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NIDA资助的主要预防交付和支持的经济影响 基于证据的预防干预措施（EBPI）被称为繁荣的系统（促进 学校/社区大学的合作伙伴关系以提高弹性）。这项研究将基于现有的 Prosper的随机试验将EBPI交付给了18至20年的农村社区的12,000多名青年 以前并培养了持续的高质量的当地预防工作。这些社区预防团队选择了 并为六年级和七年级的中学生实施了以家庭为中心和学校的EBI。最初的 评估是从预测（六年级）到12年级（干预后五年）的学生。 先前的资助研究表明，干预措施减少了药物滥用的发现 参与者。这些较早的发现需要进一步研究经济影响。最后， 拟议的研究将使我们能够评估干预的长期影响如何转化为经济 成年期的好处。除了估计繁荣体系的全部经济影响外，我们还将 评估本地计划实施和支持性的系统因素如何影响 通用预防努力，提供有关如何建立有效滥用药物的所需信息 预防努力。 这项研究的具体目的是：（1）评估繁荣模型的经济影响 防止物质的物质； （2）模拟本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。先前的工作 证明了如何更有效地管理程序交付所需的资源 培养可持续资金流以支持长期传播的预防交付系统。这 拟议的研究将通过评估这些提高效率如何提高这项调查后进行研究。 干预效率引起的积极经济利益的可能性。重要的是，此询问 将检查鉴于计划实施因素的差异的预期经济成果的范围 交付，利用独特的详细数据评估。此外，调查经济影响如何 由于参与特征的不同而异，将进一步向政策制定者告知可能是 预期的。这是这项研究提供了一个独特的机会，可以从 有效的预防输送系统对减少物质滥用和风险行为的影响 青少年。