Are cost-inclusive evaluations worth the effort?

Herman, Patricia M.; Avery, D.; Schemp, Crystal S.; Walsh, Michele E.

doi:10.1016/j.evalprogplan.2008.08.008

Cited by 17 publications

(19 citation statements)

References 3 publications

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“…In HLC, we used scientific and public videos to expand the education during campaign programs. Indeed, by using evidence -based methods on health communication, we set new strategies to aid the health professionals and researches in promoting public health (21)(22)(23)(24)(25).…”

Section: Discussionmentioning

confidence: 99%

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Popularization of Science in Exercise, Nutrition and Lifestyle: A Successful Example of Science Communication in Iran

et al. 2018

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Background: Today, more than ever before we need to encourage people for behavior change toward healthy behaviors and active lifestyle. Using the power of branding, we launched a health campaign to send out health messages to the population. Objectives: The aim of this report was to present data from a new experience in science communication of health concerns for adults. Methods:The "health and life" campaign covered different areas of physical, psychological, social and environmental health issues to promote an active lifestyle. Generally, in monthly sessions, we presented 45 -minute talks by health experts on a specific health topic (e.g., smoking, healthy diet) and people with an interesting experience related to the topic were given a time to talk about their story. Participants and lecturer's information were gathered between January 2013 and July 2017 by on-site registration. Results: Until July 2017, a total of 54 events have been held with a total number of 41566 audiences. Preliminary results indicated that 86-92 % of participants have reported a high level of satisfaction about the quality of health talk program. Conclusions: Through this paper, we presented a new health campaign (health and life campaign) that uses social marketing strategies to promote healthy lifestyle among a wide range of population.

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Section: Discussionmentioning

confidence: 99%

“…For example, sharing ideas and life -experiences by people plays an important role in health education by HLC. Furthermore, the use of realistic role models can lead to a consistent behavior change (21)(22)(23). In HLC, we used scientific and public videos to expand the education during campaign programs.…”

Section: Discussionmentioning

confidence: 99%

Popularization of Science in Exercise, Nutrition and Lifestyle: A Successful Example of Science Communication in Iran

et al. 2018

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“…Indirect costs for cLBP (predominantly change in work productivity in most populations [52]) are large and estimated to be greater than direct costs [9,53-57]. Given the usefulness of cost effectiveness data to health policy and other decision makers, building cost effectiveness analyses into comparative effectiveness trials for cLBP is critical [47,58]. …”

Section: Introductionmentioning

confidence: 99%

Yoga vs. physical therapy vs. education for chronic low back pain in predominantly minority populations: study protocol for a randomized controlled trial

Saper

Sherman

Delitto

et al. 2014

Trials

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BackgroundChronic low back pain causes substantial morbidity and cost to society while disproportionately impacting low-income and minority adults. Several randomized controlled trials show yoga is an effective treatment. However, the comparative effectiveness of yoga and physical therapy, a common mainstream treatment for chronic low back pain, is unknown.Methods/DesignThis is a randomized controlled trial for 320 predominantly low-income minority adults with chronic low back pain, comparing yoga, physical therapy, and education. Inclusion criteria are adults 18–64 years old with non-specific low back pain lasting ≥12 weeks and a self-reported average pain intensity of ≥4 on a 0–10 scale. Recruitment takes place at Boston Medical Center, an urban academic safety-net hospital and seven federally qualified community health centers located in diverse neighborhoods. The 52-week study has an initial 12-week Treatment Phase where participants are randomized in a 2:2:1 ratio into i) a standardized weekly hatha yoga class supplemented by home practice; ii) a standardized evidence-based exercise therapy protocol adapted from the Treatment Based Classification method, individually delivered by a physical therapist and supplemented by home practice; and iii) education delivered through a self-care book. Co-primary outcome measures are 12-week pain intensity measured on an 11-point numerical rating scale and back-specific function measured using the modified Roland Morris Disability Questionnaire. In the subsequent 40-week Maintenance Phase, yoga participants are re-randomized in a 1:1 ratio to either structured maintenance yoga classes or home practice only. Physical therapy participants are similarly re-randomized to either five booster sessions or home practice only. Education participants continue to follow recommendations of educational materials. We will also assess cost effectiveness from the perspectives of the individual, insurers, and society using claims databases, electronic medical records, self-report cost data, and study records. Qualitative data from interviews will add subjective detail to complement quantitative data.Trial registrationThis trial is registered in ClinicalTrials.gov, with the ID number: NCT01343927.

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“…Although economic researchers' initial reaction may be frustration followed by dismissive encouragement to Bhave faith,^this meta-benefit-cost analysis (MBCA) is a form of meta-evaluation (Scriven 1969) which is important for those of us averse to hypocrisy. Can we show that our research, our studies, our evaluations, guided by these standards, are themselves Bworth it^ (Herman et al 2009;Yates and Marra 2017b)? I look forward to joining you in finding an answer to this question.…”

Section: Convince Others That Economic Evaluation Is Itself Cost-benementioning

confidence: 99%

“…Although some researchers and evaluators in education, health, and other human services have advocated several forms of cost-inclusive evaluation for decades (e.g., Herman et al 2009;Levin 1983;Yates 1994), political and economic developments have increased the acceptability of talking frankly and openly about costs as well as benefits of prevention programs. Policy-makers across the political spectrum increasingly agree that public monies should only fund programs that work, that work well in addressing needs and entitlements, that generate more resources for society than they consume, and that work better, cost less, or work better and cost less, than other programs.…”

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confidence: 99%

Commentary on “Standards of Evidence for Conducting and Reporting Economic Evaluations in Prevention Science”

Yates

2018

Prev Sci

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The current paper is a commentary on the Standards of Evidence for Conducting and Reporting Economic Evaluations in Prevention Science (Crowley et al. 2018). Although the standards got a lot right, some important issues were not addressed or could be explored further. Measuring rather than modeling is encouraged whenever possible. That also is in keeping with the approach taken by many prevention researchers. Pre-program planning for collection of data on resources used by individual participants (i.e., costs) is recommended, along with devotion of evaluation resources to cost assessment throughout program implementation. A Bcost study^should never be an afterthought tacked on as a later aim in a research proposal. Needing inclusion or enhancement in the standards, however, are several key concepts, starting with the often-confused distinction between costs and outcomes. The importance of collecting data on individual-level variability in resource use, i.e., costs, needs to be distinguished from simplistic disaggregation-by-division of program cost totals down to individuals. In some passages of the standards, the uniqueness of individual participants seems dismissed as error variance rather than considered a primary phenomenon for study and understanding. Standards for formatting reports of economic evaluations could themselves be more evidence-based. Missing too is an explicit call for inclusion of the standards' recommendations in peer review of prevention research proposals, and in funding of prevention research. Finally, we can be confident that the better outcomes the standards promise will come at additional costs to prevention researchers. This commentary concludes by considering whether the standards themselves are cost-beneficial.

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Are cost-inclusive evaluations worth the effort?

Cited by 17 publications

References 3 publications

Popularization of Science in Exercise, Nutrition and Lifestyle: A Successful Example of Science Communication in Iran

Popularization of Science in Exercise, Nutrition and Lifestyle: A Successful Example of Science Communication in Iran

Yoga vs. physical therapy vs. education for chronic low back pain in predominantly minority populations: study protocol for a randomized controlled trial

Commentary on “Standards of Evidence for Conducting and Reporting Economic Evaluations in Prevention Science”

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