A randomized clinical trial of tailored interventions for health promotion and recidivism reduction among homeless parolees: outcomes and cost analysis.
A randomized clinical trial of tailored interventions for health promotion and recidivism reduction among homeless parolees: outcomes and cost analysis.
复制标题
针对无家可归假释者健康促进和减少累犯的定制干预措施的随机临床试验：结果和成本分析。
DOI：
10.1007/s11292-015-9236-9
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发表时间：
2016
影响因子：
3
通讯作者：
Yadav,Kartik
中科院分区：
文献类型：
--
作者：
Nyamathi,AdelineM;Zhang,Sheldon;Salem,BenissaE;Farabee,David;Hall,Betsy;Marlow,Elizabeth;Faucette,Mark;Bond,Doug;Yadav,Kartik
ObjectivesThis study conducted a randomized controlled trial with 600 recently released homeless men exiting California jails and prisons.MethodsThe purpose of this study was to primarily ascertain how different levels of intensity in peer coaching and nurse-partnered intervention programs may impact reentry outcomes; specifically: (a) an intensive peer coach and nurse case managed (PC-NCM) program; (b) an intermediate peer coaching (PC) program with brief nurse counseling; and (c) the usual care (UC) program involving limited peer coaching and brief nurse counseling. Secondary outcomes evaluated the operational cost of each program.ResultsWhen compared to baseline, all three groups made progress on key health-related outcomes during the 12-month intervention period; further, 84.5 % of all participants eligible for hepatitis A/B vaccination completed their vaccine series. The results of the detailed operational cost analysis suggest the least costly approach (i.e., UC), which accounted for only 2.11 % of the total project expenditure, was as effective in achieving comparable outcomes for this parolee population as the PC-NCM and PC approaches, which accounted for 53.98 % and 43.91 %, respectively, of the project budget.ConclusionsIn this study, all three intervention strategies were found to be comparable in achieving a high rate of vaccine completion, which over time will likely produce tremendous savings to the public health system.
