Economic Evaluation Methods: Development and Application

描述(由申请人提供)： 尽管成人药物滥用计划的经济评估在方法论和实证方面取得了相当大的进展，但经济评估技术尚未被系统地应用于青少年成瘾治疗的研究。青少年成瘾治疗的经济评估比成人治疗要复杂得多，原因是青少年给药系统的多样性，缺乏标准化的工具或模块，父母/监护人和其他家庭成员的整体参与，以及独特的社会和经济结果。针对改善和增加青少年成瘾干预措施经济评价的迫切需要，本项目将解决以下三个目标：1.落实从对成人药物滥用干预措施进行大量经济评价中获得的经验，以制定估计青少年药物滥用干预措施的成本和经济效益的标准和严格的方法；2.开发青少年药物滥用干预措施的经济评价模块，今后的研究可以很容易地添加到其设计和工具中，以便收集完成成本效益分析(CEA)或效益-成本分析(BCA)所需的数据和措施；通过在加利福尼亚州、科罗拉多州、佛罗里达州、伊利诺伊州、新墨西哥州和南卡罗来纳州的几个由NIDA或CSAT资助的青少年干预项目中增加经济评估部分，同时评估当前的经济评估方法，并为拟议的经济评估模块定义措施。这项拟议的研究将补充和扩大与NIDA即将完成的一项研究拨款，重点是开发和测试成人药物滥用干预措施的经济评估方法，包括临床和金融工具在经济评估中的应用(1 R01 DA11506)。为了提供一个在青少年中测试这些方法的经验实验室，调查小组召集了一批令人印象深刻的NIDA和CSAT受赠者，他们同意提供结果和其他数据。拟议的研究将(1)建立在NIDA资助的富有成效的研究计划的基础上，以开发专门用于评估青少年成瘾干预措施的经济分析方法和措施；(2)通过与NIDA/CSAT资助的科学家和基于六个不同州的“现实世界”应用程序的合作，测试这些经济分析方法的可行性和完整性；以及(3)通过同行评议的研究论文、专业会议报告、政策研讨会、临床研讨会、网站张贴和非正式分发渠道，向尽可能广泛的受众传播技术、指南、数据收集模块和实证结果。

DESCRIPTION (provided by applicant): Despite considerable methodological and empirical developments in the economic assessment of adult substance abuse programs, economic evaluation techniques have not yet been systematically adopted in studies of adolescent addiction treatment. The economic evaluation of adolescent addiction treatment is considerably more complex than that of adult treatment because of the diversity of juvenile delivery systems, the absence of standardized instrumentation or modules, the integral participation of parents/guardians and other family members, and the unique social and economic outcomes. In response to the pressing need to improve and increase economic evaluations of adolescent addiction interventions, the present project will address the following three aims: 1. Implement experience gained from conducting numerous economic evaluations of adult substance abuse interventions to develop standardized and rigorous methods for estimating the costs and economic benefits of adolescent substance abuse interventions; 2. Develop economic evaluation modules for adolescent substance abuse interventions that future studies could easily add to their design and instrumentation in order to collect the data and measures necessary to complete a cost-effectiveness analysis (CEA) or benefit-cost analysis (BCA); Simultaneously assess current economic evaluation methods and define measures for the proposed economic evaluation modules by adding an economic evaluation component to several NIDA- or CSAT-funded adolescent intervention projects in California, Colorado, Florida, Illinois, New Mexico, and South Carolina. The proposed study will complement and extend a nearly completed research grant with NIDA focused on developing and testing economic evaluation methods for adult drug abuse interventions, including the application of clinical and financial instruments in economic evaluation (1 R01 DA11506). To provide an empirical laboratory for testing these methods with adolescents, the investigative team has assembled an impressive group of NIDA and CSAT grantees that have agreed to provide access to outcome and other data. The proposed study will (1) build upon the foundation of a productive NIDA-funded research program to develop economic analysis methods and measures specifically for the evaluation of adolescent addiction interventions; (2) test the feasibility and integrity of these economic analysis methods through collaborations with NIDA/CSAT-funded scientists and "real-world" applications based in six different states; and (3) disseminate the techniques, guidelines, data collection modules, and empirical findings to the widest possible audience through peer-reviewed research papers, professional conference presentations, policy workshops, clinical workshops, website postings, and informal distribution channels.