title: Cost-effectiveness analysis of Recovery Management Checkups (RMC) for adults with chronic substance use disorders: evidence from a 4-year randomized trial.
abstract: OBJECTIVE
  This study performs the first cost-effectiveness analysis (CEA) of Recovery Management Checkups (RMC) for adults with chronic substance use disorders.
  
  
  METHODS
  Cost-effectiveness analysis of a randomized clinical trial of RMC. Participants were assigned randomly to a control condition of outcome monitoring (OM-only) or the experimental condition OM-plus-RMC, with quarterly follow-up for 4 years.
  
  
  METHODS
  Participants were recruited from the largest central intake unit for substance abuse treatment in Chicago, Illinois, USA.
  
  
  METHODS
  A total of 446 participants who were 38 years old on average, 54% male, and predominantly African American (85%).
  
  
  METHODS
  Data on the quarterly cost per participant come from a previous study of OM and RMC intervention costs. Effectiveness is measured as the number of days of abstinence and number of substance use-related problems.
  
  
  RESULTS
  Over the 4-year trial, OM-plus-RMC cost on average $2184 more than OM-only (P < 0.01). Participants in OM-plus-RMC averaged 1026 days abstinent and had 89 substance use-related problems. OM-only averaged 932 days abstinent and reported 126 substance use-related problems. Mean differences for both effectiveness measures were statistically significant (P < 0.01). The incremental cost-effectiveness ratio for OM-plus-RMC was $23.38 per day abstinent and $59.51 per reduced substance-related problem. When additional costs to society were factored into the analysis, OM-plus-RMC was less costly and more effective than OM-only.
  
  
  CONCLUSIONS
  Recovery Management Checkups are a cost-effective and potentially cost-saving strategy for promoting abstinence and reducing substance use-related problems among chronic substance users.
authors: Department of Public Health Sciences, Miller School of Medicine, University of Miami, Miami, FL, USA.
authors: Kathryn E
authors: KE
authors: McCollister
authors: Michael T
authors: MT
authors: French
authors: Derek M
authors: DM
authors: Freitas
authors: Michael L
authors: ML
authors: Dennis
authors: Christy K
authors: CK
authors: Scott
authors: Rodney R
authors: RR
authors: Funk
mesh_terms: D000328:Adult; D001741:Black or African American / Q000208:ethnology; D002641:Chicago; D002908:Chronic Disease; D017281:Cost of Illness; D003362:Cost-Benefit Analysis; D005260:Female; D006801:Humans; D008134:Long-Term Care / Q000191:economics; D008297:Male; D019966:Substance-Related Disorders / Q000191:economics* / Q000208:ethnology / Q000534:rehabilitation
keywords: Chronic substance use disorder; Recovery Management Checkups; cost-effectiveness analysis; economic evaluation
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