title: Cost-effectiveness of peer-delivered interventions for cocaine and alcohol abuse among women: a randomized controlled trial.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  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, underserved population.
  
  
  BACKGROUND
  ClinicalTrials.gov NCT01235091.
authors.affiliation: Department of Public Health, Yale University School of Medicine, New Haven, Connecticut, United States of America. jennifer.ruger@yale.edu
authors.forename: Jennifer Prah
authors.initials: JP
authors.lastname: Ruger
authors.forename: Jennifer
authors.initials: J
authors.lastname: Prah Ruger
authors.forename: Arbi Ben
authors.initials: AB
authors.lastname: Abdallah
authors.forename: Craig
authors.initials: C
authors.lastname: Luekens
authors.forename: Linda
authors.initials: L
authors.lastname: Cottler
mesh_terms: D000293:Adolescent; D000328:Adult; D000437:Alcoholism / Q000191:economics* / Q000534:rehabilitation; D019970:Cocaine-Related Disorders / Q000191:economics* / Q000534:rehabilitation; D003362:Cost-Benefit Analysis; D005260:Female; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006291:Health Policy / Q000191:economics*; D006801:Humans; D010353:Patient Education as Topic; D016896:Treatment Outcome; D014481:United States; D055815:Young Adult