Costing Behavioral Interventions: A Practical Guide to Enhance Translation
- 518 Downloads
Cost and cost effectiveness of behavioral interventions are critical parts of dissemination and implementation into non-academic settings. Due to the lack of indicative data and policy makers’ increasing demands for both program effectiveness and efficiency, cost analyses can serve as valuable tools in the evaluation process.
To stimulate and promote broader use of practical techniques that can be used to efficiently estimate the implementation costs of behavioral interventions, we propose a set of analytic steps that can be employed across a broad range of interventions.
Intervention costs must be distinguished from research, development, and recruitment costs. The inclusion of sensitivity analyses is recommended to understand the implications of implementation of the intervention into different settings using different intervention resources. To illustrate these procedures, we use data from a smoking reduction practical clinical trial to describe the techniques and methods used to estimate and evaluate the costs associated with the intervention. Estimated intervention costs per participant were $419, with a range of $276 to $703, depending on the number of participants.
KeywordsCost effectiveness Behavioral interventions Intervention costs
- 6.Rogers EM. Diffusion of innovations. 5th ed. New York: Free Press; 2003.Google Scholar
- 7.Glasgow RE, Linnan L. Evaluation of theory-based Interventions. In: Glanz K, ed. Health Education: Theory, research and Practice. 4th ed. Hoboken, NJ: Jossey-Bass; 2007.Google Scholar
- 12.Gold MR, Siegel JE, Russell LB, Weinstein MC. Cost-effectiveness in health and medicine. New York: Oxford University Press; 2003.Google Scholar
- 19.Centers for Disease Control. The Guide to Community Preventive Services. Available at http://thecommunityguide org. Accessibility verified December 15, 2008.
- 21.Diabetes Prevention Program Research Group. Available at http://diabetes.niddk.nih.gov/dm/pubs/preventionprogram. 2007; Accessibility verified 6/11/08.
- 27.Bradburn N, Rips L, Shevell S. Answering autobiographic questions: The impacto memory and inference on surveys. Science, New Series. 1987; 2364798: 157–161.Google Scholar
- 33.Bureau of Labor Statistics. Available at http://www.bls.gov/bls/blswage.htm. Accessibility verified 11/05/07.
- 37.Cutler TW, Palmieri J, Khalsa M, Stebbins M. Evaluation of the relationship between a chronic disease care management program and California pay-for-performance diabetes care cholesterol measures in one medical group. J Manage Care Pharm. 2007; 137: 578–588.Google Scholar