Final published version
Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
}
TY - JOUR
T1 - The cost-effectiveness of brief intervention versus brief treatment of Screening, Brief Intervention and Referral to Treatment (SBIRT) in the United States
AU - Barbosa, Carolina
AU - Cowell, Alexander J.
AU - Dowd, Bill
AU - Landwehr, Justin
AU - Aldridge, Arnie
AU - Bray, Jeremy
PY - 2017/2/1
Y1 - 2017/2/1
N2 - AIMS:To conduct a cost-effectiveness analysis (CEA) comparing the delivery of brief intervention (BI) with brief treatment (BT) within Screening, Brief Intervention and Referral to Treatment (SBIRT) programs. DESIGN:Quasi-experimental differences in observed baseline characteristics between BI and BT patients were adjusted using propensity score techniques. Incremental comparison of costs and health outcomes associated with BI and BT. SETTING:Health-care settings in four US states participating in Substance Abuse and Mental Health Services Administration SBIRT grant programs. PARTICIPANTS:Ninety patients who received BT and 878 who received BI. MEASUREMENTS:Per-patient cost of SBIRT, patient demographics and six measures of substance use: proportion using alcohol, proportion using alcohol to intoxication, days of alcohol use, days of alcohol use to intoxication, proportion using drugs and days using drugs. FINDINGS:BI and BT were associated with better outcomes. The cost of SBIRT was significantly higher for BT patients ($75.54 versus 16.32, 95% confidence interval, P
AB - AIMS:To conduct a cost-effectiveness analysis (CEA) comparing the delivery of brief intervention (BI) with brief treatment (BT) within Screening, Brief Intervention and Referral to Treatment (SBIRT) programs. DESIGN:Quasi-experimental differences in observed baseline characteristics between BI and BT patients were adjusted using propensity score techniques. Incremental comparison of costs and health outcomes associated with BI and BT. SETTING:Health-care settings in four US states participating in Substance Abuse and Mental Health Services Administration SBIRT grant programs. PARTICIPANTS:Ninety patients who received BT and 878 who received BI. MEASUREMENTS:Per-patient cost of SBIRT, patient demographics and six measures of substance use: proportion using alcohol, proportion using alcohol to intoxication, days of alcohol use, days of alcohol use to intoxication, proportion using drugs and days using drugs. FINDINGS:BI and BT were associated with better outcomes. The cost of SBIRT was significantly higher for BT patients ($75.54 versus 16.32, 95% confidence interval, P
KW - brief intervention
KW - brief treatment
KW - cost‐effectiveness
KW - economic evaluation
KW - SBIRT
KW - substance abuse
U2 - 10.1111/add.13658
DO - 10.1111/add.13658
M3 - Journal article
C2 - 28074567
VL - 112
SP - 73
EP - 81
JO - Addiction (Abingdon, England)
JF - Addiction (Abingdon, England)
IS - Suppl. 2
ER -