title: Cost-effectiveness of the strong African American families-teen program: 1-year follow-up.
abstract: BACKGROUND
  Alcohol use poses a major threat to the health and well being of rural African American adolescents by negatively impacting academic performance, health, and safety. However, rigorous economic evaluations of prevention programs targeting this population are scarce.
  
  
  METHODS
  Cost-effectiveness analyses were conducted of SAAF-T relative to an attention-control intervention (ACI), as part of a randomized prevention trial. Outcomes of interest were the number of alcohol use and binge drinking episodes prevented, one year following the intervention. Incremental cost-effectiveness ratios (ICERs) and cost-effectiveness acceptability curves (CEACs) were used to determine the cost-effectiveness of SAAF-T compared to the ACI intervention.
  
  
  RESULTS
  For the 473 participating youth completing baseline and follow-up assessments, the incremental per participant costs were $168, while the incremental per participant effects were 3.39 episodes of alcohol use prevented and 1.36 episodes of binge drinking prevented. Compared to the ACI intervention, the SAAF-T program cost $50 per reduction in an alcohol use episode and $123 per reduced episode of binge drinking. For the CEACs, at thresholds of $100 and $440, SAAF-T has at least a 90% probability of being cost-effective, relative to the ACI, for reductions in alcohol use and binge drinking episodes, respectively.
  
  
  CONCLUSIONS
  The SAAF-T intervention provides a potentially cost-effective means for reducing the African American youths' alcohol use and binge drinking episodes.
authors.affiliation: Department of Health Policy and Management, College of Public Health, University of Georgia, United States. Electronic address: ingels@uga.edu.
authors.forename: Justin B
authors.initials: JB
authors.lastname: Ingels
authors.forename: Phaedra S
authors.initials: PS
authors.lastname: Corso
authors.forename: Steve M
authors.initials: SM
authors.lastname: Kogan
authors.forename: Gene H
authors.initials: GH
authors.lastname: Brody
mesh_terms: D000293:Adolescent; D001741:Black or African American; D000437:Alcoholism / Q000191:economics* / Q000517:prevention & control*; D063425:Binge Drinking / Q000517:prevention & control; D003362:Cost-Benefit Analysis; D003365:Costs and Cost Analysis; D005260:Female; D005500:Follow-Up Studies; D005845:Georgia; D006266:Health Education; D006801:Humans; D008297:Male; D012044:Regression Analysis; D012424:Rural Population; D016896:Treatment Outcome
keywords: Alcohol; Costs, Cost-effectiveness analysis; Economic evaluation; Prevention; Rural African-American youth