Cost-effectiveness of childcare discounts on parent participation in preventive parent training in low-income communities.

Cost-effectiveness of childcare discounts on parent participation in preventive parent training in low-income communities.
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DOI:
10.1007/s10935-011-0255-7
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发表时间:
2011-12
影响因子:
1.7
通讯作者:
Fogg, Louis
Fogg, Louis
中科院分区:
医学4区
文献类型:
--
作者:
Gross, Deborah;Johnson, Tricia;Ridge, Alison;Garvey, Christine;Julion, Wrenetha;Treysman, Anne Brusius;Breitenstein, Susan;Fogg, Louis

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我们测试了给予低收入父母儿童保育折扣的成本效益,这取决于他们参加芝加哥父母计划的情况,这是一个在他们孩子的日托中心提供的12次预防性父母培训(PT)计划。八个中心进行了匹配,并随机分配到一个实验条件下,父母收到他们的儿童保育法案的折扣(M = 8.92美元每届出席)或对照组没有经济激励。参与者(n = 174)主要包括非洲裔美国人(55%)或拉丁美洲人(42%)的母亲,62%的家庭年收入低于20000美元。处于折扣条件下的父母入学的可能性比对照父母高15.4%,但这种差异并不显着。在PT出勤率、家长入学动机或家长积极参与PT会议的程度方面,没有差异。尽管折扣增加了成本,但不同条件下的团体成本没有差异。家长访谈揭示了在为低收入家庭服务的社区机构中实施财政激励计划的重要挑战。成本模拟显示,低家长入学率或低出勤率如何负面影响的经济效率,以小组为基础的PT。指导针对低收入家庭的财政奖励计划和他们参与预防计划的政策的影响进行了讨论。
We tested the cost-effectiveness of giving low-income parents childcare discounts contingent on their participation in the Chicago Parent Program, a 12-session preventive parent training (PT) program offered at their child’s daycare center. Eight centers were matched and randomized to an experimental condition in which parents received a discount on their childcare bill (M = $8.92 per session attended) or a control group with no financial incentive. Participants (n = 174) consisted mostly of African American (55%) or Latino (42%) mothers, 62% reporting annual household incomes less than $20,000. Parents in the discount condition were 15.4% more likely to enroll than control parents, though this difference was not significant. There were no differences in PT attendance, parents’ motivations for enrolling, or the degree to which parents were actively engaged in PT sessions by condition. Despite the added cost of the discounts, there was no difference in group costs by condition. Parent interviews revealed important challenges in implementing financial incentive programs in community-based agencies serving low-income families. Cost simulations show how low parent enrollment or low attendance negatively affect the economic efficiency of group-based PT. Implications for policies guiding financial incentive programs targeting low-income families and their participation in prevention programs are discussed.
DOI: 10.1007/s11121-008-0116-7
发表时间: 2009-03
期刊: PREVENTION SCIENCE
影响因子: 3.5
作者:
Gross, Deborah;Garvey, Christine;Julion, Wrenetha;Fogg, Louis;Tucker, Sharon;Mokros, Hartmut
通讯作者: Mokros, Hartmut
DOI: 10.1002/nur.20181
发表时间: 2007-04-01
影响因子: 2
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DOI: 10.1111/j.1469-7610.2008.01985.x
发表时间: 2009-01-01
影响因子: 7.6
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DOI: 10.1016/s0140-6736(08)60382-7
发表时间: 2008-03-08
期刊: LANCET
影响因子: 168.9
作者:
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DOI: 10.1002/nur.20127
发表时间: 2006-06-01
影响因子: 2
作者:
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通讯作者: Gross, Deborah