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Economic Evaluation of Two Scalability Strategies for Nationwide Dissemination of an Occupational Sun Safety
Richard Meenan1, David B Buller, Julia Berteletti
1From the Kaiser Permanente Center for Health Research, Portland, Oregon (R.M.); Klein Buendel, Inc., Golden, Colorado (D.B.B., J.B., M.K.B., I.A., N.C.); Colorado State University, Ft Collins, Colorado (K.L.H.); University of Alabama in Birmingham, Birmingham, Alabama (G.R.C.); and UConn Center for mHealth & Social Media at University of Connecticut, Storrs, Connecticut (S.P.).
Objective:
An economic evaluation of methods for scaling up the Go Sun Smart at Work (GSS@W) occupational sun protection program was conducted.
Methods:
Regional districts (n = 138) in 21 state departments of transportation were randomized to digital or in-person scalability strategies for GSS@W. Cost of delivering GSS@W was obtained from project accounting records and manager reports. Incremental cost-effectiveness ratio between digital and in-person strategies was calculated.
Results:
Program-delivery costs (in thousands) were $15.6 in digital and $74.3 in in-person strategies. Across all districts, the incremental cost-effectiveness ratio was $3305, representing average cost savings from a sun safety action not implemented under the digital strategy but implemented under the in-person strategy.
Conclusions:
The digital scalability strategy was cost-effective relative to an in-person strategy, generating substantial cost savings and offsetting a lower mean number of implemented program actions.
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