Economic Evaluation Methods: Development and Application

描述（由申请人提供）： 尽管相当大的方法和经验的发展，在成人药物滥用计划的经济评估，经济评估技术尚未系统地通过在青少年成瘾治疗的研究。对青少年成瘾治疗的经济评估比成人治疗复杂得多，因为青少年提供系统的多样性，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成果。为了满足改善和增加对青少年成瘾干预措施的经济评估的迫切需要，本项目将实现以下三个目标：1.实施从对成人药物滥用干预措施进行大量经济评估中获得的经验，以制定标准化和严格的方法来估计青少年药物滥用干预措施的成本和经济效益; 2.为青少年药物滥用干预措施开发经济评价模块，以便今后的研究能够很容易地将其添加到其设计和仪器中，以便收集完成成本效益分析或效益-成本分析所需的数据和措施;同时评估当前的经济评估方法，并通过在几个NIDA中添加经济评估组件来定义拟议经济评估模块的措施，或CSAT资助的青少年干预项目在加州，科罗拉多，佛罗里达，伊利诺伊州，新墨西哥州，和南卡罗来纳州。拟议的研究将补充和扩展一个接近完成的研究补助金与NIDA专注于开发和测试成人药物滥用干预措施的经济评价方法，包括临床和金融工具在经济评价中的应用（1 R 01 DA 11506）。为了提供一个实证实验室，以测试这些方法与青少年，调查小组已经聚集了一个令人印象深刻的NIDA和CSAT赠款，已同意提供访问结果和其他数据。拟议的研究将（1）建立在一个富有成效的NIDA资助的研究计划的基础上，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）通过同行评审的研究论文、专业会议报告、政策研讨会、临床研讨会、网站发布和非正式分销渠道，向尽可能广泛的受众传播技术、指南、数据收集模块和实证研究结果。

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.