Despite considerable methodological and empirical developments in economic assessment of primary health care programs, economic evaluation techniques are not systematically adopted in studies of behavioral health care, especially addiction interventions. Compared to other health care areas, evaluation of addiction interventions is also particularly complex due to the diversity of delivery systems, the perplexity of the financing schemes, and the wide spectrum of social and economic outcomes. With the continuing need for more and improved economic evaluation findings for alcohol abuse services and interventions, the present project will address the following three broad aims: 1. Examine whether recently developed methods to estimate the economic costs and benefits of drug abuse services and interventions can be utilized in evaluation studies of alcohol abuse services and interventions; 2. Make any modifications and/or enhancements to customize these earlier developed methodologies and instruments for use in current studies of alcohol abuse services and interventions; 3. Test the practicality and scientific integrity of using these contemporary economic evaluation methods for alcohol abuse services and interventions by adding (or supplementing) an economic evaluation component to several NIAAA-funded services research and intervention projects in Arkansas, California, Florida, Illinois, New Mexico, Pennsylvania, and Wisconsin. The proposed study will complement and extend an existing research grant with the National Institute on Drug Abuse (NIDA), which focuses on developing and testing economic evaluation methods for drug abuse interventions, including the application of clinical and financial instruments in economic evaluation (e.g., ASI, DATCAP, TSR) (1R01 DA11506). Since the start of the grant in September 1998, various economic evaluation methods have been developed, empirically tested, and implemented. Presumably, most of the methods can be applied to alcohol abuse services and interventions as well. To provide an empirical laboratory for testing these methods, the investigative team for the proposed study has assembled an impressive group of NIAAA grantees that have offered access to outcome and other data from their current projects for the purposes of adding (or improving) an economic evaluation component to their research studies. Since the demand for economic evaluation studies of alcohol abuse services and interventions is increasing in the U.S. as well as abroad, the proposed study holds important potential to assist researchers, policymakers, and program directors with economic evaluation guidelines and """"""""real world"""""""" applications.

Agency
National Institute of Health (NIH)
Institute
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Type
Research Project (R01)
Project #
1R01AA013167-01
Application #
6323757
Study Section
Special Emphasis Panel (ZAA1-FF (03))
Program Officer
Hilton, Michael E
Project Start
2001-06-01
Project End
2006-05-31
Budget Start
2001-06-01
Budget End
2002-05-31
Support Year
1
Fiscal Year
2001
Total Cost
$518,155
Indirect Cost
Name
University of Miami School of Medicine
Department
Type
Schools of Medicine
DUNS #
City
Miami
State
FL
Country
United States
Zip Code
33146
Davalos, Maria E; Fang, Hai; French, Michael T (2012) Easing the pain of an economic downturn: macroeconomic conditions and excessive alcohol consumption. Health Econ 21:1318-35
Popovici, Ioana; Homer, Jenny F; Fang, Hai et al. (2012) Alcohol use and crime: findings from a longitudinal sample of U.S. adolescents and young adults. Alcohol Clin Exp Res 36:532-43
Ettner, Susan L; Maclean, Johanna Catherine; French, Michael T (2011) DOES HAVING A DYSFUNCTIONAL PERSONALITY HURT YOUR CAREER? AXIS II PERSONALITY DISORDERS AND LABOR MARKET OUTCOMES. Ind Relat (Berkeley) 50:149-173
French, Michael T; Maclean, Johanna Catherine; Sindelar, Jody L et al. (2011) The morning after: alcohol misuse and employment problems. Appl Econ 43:2705-2720
Balsa, Ana I; Homer, Jenny F; French, Michael T et al. (2011) Alcohol Use and Popularity: Social Payoffs from Conforming to Peers' Behavior. J Res Adolesc 21:559-568
Balsa, Ana I; Giuliano, Laura M; French, Michael T (2011) The effects of alcohol use on academic achievement in high school. Econ Educ Rev 30:1-15
French, Michael T; Popovici, Ioana (2011) That instrument is lousy! In search of agreement when using instrumental variables estimation in substance use research. Health Econ 20:127-46
Ettner, Susan L; French, Michael T; Popovici, Ioana (2010) Heavy drinking and health promotion activities. Soc Sci Med 71:134-42
French, Michael T; Norton, Edward C; Fang, Hai et al. (2010) Alcohol consumption and body weight. Health Econ 19:814-32
Wahl, Ana-María González; Eitle, Tamela McNulty (2010) Gender, acculturation and alcohol use among Latina/o adolescents: a multi-ethnic comparison. J Immigr Minor Health 12:153-65

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