 |
|
Cost-effectiveness of a School-Based Tobacco-Use Prevention Program
Li Yan Wang, MBA, MA;
Linda S. Crossett, RDH;
Richard Lowry, MD, MS;
Steve Sussman, PhD;
Clyde W. Dent, PhD
Arch Pediatr Adolesc Med. 2001;155:1043-1050.
Objective To determine the cost-effectiveness of a school-based tobacco-use prevention
program.
Design Using data from the previously reported 2-year efficacy study of the
Project Toward No Tobacco Use (TNT), we conducted a decision analysis to determine
the cost-effectiveness of TNT. The benefits measured were life years (LYs)
saved, quality-adjusted life years (QALYs) saved, and medical care costs saved,
discounted at 3%. The costs measured were program costs. We quantified TNT's
cost-effectiveness as cost per LY saved and cost per QALY saved.
Intervention A 10-lesson curriculum designed to counteract social influences and
misconceptions that lead to tobacco use was delivered by trained health educators
to a cohort of 1234 seventh-grade students in 8 junior high schools. A 2-lesson
booster session was delivered to the eighth-grade students in the second year.
The efficacy evaluation was based on 770 ninth-grade students who participated
in the program in the seventh and eighth grades and in both the baseline and
the 2-year follow-up survey.
Results Under base case assumptions, at an intervention cost of $16 403,
TNT prevented an estimated 34.9 students from becoming established smokers.
As a result, we could expect a saving of $13 316 per LY saved and a saving
of $8482 per QALY saved. Results showed TNT to be cost saving over a reasonable
range of model parameter estimates.
Conclusions The TNT is highly cost-effective compared with other widely accepted
prevention interventions. School-based prevention programs of this type warrant
careful consideration by policy makers and program planners.
From the Surveillance and Evaluation Research Branch, Division of Adolescent
and School Health, Centers for Disease Control and Prevention, Atlanta, Ga
(Mss Wang and Crossett and Dr Lowry); and the Institute for Health Promotion
and Disease Prevention Research, University of Southern California, Los Angeles
(Drs Sussman and Dent).
Corresponding author and reprints: Li Yan Wang, Surveillance and
Evaluation Research Branch, DASH, NCCDPHP, 4770 Buford Hwy, MS K-33, Chamblee,
GA 30341 (e-mail: lgw0{at}cdc.gov).
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Cost-effectiveness analyses of health promotion programs: a case study of smoking prevention and cessation among Dutch students
Vijgen et al.
Health Educ Res 2008;23:310-318.
ABSTRACT
| FULL TEXT
A model for cost-effectiveness analyses of smoking cessation interventions applied to a Quit-and-Win contest for mothers of small children
Johansson et al.
Scand J Public Health 2005;33:343-352.
ABSTRACT
Burden of Asthma in Inner-city Elementary Schoolchildren: Do School-Based Health Centers Make a Difference?
Webber et al.
Arch Pediatr Adolesc Med 2003;157:125-129.
ABSTRACT
| FULL TEXT
|
