采集 行政数据的处理（例如福利收据）； (5) 开发和估计用于预测未来社会的统计模型 成本。