Enhancing the net benefits of disseminating efficacious prevention programs: A note on target efficiency with illustrative examples

Research output: Contribution to journalArticlepeer-review

Abstract

We consider the implementation, in a non-research setting, of a new prevention program that has previously been evaluated in a randomized trial. When the target population for the implementation is heterogeneous, the overall net benefits of the implementation may differ substantially from those reported in the economic evaluation of the randomized trial, and from those that would be realized if the program were implemented within a selected subgroup of the target population. This note illustrates a simple and practical approach to targeting that can combine risk-factor results from the literature with the overall cost-benefit results from the program's randomized trial to maximize the expected net benefit of implementing the program in a heterogeneous population.

Original languageEnglish (US)
Pages (from-to)261-269
Number of pages9
JournalAdministration and Policy in Mental Health and Mental Health Services Research
Volume35
Issue number4
DOIs
StatePublished - Jul 2008

Keywords

  • Cost-benefit
  • Efficiency
  • Evaluation
  • Implementation
  • Prevention

ASJC Scopus subject areas

  • Phychiatric Mental Health
  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

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