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http://ssrn.com/abstract=1612200
 
 

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


Jennifer Prah Ruger


University of Pennsylvania

Arbi Ben Abdallah


Washington University in Saint Louis - Department of Psychiatry

Craig Luekens


Yale University

Linda Cottler


Washington University in Saint Louis - Department of Psychiatry

March 20, 2012

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

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.

Number of Pages in PDF File: 12

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

JEL Classification: I18, I10, I12

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Date posted: May 20, 2010 ; Last revised: March 27, 2012

Suggested Citation

Ruger, Jennifer Prah and Abdallah, Arbi Ben 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: http://ssrn.com/abstract=1612200 or http://dx.doi.org/10.2139/ssrn.1612200

Contact Information

Jennifer Prah Ruger (Contact Author)
University of Pennsylvania ( email )
Philadelphia, PA 19104
United States
Arbi Ben Abdallah
Washington University in Saint Louis - Department of Psychiatry ( email )
660 S. Euclid Avenue
St. Louis, MO 63110
United States
Craig Luekens
Yale University ( email )
New Haven, CT 06520
United States
Linda Cottler
Washington University in Saint Louis - Department of Psychiatry ( email )
660 S. Euclid Avenue
St. Louis, MO 63110
United States
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