Cost-Effectiveness of Peer-Delivered Interventions For Cocaine and Alcohol Abuse Among Women: A Randomized Controlled Trial

PLoS ONE, 7(3): e33594. DOI:10.1371/journal.pone.0033594

12 Pages Posted: 20 May 2010 Last revised: 27 Mar 2012

See all articles by Jennifer Prah Ruger

Jennifer Prah Ruger

University of Pennsylvania - School of Social Policy & Practice; University of Pennsylvania - Perelman School of Medicine

Arbi Ben Abdallah

Wash. U. INQUIRI - Dept. of Anesthesiology

Craig Luekens

Yale University

Linda Cottler

Washington University in St. Louis - Department of Psychiatry

Date Written: March 20, 2012

Abstract

Aims: To determine whether the additional interventions to standard care are cost-effective in addressing cocaine and alcohol abuse at 4 months (4 M) and 12 months (12 M) from baseline.

Method: We conducted a cost-effectiveness analysis of a randomized controlled trial with three arms: (1) NIDA’s Standard intervention (SI); (2) SI plus a Well Woman Exam (WWE); and, (3) SI, WWE, plus four Educational Sessions (4ES).

Results: To obtain an additional cocaine abstainer, WWE compared to SI cost $7,223 at 4 M and $3,611 at 12 M. Per additional alcohol abstainer, WWE compared to SI cost $3,611 and $7,223 at 4 M and 12 M, respectively. At 12 M, 4ES was dominated (more costly and less effective) by WWE for abstinence outcomes.

Conclusions: To our knowledge, this is the first cost-effectiveness analysis simultaneously examining cocaine and alcohol abuse in women. Depending on primary outcomes sought and priorities of policy makers, peer-delivered interventions can be a cost-effective way to address the needs of this growing, undeserved population.

Trial Registration: Go to ClinicalTrials website.

Keywords: cost effectiveness, peer delievered, cocain abuse, alcohol abuse

JEL Classification: I18, I10, I12

Suggested Citation

Prah Ruger, Jennifer and Ben Abdallah, Arbi and Luekens, Craig and Cottler, Linda, Cost-Effectiveness of Peer-Delivered Interventions For Cocaine and Alcohol Abuse Among Women: A Randomized Controlled Trial (March 20, 2012). PLoS ONE, 7(3): e33594. DOI:10.1371/journal.pone.0033594, Available at SSRN: https://ssrn.com/abstract=1612200 or http://dx.doi.org/10.2139/ssrn.1612200

Jennifer Prah Ruger (Contact Author)

University of Pennsylvania - School of Social Policy & Practice ( email )

3701 Locust Walk
Philadelphia, PA 19104-6214
United States

University of Pennsylvania - Perelman School of Medicine

423 Guardian Drive
Philadelphia, PA 19104
United States

Arbi Ben Abdallah

Wash. U. INQUIRI - Dept. of Anesthesiology ( email )

660 S. Euclid Ave., Third Floor McMillan
St. Louis, MO 63110-1010
United States

Craig Luekens

Yale University ( email )

493 College St
New Haven, CT CT 06520
United States

Linda Cottler

Washington University in St. Louis - Department of Psychiatry ( email )

660 S. Euclid Avenue
St. Louis, MO 63110
United States

Do you have negative results from your research you’d like to share?

Paper statistics

Downloads
108
Abstract Views
2,486
Rank
451,760
PlumX Metrics