title: Cost benefits of a peer-led asthma self-management program for adolescents.
abstract: OBJECTIVE
  Frequent use of health-care services associated with pediatric asthma places substantial economic burden on families and society. The purpose of this study is to examine the cost-saving effects of a peer-led program through reduction in health-care utilization in comparison to an adult-led program.
  
  
  METHODS
  Randomly assigned adolescents (13-17 years) participated in either peer-led (n = 59) or adult-led (n = 53) asthma self-management program. Health-care utilization data were collected at baseline and at 3-, 6-, and 9-months post-intervention. Negative binomial regression models were conducted to examine the effects of the peer-led program on health-care utilization. Net cost savings were estimated based on the differences in program costs and health-care utilization costs between groups.
  
  
  RESULTS
  Significant group differences were found in acute office visits and school clinic visits after controlling for race and socioeconomic status. The incidence rate of acute office visits was 80-82% less for the peer-led group during follow-ups. The peer-led group was four to five times more likely to use school clinics due to asthma than the adult-led group during follow-ups. The non-research cost of peer-led program per participant was lower than the adult-led program, $64 versus $99, respectively. The net cost saving from the reduction in acute office visits and the lower program costs of the peer-led program was estimated $51.8 per person for a 3-month period.
  
  
  CONCLUSIONS
  An asthma self-management program using peer leaders can potentially yield health-care cost savings through the reduction in acute office visits in comparison to a traditional program led by health-care professionals.
authors: School of Nursing, University of Rochester Medical Center, 601 Elmwood Avenue, Rochester, NY 14642, USA. hyekyun_rhee@urmc.rochester.edu
authors: Hyekyun
authors: H
authors: Rhee
authors: Irena
authors: I
authors: Pesis-Katz
authors: Jingping
authors: J
authors: Xing
mesh_terms: D000293:Adolescent; D000328:Adult; D001249:Asthma / Q000191:economics*; D003362:Cost-Benefit Analysis; D005260:Female; D019538:Health Care Surveys; D006296:Health Services / Q000191:economics* / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D010379:Peer Group; D012648:Self Care / Q000191:economics*