Investing in Prevention Infrastructure: Economic Evaluation of the PROSPER System

投资预防基础设施：PROSPER 系统的经济评估

• 批准号: 10639353
• 负责人: Daniel Max Crowley
• 金额: $ 68.32万
• 依托单位: PENNSYLVANIA STATE UNIVERSITY, THE
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-05-15 至 2028-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10639353
• 关键词: Adolescence; Adolescent; Adult; Age; Budgets; COVID-19 pandemic; Characteristics; Communities; Conduct Disorder; Cost-Benefit Analysis; Costs and Benefits; Country; Criminal Justice; Data; Economics; Education; Effectiveness of Interventions; Employment; Environment; Expenditure; Family; Funding; Future; Health; Healthcare; Human; Individual; Infrastructure; Investigation; Investments; Link; Local Government; Long-Term Effects; Marijuana; Marketing; Measures; Medicaid; Methamphetamine; Middle School Student; Modeling; National Institute of Drug Abuse; Opioid; Outcome; Participant; Personal Satisfaction; Policy Maker; Population; Prevention; Prevention program; Productivity; Public Assistance; Public Health; Randomized, Controlled Trials; Recording of previous events; Records; Research; Resources; Risk; Risk Behaviors; Risk Factors; Rural Community; Schools; Services; Stream; Students; Subgroup; Support System; Surveys; System; Taxes; Testing; Tobacco; Translating; Universities; Variant; Work; Youth; alcohol misuse; cohort; community intervention; cost; design; economic evaluation; economic impact; economic implication; economic outcome; evidence base; health service use; high risk; implementation determinants; improved; intervention delivery; intervention effect; intervention participants; opioid epidemic; post intervention; prevention service; preventive intervention; programs; promote resilience; randomized trial; rural America; rural area; service utilization; seventh grade; sixth grade; substance abuse prevention; substance misuse; substance misuse prevention; success; twelfth grade; universal prevention

Project Summary The proposed study will evaluate the economic impact of a major NIDA-funded prevention delivery and support system for evidence-based preventive interventions (EBPIs) known as PROSPER (PROmoting School/community-university Partnerships to Enhance Resilience). This research will build on the existing randomized trial of PROSPER that delivered EBPIs to over 12,000 youth in rural communities 18 to 20 years ago and cultivated sustained high-quality local prevention efforts. These community prevention teams selected and implemented family-focused and school-based EBIs for middle school students in 6th and 7th grade. Initial assessments followed students from pretest (6th grade) through 12th grade (five years post-intervention). Prior funded research pointed to consistent findings for reduced substance misuse among intervention participants. These earlier findings warrant further investigation of the economic implications. Consequently, the proposed study will allow us to assess how long-term effects of the intervention will translate into economic benefits through adulthood. Beyond estimating the full economic impact of the PROSPER system, we will also assess how local program implementation and supportive systemic factors may influence the efficiency of universal prevention efforts, providing needed information around how to build efficient substance abuse prevention efforts. The specific aims of this study are to: (1) Evaluate the economic impact of the PROSPER model for preventing substance misuse; (2) Model how variation in local prevention infrastructure influences economic impact; and (3) Assess how individual risk factors impact prevention efficiency. Prior work demonstrated how the resources necessary for program delivery can be managed more efficiently within a prevention delivery system that cultivates sustainable funding streams to support long-term dissemination. The proposed research would follow this investigation by evaluating how these increased efficiencies can improve the likelihood for positive economic benefit resulting from intervention effectiveness. Importantly, this inquiry will examine the range of expected economic outcomes given variation in implementation factors for program delivery, leveraging unique detailed data assessing this. Further, investigations of how economic impact may vary due to participant characteristics will further inform policy makers of the range of outcomes that could be expected. Thus, this research provides a unique opportunity to determine the long-term economic benefit from an efficient prevention delivery system’s impact on reduced substance misuse and risky behavior among adolescents.

项目概要 拟议的研究将评估 NIDA 资助的一项重大预防提供和支持的经济影响 基于证据的预防干预系统（EBPI）称为 PROSPER（PROmoting 学校/社区大学合作增强抵御能力）。 PROSPER 随机试验，向农村社区 12,000 多名 18 至 20 岁的青少年提供 EBPI 并培育了持续高质量的当地预防工作。 并为六年级和七年级的中学生实施了以家庭为中心、以学校为基础的 EBI。 评估跟踪学生从预测（六年级）到十二年级（干预后五年）。 先前资助的研究表明，干预措施中药物滥用的减少是一致的 这些早期的发现值得进一步调查所测试的经济影响， 拟议的研究将使我们能够评估干预措施的长期影响将如何转化为经济 除了评估 PROSPER 系统的全部经济影响外，我们还将评估成年后的福利。 评估当地计划和支持性系统实施因素如何影响效率 普遍预防工作，提供有关如何建立有效的药物滥用所需的信息 预防工作。 本研究的具体目的是： (1) 评估 PROSPER 模型的经济影响 (2) 模拟当地预防基础设施的变化如何影响 经济影响；(3) 评估个体风险因素如何影响先前的工作。 展示了如何在一个范围内更有效地管理计划交付所需的资源 预防交付系统，培养可持续的资金流以支持长期传播。 拟议的研究将通过评估这些提高的效率如何改进来跟踪这项调查 重要的是，这项调查产生积极经济效益的可能性。 将审查考虑到计划实施因素变化的预期经济成果的范围 交付，利用独特的详细数据评估这一点，进一步调查经济影响。 由于参与者特征而有所不同，这将进一步告知政策制定者可能产生的结果范围 因此，这项研究提供了一个独特的机会来确定长期经济效益。 有效的预防实施系统对减少药物滥用和危险行为的影响 青少年。