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Session Title: Using Cost --> Procedure --> Process --> Outcome Analysis (CPPOA) Data to Improve Substance Abuse Prevention Programs and Portfolios
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Panel Session 556 to be held in TRAVIS B on Friday, Nov 12, 10:55 AM to 11:40 AM
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Sponsored by the Costs, Effectiveness, Benefits, and Economics TIG
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| Chair(s): |
| Michael Langer, State of Washington, langeme@dshs.wa.gov
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| Discussant(s):
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| Beverlie Fallik, United States Department of Health and Human Services, beverlie.fallik@samhsa.hhs.gov
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CPPOA of a Fourth Grade Intervention for Preventing Use of Alcohol, Tobacco, and Other Drugs
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| Brian Yates, American University, brian.yates@mac.com
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We found that a three-year program for preventing substance abuse in fourth-graders actually increased subsequent reports of willingness to use gateway drugs, and actual use of some of these drugs. Because we conducted a cost ? procedure ? process ? outcome Analysis (CPPOA), rather than a simpler cost-effectiveness analysis, we could say with reasonable confidence both a) which procedures were responsible for these iatrogenic outcomes, as well as b) which clients were most harmed by the procedures. These findings led to specific suggestions about how to modify the program to remedy its iatrogenic effects. Data were collected from 64 youth participating in the prevention program and 64 control youth, at the beginning of three consecutive school years. Iterative multiple regressions show willingness to use both gateway drugs and alcohol, tobacco, and other drugs (ATODs), and actual use of ATODs, was negatively related to changes in social responsibility.
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Secure CPPO Data Sharing Techniques that Efficiently Support Analysis of Substance Abuse Prevention Policies and Portfolios
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| Ron Visscher, Aquinas College, ron.visscher@gmail.com
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Techniques to securely and flexibly network cost and other data among substance abuse prevention and treatment efforts are first described. It is shown how the techniques enable secure recombination and reuse of matrices of data among multiple organizations and individuals, thus enabling efficient multi-perspective Cost ? Procedure ? Process ? Outcome Analysis (CPPOA). As a result of participation in such data sharing networks, each individual person, community, funder or other entity is able to better inform their own portfolio of policies and strategies. Both efficiency and security are enhanced as a result of the way the distribution of the data and the tasks are coordinated among the related constituent groups involved. The techniques can be used to support the analysis of “reach” and other aspects of program efficiency within target communities, while also informing the selection of the most effective complement of programs for coverage of substance abuse prevention and treatment needs.
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