The Program Cost of a Brief Video Intervention Shown in Sexually Transmitted Disease Clinic Waiting Rooms
BACKGROUND:
Patients
in sexually transmitted disease (STD) clinic waiting rooms represent a
potential audience for delivering health messages via video-based
interventions. A controlled trial at 3 sites found that patients exposed to one
intervention, Safe in the City, had a significantly lower incidence of STDs
compared with patients in the control condition. An evaluation of the intervention's
cost could help determine whether such interventions are programmatically
viable.
MATERIALS AND METHODS:
The
cost of producing the Safe in the City intervention was estimated using study
records, including logs, calendars, and contract invoices. Production costs
were divided by the 1650 digital video kits initially fabricated to get an
estimated cost per digital video. Clinic costs for showing the video in waiting
rooms included staff time costs for equipment operation and hardware
depreciation and were estimated for the 21-month study observation period
retrospectively.
RESULTS:
The
intervention cost an estimated $416,966 to develop, equaling $253 per digital
video disk produced. Per-site costs to show the video intervention were
estimated to be $2699 during the randomized trial.
CONCLUSIONS:
The
cost of producing and implementing Safe in the City intervention suggests that
similar interventions could potentially be produced and made available to end
users at a price that would both cover production costs and be low enough that
the end users could afford them.
- 1From the *Centers for Disease Control and Prevention, Atlanta, GA; †Education Development Center, Waltham, MA; ‡Rietmeijer Consulting, LLC, Denver, CO; §California State University, Long Beach, Long Beach, CA; and ¶University of California, Los Angeles, Los Angeles, CA.
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