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Table 5 Summary of the designs, methods, techniques and outcomes used to produce economic evidence

From: Cost and economic evidence for asset-based approaches to health improvement and their evaluation methods: a systematic review

Study

Comparator

Study type

Primary outcome (Clinical or economic)

Secondary outcomes (Clinical or economic)

Reported costs

Currency (year)

Cost collection approaches

Reporting only implementation and running costs (IRC)

Gitlin, USA, 2012 [36]

Control group: 4 month wait-list

[Single-blind parallel]

Randomised trial

PHQ-9

Change in categorical diagnosis

Intervention staff costs (inc travel)

Program supervision cost

Training costs

Programme material costs

Adverse events

US$

(2010)

Intervention supervisor and facilitator log

Reporting implementation and running costs AND health and/or social care related costs (IRHSC)

Mayer, USA, 2010 [32]

Post intervention outcomes: between participants and non-participants

Cohort (retrospective)

Total healthcare cost

Inpatient costs; primary care costs; percentage of hospitalisations; number of hospital days

Only total aggregate cost detail

US$

(2005)

From Group Health Cooperative (GHC) (consumer-governed, mixed-model health maintenance organisation with complete cost data for all participants)

Ellis-Hill, UK, 2019 [34]

Control group: standard/typical care

Randomised trial (feasibility study)

Warwick-Edinburgh Mental Well-being Scale (WEMWBS);

Hospital Anxiety and Depression Scale (HADS);

ICEpop CAPability measure for adults (ICECAP-A)

Rosenberg Self-Esteem Scale (RSES);

Medical Outcomes Short Form Health Survey (SF-36 V.1);

Head Injury Semantic Differential Scale (HISDS-III)

Intervention staff costs

(fixed fee; including travel);

Goods (not categorised by consumable and durable);

Venue hire cost

£

(2015)

Resource-use form completed by intervention facilitator

Including an economic evaluation (EE)

Kahn, USA, 2001 [31]

Absence of intervention, based on modelled risk reduction

Cohort (prospective)

HIV infection averted

QALYs gained

Staff costs (inc travel);

Training costs;

Goods (durable and consumable);

Venue hire;

Communication/ networking costs (with community partners)

US$

(2000)

Intervention costs: project ledgers and staff interview

Averted health care costs: combing published cost model with recent data on treatment patterns

Stevens, UK, 2002 [40]

Standard/typical care

Panel study

Cost per 1-year quitter

Cost per life year saved

Salary cost;

Other labour costs;

Non-pay costs;

Total direct cost;

Overheads

£

(unreported)

Actual cost expenditure figures

Krukowski, USA, 2013 [35]

Professionally delivered service

[Cluster] Randomised trial

Cost per kg lost

Assume existing space, staff;

Staff costs (time to train lay health worker, production of training and intervention implementation manual);

Goods (digital scale and stadiometer, participant recruitment material. calorie and fat counter book for participants, a pedometer, calculator, and lesson binder)

USA$

(unreported)

Unreported

Pizzi, USA, 2014 [37]

Control group: 4 month wait-list

[Single-blind parallel]

Randomised trial

QALY as measured by EQ-5D

ICER using HUI-3 derived QALY

“Screening, intervention delivery and supervision”;

Health care service use (inpatient; outpatient; medication costs);

“Formal care giving and social service use”;

Work productivity losses

US$

(2010)

Intervention supervisor and facilitator log

Eckermann, Australia, 2014 [33]

Pre/ post comparison

Cohort

Health outcomes reported in separate publications;

Triangulated behaviour change

Staff cost (inc volunteer time);

Programme coordinator costs

Au$

(unreported)

Survey completed by Intervention facilitator;

Volunteer time at same rate set as kitchen/Garden specialist rate

Wingate, UK, 2017 [41]

Control group: standard/typical care

[Cluster]

Randomised trial

Primary/ secondary unspecified:

Reference separate publication for complete health outcomes;

Key outcomes mentioned:

Systolic blood pressure; HbAlc

Hospital staff cost

(Nurse, GP Diabetes specialist nurse, Healthcare assistant, Dietician, Consultant);

A&E visits;

Overnight hospital-stay;

Participant out-of-pocket costs (medication, glucose monitoring, cost of medical visits, travel, & other costs)

£

(2013)

Out-of-pocket costs: resource-use form completed by intervention participants;

NHS unit costs derived from ‘Unit Costs of Health and Social Care data’

Chung, USA, 2018 (38)

Non-ABA intervention: Resources for services’: offers technical assistance through webinar and individual primary care practice site visits

[Cluster]

Randomised trial

Intervention, planning, training, and service use costs

Screening engagement activities;

Training;

Goods (consumables);

Participant co-production time;

Staff;

Communication/ networking (with participants);

Behavioural health/ depression specific costs (counselling; education; therapy; psychotropic medication; referral)

Service-use costs

[inpatient hospital night for behavioural health; all emergency room visits; emergency room visits; outpatient primary care visits; social community service visits (family preservation, prisoner re-entry, senior centres, hair salons, exercise clubs); psychotropic medications]

US$

(2010)

Study logs and activity sign-in sheers

(wages: time multiplied by hourly wage);

Participant-report collected via phone survey;

Service use costs: “Consumer Price Index (Hospital and Related Services)” assigned to participant-reported use;

Community use costs: estimated from 2010 US Department of Labor national averages of staff wages;

Psychotropic medication: match patient reported data to ‘World Health Organisational Daily Defined Dose index’ and compared to 2010 Redbook price data

Visram, UK, 2020 [42]

Forecasted intervention outcomes through behaviour change models

Before and after study

Achieve behaviour change

(following intervention: as set in personal health plan)

Staff (time to asset-map, sign-post services);

Fixed per participant cost

£

(2014–15)

Trainer data collection and reporting system;

Score card completed by intervention facilitator;

Data input to ‘Ready Reckoner’ economic model, using 2014/5 cost

Yeary, USA, 2020 [39]

Control group who did not receive additional 12 maintenance sessions

[Cluster]

Randomised trial

Cost per kg loss

Staff (volunteer time uncosted)

Training

Engagement

Goods (consumables and durables)

US$

(2014–15)

Budget reports completed throughout intervention