Costs of implementing a behavioral weight-loss and lifestyle-change program for individuals with serious mental illnesses in community settings.
Costs of implementing a behavioral weight-loss and lifestyle-change program for individuals with serious mental illnesses in community settings.
复制标题
在社区环境中为患有严重精神疾病的个人实施行为减肥和生活方式改变计划的成本。
DOI：
10.1007/s13142-015-0322-3
复制
发表时间：
2015
影响因子：
3.6
通讯作者：
Green,CarlaA
中科院分区：
文献类型：
--
作者：
Stumbo,ScottP;Yarborough,BobbiJoH;Yarborough,MicahT;Janoff,ShannonL;Stevens,VictorJ;Lewinsohn,Mark;Green,CarlaA
很少有研究调查在社区诊所为患有严重精神疾病的人采取成功的生活方式干预的成本。该研究旨在计算在社区环境中实施基于团体的减肥和生活方式干预的现实成本。我们使用经验得出的成本来估计实施成本，并进行敏感性分析来估计成本：（1）在高/低资源密集型环境中实施干预措施时，以及（2）假设参与者招募的可变性。为了对15名患有严重精神疾病的人实施STRIDE计划，我们估计了12个月（30次会议）干预的费用，公共领域的材料，每位参与者为16，427美元或1095美元。大部分成本，12，767美元，与直接劳动力成本有关。复制成本主要与劳动力有关。社区卫生中心为实施行为生活方式干预提供了一个尚未开发的资源，特别是根据《平价医疗法案》，尽管可能需要额外的支付改革或激励措施。
Little research has examined costs of adopting a successful lifestyle intervention for people with serious mental illnesses in community clinics. The study aims to calculate the real-world costs of implementing a group-based weight-loss and lifestyle intervention in community settings. We used empirically derived costs to estimate implementation costs and conducted sensitivity analyses to estimate costs: (1) when implementing the intervention in high/low resource-intensive environments and (2) assuming variability in participant enrollment. To implement the STRIDE program for 15 individuals with serious mental illnesses, we estimated costs for the 12-month (30-session) intervention, with materials available in the public domain, at $16,427 or $1095 per participant. The majority of costs, $12,767, were associated with direct labor costs. Replication costs are largely associated with labor. Community health centers offer an untapped resource for implementing behavioral-lifestyle interventions, particularly under the Affordable Care Act, though additional payment reforms or incentives may be needed.