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A randomized community trial to assess the cost-effectiveness of a health promotion intervention for adults with mobility impairments.
(Archived Project)
Investigator (PI): Seekins, Tom
Performing Organization (PO): (Current): University of Montana
Supporting Agency (SA): Centers for Disease Control and Prevention (CDC), National Center for Environmental Health (NCEH), Office on Disability and Health (ODH)
Initial Year: 1997
Final Year: 2000
Abstract: In previous research, Seekins et al reported on a community-based wellness program, Living Well, for adults with spinal cord injuries that reduced disability due to secondary conditions by 37% and reduced physician visits by 45% over six months. This empirically grounded health promotion intervention, delivered by community-based consumer-controlled independent living centers, offers a model for both improving health and independence of adults with physical disabilities, as well as containing medical services costs within a managed-care context. This study will evaluate the model with a larger, more representative sample and a more rigorous design. Additional data on costs and preferences will be developed to conduct a cost-effectiveness assessment. The researchers will also look at how adults with physical disabilities can maintain and improve their health after participating in a health promotion program to further enhance cost-effectiveness. This project will (1) replicate the Living Well model to evaluate its generality across settings and impairment types and to assess the cost-effectiveness; (2) conduct a longitudinal evaluation of the effects of this community-based model for preventing and managing secondary conditions; (3) develop and evaluate methods for recruiting participants into health promotion programs; (4) develop and test measures for assessing readiness for health and assess potential cost-effectiveness of addressing readiness needs; 95) develop and evaluate procedures consumers can use to maintain and generalize their health gains over time; and (6) develop and implement technology transfer procedures to disseminate successful materials and methods to public health agencies, managed care providers, and community-based disability service programs.
MeSH Terms:
  • Adult
  • Community Health Services /economics
  • /organization & administration
  • Cost-Benefit Analysis
  • * Disabled Persons
  • Evaluation Studies as Topic
  • * Health Promotion
  • Humans
  • Longitudinal Studies
  • Models, Organizational
  • * Movement Disorders
  • Spinal Cord Injuries /complications
  • /*rehabilitation
  • United States
Keywords:
  • research support, U.S. Gov't, P.H.S.
Country: United States
State: Montana
Zip Code: 59812
UI: 97200430
Project Status: Archived