Understanding implementation costs of a pediatric weight management intervention: an economic evaluation protocol.

Understanding implementation costs of a pediatric weight management intervention: an economic evaluation protocol.
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DOI:
10.1186/s43058-022-00287-1
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发表时间:
2022-04-05
影响因子:
--
通讯作者:
Estabrooks PA
Estabrooks PA
中科院分区:
其他
文献类型:
--
作者:
Michaud TL;Hill JL;Heelan KA;Bartee RT;Abbey BM;Malmkar A;Masker J;Golden C;Porter G;Glasgow RE;Estabrooks PA

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了解实施策略的成本和/或成本效益对于组织就实施和维持循证干预措施 (EBI) 所需的资源做出明智的决策至关重要。该经济评估协议描述了用于评估实施策略的成本和成本效益的方法和流程,这些实施策略用于改善基于证据的儿科体重管理干预措施——建立健康家庭(BHF)的范围、采用、实施和组织维护。试验内成本和成本效益分析 (CEA) 将作为 III 型混合有效性实施试验 (HEI) 的一部分完成,该试验旨在检查行动学习协作 (LC) 策略的影响,该策略包括网络编织、以咨询者为中心的培训、目标设定和反馈以及可持续性行动规划,以改善 BHF 在小城市及其周边地区的采用、实施、组织维护和项目覆盖范围 美国农村社区,历时 12 个月。我们讨论了实施战略组成部分的关键特征以及相关的成本收集和成果衡量,并提供了简要示例,说明每个离散实施战略的 CEA 中将包含哪些内容以及如何解释结果。将通过识别与每个策略相关的实施活动并使用基于数字的时间跟踪工具来捕获与每个活动相关的时间来收集成本数据。成本将根据 BHF 计划实施和多组件实施策略进行评估,包括旨在提高 BHF 的覆盖范围、有效性、采用、实施和维护 (RE-AIM) 的 LC 内部和外部。 CEA 结果将由 RE-AIM 结果报告,使用平均成本效益比或增量成本效益比。所有 CEA 都将从社区的角度进行。拟议的传播和实施战略以及 EBI 实施的成本计算方法和经济评估框架将有助于不断发展但仍然很少的关于实施和所用战略的经济评估的文献,并促进比较经济分析。 ClinicalTrials.gov NCT04719442。注册于 2021 年 1 月 22 日。在线版本包含可在 10.1186/s43058-022-00287-1 获取的补充材料。
Understanding the cost and/or cost-effectiveness of implementation strategies is crucial for organizations to make informed decisions about the resources needed to implement and sustain evidence-based interventions (EBIs). This economic evaluation protocol describes the methods and processes that will be used to assess costs and cost-effectiveness across implementation strategies used to improve the reach, adoption, implementation, and organizational maintenance of an evidence-based pediatric weight management intervention- Building Health Families (BHF). A within-trial cost and cost-effectiveness analysis (CEA) will be completed as part of a hybrid type III effectiveness-implementation trial (HEI) designed to examine the impact of an action Learning Collaborative (LC) strategy consisting of network weaving, consultee-centered training, goal-setting and feedback, and sustainability action planning to improve the adoption, implementation, organizational maintenance, and program reach of BHF in micropolitan and surrounding rural communities in the USA, over a 12-month period. We discuss key features of implementation strategy components and the associated cost collection and outcome measures and present brief examples on what will be included in the CEA for each discrete implementation strategy and how the results will be interpreted. The cost data will be collected by identifying implementation activities associated with each strategy and using a digital-based time tracking tool to capture the time associated with each activity. Costs will be assessed relative to the BHF program implementation and the multicomponent implementation strategy, included within and external to a LC designed to improve reach, effectiveness, adoption, implementation, and maintenance (RE-AIM) of BHF. The CEA results will be reported by RE-AIM outcomes, using the average cost-effectiveness ratio or incremental cost-effectiveness ratio. All the CEAs will be performed from the community perspective. The proposed costing approach and economic evaluation framework for dissemination and implementation strategies and EBI implementation will contribute to the evolving but still scant literature on economic evaluation of implementation and strategies used and facilitate the comparative economic analysis. ClinicalTrials.gov NCT04719442. Registered on January 22, 2021. The online version contains supplementary material available at 10.1186/s43058-022-00287-1.
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