ECONOMIC ANALYSIS OF THE FAST TRACK INTERVENTION

快速通道干预的经济分析

• 批准号: 7127244
• 负责人: Edward Michael Foster
• 金额: $ 50.49万
• 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 2009-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7127244
• 关键词: Academic achievement; Adolescence; Adolescent; Affect; Age; Alcohol consumption; Alcohol or Other Drugs use; Appendix; Arts; Behavior; Birth; Caregivers; Characteristics; Child; Cognitive; Collection; Conduct Disorder; Consultations; Control Groups; Cost of Illness; Costs and Benefits; Crime; Data; Demographic Transitions; Development; Diamond; Dimensions; Drug usage; Economics; Education; Effectiveness of Interventions; Emotional; Equation; Evaluation; Expenditure; Family; Family Characteristics; Fast Track intervention; Fostering; Foundations; Fruit; Functional disorder; Funding; Future; Happiness; Health; Health Status; Home environment; Hospitalization; Individual; Intervention; Left; Life; Link; Manuscripts; Measures; Medicaid; Mental Health; Mental Health Services; Mentors; Monitor; Morbidity - disease rate; National Institute of Mental Health; North Carolina; Outcome; Parenting behavior; Parents; Participant; Pennsylvania; Personal Satisfaction; Pharmaceutical Preparations; Placement; Poverty Areas; Pregnancy in Adolescence; Prevention; Prevention program; Problem behavior; Process; Provider; Psyche structure; Quality of life; Randomized; Randomized Controlled Clinical Trials; Rate; Records; Relative (related person); Reporting; Research; Research Personnel; Risk; Rural; Savings; Schedule; Schools; Services; Severities; Sexually Transmitted Diseases; Siblings; Site; Social Welfare; Societies; Solutions; Special Education; Statistical Models; Subgroup; Substance Abuse, Other; Substance abuse problem; Sum; Surveys; Tennessee; Time; United States Substance Abuse and Mental Health Services Administration; Variant; Washington; Well in self; Work; base; behavior change; child bearing; child well being; cost; cost effectiveness; court; design; deviant; discount; experience; high school; improved; indexing; novel; parental involvement; peer; pregnancy prevention; prevent; programs; response; service utilization; skills; social; teacher

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）：响应于相对缺乏的 预防计划的经济分析，拟议的项目将提供 快速道路（FT）干预的成本成本或社会成本研究。 ft是 正在进行的多站点随机试验，旨在防止严重的发作 在青春期进行障碍及其伴随。潜在的好处 包括减少药物滥用和其他昂贵的行为 参与者，他们的家人和社会。干预是 在田纳西州纳什维尔的四个地点进行了持续的评估；乡村的 宾夕法尼亚州；华盛顿西雅图；和北卡罗来纳州达勒姆（Durham）。评估 专注于891名高风险儿童的经历 区域。这些孩子被随机分配到干预或对照组 并随着时间的流逝而被遵循。持续的十年评估涉及 从孩子的老师，父母，教师，导师， 同龄人和孩子 - 或她自己。迄今为止的证据表明快速轨道 为参与者带来真正的好处。在头七年之后， 干预促进学术和社会认知技能并降低行为 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 目前完成8、9或10年级，接下来的五年是最佳 是时候进行经济分析了。拟议的项目有四个特定的 目的：（1）确定快速轨道对疾病成本的影响 参加研究的高风险儿童 在研究的前14年； （2）计算成本效益 关键结果的比率，包括心理健康状况的度量， 犯罪，少年怀孕，毒品和酒精使用以及性传播 疾病以及对生活质量的度量和对护理的影响 赠送者？福利; （3）研究研究的未来疾病成本 参与者（参与者年龄在20岁以上时）； （4）识别 干预益处的参与者亚组 特别是大小。请求的资金将用于支持 以下活动：（1）评估中相关结果的分析 数据（例如吸毒和精神卫生服务的使用）； （2）继续 代理和提供商记录的评论； （3）收集和分析 预算信息（例如，来自学区）需要估算 涉及服务的美元成本（例如特殊教育）； （4）收藏 以及管理数据的处理（例如，在福利收据上）； （5） 用于预测未来社会的统计模型的开发和估计 费用。