Investing in Prevention Infrastructure: Economic Evaluation of the PROSPER System

投资预防基础设施：PROSPER 系统的经济评估

• 批准号: 10639353
• 负责人: Daniel Max Crowley
• 金额: $ 68.32万
• 依托单位: PENNSYLVANIA STATE UNIVERSITY, THE
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-05-15 至 2028-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10639353
• 关键词: Adolescence; Adolescent; Adult; Age; Budgets; COVID-19 pandemic; Characteristics; Communities; Conduct Disorder; Cost-Benefit Analysis; Costs and Benefits; Country; Criminal Justice; Data; Economics; Education; Effectiveness of Interventions; Employment; Environment; Expenditure; Family; Funding; Future; Health; Healthcare; Human; Individual; Infrastructure; Investigation; Investments; Link; Local Government; Long-Term Effects; Marijuana; Marketing; Measures; Medicaid; Methamphetamine; Middle School Student; Modeling; National Institute of Drug Abuse; Opioid; Outcome; Participant; Personal Satisfaction; Policy Maker; Population; Prevention; Prevention program; Productivity; Public Assistance; Public Health; Randomized, Controlled Trials; Recording of previous events; Records; Research; Resources; Risk; Risk Behaviors; Risk Factors; Rural Community; Schools; Services; Stream; Students; Subgroup; Support System; Surveys; System; Taxes; Testing; Tobacco; Translating; Universities; Variant; Work; Youth; alcohol misuse; cohort; community intervention; cost; design; economic evaluation; economic impact; economic implication; economic outcome; evidence base; health service use; high risk; implementation determinants; improved; intervention delivery; intervention effect; intervention participants; opioid epidemic; post intervention; prevention service; preventive intervention; programs; promote resilience; randomized trial; rural America; rural area; service utilization; seventh grade; sixth grade; substance abuse prevention; substance misuse; substance misuse prevention; success; twelfth grade; universal prevention

Project Summary The proposed study will evaluate the economic impact of a major NIDA-funded prevention delivery and support system for evidence-based preventive interventions (EBPIs) known as PROSPER (PROmoting School/community-university Partnerships to Enhance Resilience). This research will build on the existing randomized trial of PROSPER that delivered EBPIs to over 12,000 youth in rural communities 18 to 20 years ago and cultivated sustained high-quality local prevention efforts. These community prevention teams selected and implemented family-focused and school-based EBIs for middle school students in 6th and 7th grade. Initial assessments followed students from pretest (6th grade) through 12th grade (five years post-intervention). Prior funded research pointed to consistent findings for reduced substance misuse among intervention participants. These earlier findings warrant further investigation of the economic implications. Consequently, the proposed study will allow us to assess how long-term effects of the intervention will translate into economic benefits through adulthood. Beyond estimating the full economic impact of the PROSPER system, we will also assess how local program implementation and supportive systemic factors may influence the efficiency of universal prevention efforts, providing needed information around how to build efficient substance abuse prevention efforts. The specific aims of this study are to: (1) Evaluate the economic impact of the PROSPER model for preventing substance misuse; (2) Model how variation in local prevention infrastructure influences economic impact; and (3) Assess how individual risk factors impact prevention efficiency. Prior work demonstrated how the resources necessary for program delivery can be managed more efficiently within a prevention delivery system that cultivates sustainable funding streams to support long-term dissemination. The proposed research would follow this investigation by evaluating how these increased efficiencies can improve the likelihood for positive economic benefit resulting from intervention effectiveness. Importantly, this inquiry will examine the range of expected economic outcomes given variation in implementation factors for program delivery, leveraging unique detailed data assessing this. Further, investigations of how economic impact may vary due to participant characteristics will further inform policy makers of the range of outcomes that could be expected. Thus, this research provides a unique opportunity to determine the long-term economic benefit from an efficient prevention delivery system’s impact on reduced substance misuse and risky behavior among adolescents.

项目摘要 拟议的研究将评估一个主要的NIDA资助的预防交付和支持的经济影响 基于证据的预防干预系统（EBPI），称为PROSPER（PROmoting 学校/社区-大学伙伴关系，以提高复原力）。这项研究将建立在现有的 PROSPER随机试验，为农村社区18至20岁的12，000多名青年提供EBPI 并培养持续的高质量地方预防工作。这些社区预防小组选择了 并为六年级和七年级的中学生实施了以家庭为中心和以学校为基础的EBI。初始 评估从预测试（六年级）到12年级（干预后五年）跟踪学生。 先前资助的研究指出，在干预措施中， 参与者这些早期的研究结果值得进一步调查的经济影响。因此，委员会认为， 拟议的研究将使我们能够评估干预的长期影响将如何转化为经济影响， 从成年开始受益。除了评估PROSPER系统的全面经济影响外，我们还将 评估当地计划的实施和支持性系统因素如何影响 普遍的预防努力，提供关于如何建立有效的药物滥用的必要信息 预防工作。 本研究的具体目的是：（1）评估PROSPER模型的经济影响， 预防药物滥用;（2）模拟当地预防基础设施的变化如何影响 经济影响;（3）评估个体风险因素如何影响预防效率。先前工作 展示了如何在一个有效的环境中更有效地管理项目交付所需的资源， 建立预防提供系统，培养可持续的资金流，以支持长期传播。的 建议的研究将通过评估这些提高的效率如何改善这项调查 干预有效性带来积极经济效益的可能性。重要的是，这项调查 考虑到项目实施因素的变化， 交付，利用独特的详细数据评估这一点。此外，调查经济影响如何可能 由于参与者的特点而有所不同，将进一步使决策者了解 预期因此，这项研究提供了一个独特的机会，以确定长期的经济效益， 一个有效的预防传递系统对减少物质滥用和危险行为的影响， 青少年。