Bristol girls dance project feasibility study: using a pilot economic evaluation to inform design of a full trial

Bristol girls dance project feasibility study: using a pilot economic evaluation to inform design of a full trial
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DOI:
10.1136/bmjopen-2013-003726
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发表时间:
2013-01-01
期刊:
影响因子:
2.9
通讯作者:
Jago, Russell
Jago, Russell
中科院分区:
医学3区
文献类型:
--
作者:
Powell, Jane E.;Carroll, Fran E.;Jago, Russell

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背景资料:目前很少有指导试点试验的经济评价,健康的结果和成本的影响范围更广的决定因素和factors.Objectives:本文介绍了一个试点经济评价研究的结果,同时运行的布里斯托女孩舞蹈项目(BGDP)可行性study.Design:3臂,集群随机,对照试点试验和经济评价。来自英国布里斯托和更大布里斯托地区的7所学校(n=210)被随机分配到干预组3所学校(n=90)和对照组4所学校(n=120)。干预:在父母同意的情况下,为11-12岁的女孩提供每周两次90分钟的舞蹈课,共9周。经济结果测量:测量了方案成本和女孩对舞蹈属性的偏好以及对竞争性休闲活动的偏好。BGDP方案的主流平均费用(不包括研究、控制和舞蹈教师培训费用)每所学校为2 126.40美元,1 329磅和1 555美元,每名参与者为70.90美元,2010-2011年价格为44.31磅和51.84英镑。离散选择实验(DCE)的方法是可以接受的,这个年龄段的女孩表示时间可用于其他休闲活动的舞蹈课的日子是属性的女孩最看重的和2小时的休闲时间剩余的首选3小时。结论:这项试点研究表明,提供完整的成本数据,为未来的试验的BGDP计划是可行的和实用的。偏好数据中没有证据支持对干预设计进行调整。未来的经济评估很可能是成功的利用开发的资源使用清单。证明了将用于开发、准备、交付和维护方案的资源单独分类以准确估计主流成本的重要性。
Background: There is currently little guidance for pilot trial economic evaluation where health outcomes and costs are influenced by a range of wider determinants and factors.Objectives: This article presents the findings of a pilot economic evaluation study running alongside the Bristol Girls Dance Project (BGDP) feasibility study.Design: 3-arm, cluster randomised, controlled pilot trial and economic evaluation. 7 schools (n=210) from the Bristol and greater Bristol area, UK were randomly allocated to the intervention arm 3 schools (n=90) and the control arm 4 schools (n=120).Intervention: Girls aged 11-12 years with parental consent were provided with two, 90 min dance sessions per week for 9 weeks at school facilities.Economic outcome measures: Programme costs and girls' preferences for attributes of dance and preferences for competing leisure time activities were measured.Results: The mainstream average cost of the BGDP programme (not including research, control and dance teacher training costs) per school was $2126.40, 1329 pound and (sic)1555 and per participant was $70.90, 44.31 pound and (sic)51.84 in 2010-2011 prices. Discrete choice experiment (DCE) methods are acceptable to girls of this age indicating time available for other leisure activities on dance class days is the attribute girls valued most and 2 h leisure time remaining preferred to 3 h.Conclusions: This pilot study indicates that providing full cost data for a future trial of the BGDP programme is feasible and practical. There is no evidence from preference data to support adjustment to intervention design. A future economic evaluation is likely to be successful utilising the resource use checklist developed. The importance of categorising separately resources used to develop, prepare, deliver and maintain the programme to estimate mainstream costs accurately is demonstrated.