{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T12:58:23Z","timestamp":1781182703814,"version":"3.54.1"},"reference-count":47,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2019,6,28]],"date-time":"2019-06-28T00:00:00Z","timestamp":1561680000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2019,6,28]],"date-time":"2019-06-28T00:00:00Z","timestamp":1561680000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Addiction"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To determine the cost\u2010effectiveness of electronic\u2010 and clinician\u2010delivered SBIRT (Screening, Brief Intervention and Referral to Treatment) for reducing primary substance use among women treated in reproductive health centers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cost\u2010effectiveness analysis based on a randomized controlled trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>New Haven, CT, USA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A convenience sample of 439 women seeking routine care in reproductive health centers who used cigarettes, risky amounts of alcohol, illicit drugs or misused prescription medication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>\n                      Participants were randomized to enhanced usual care (EUC,\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0151), electronic\u2010delivered SBIRT (e\u2010SBIRT,\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0143) or clinician\u2010delivered SBIRT (SBIRT,\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0145).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>The primary outcome was days of primary substance abstinence during the 6\u2010month follow\u2010up period. To account for the possibility that patients might substitute a different drug for their primary substance during the 6\u2010month follow\u2010up period, we also considered the number of days of abstinence from all substances. Incremental cost\u2010effectiveness ratios and cost\u2010effectiveness acceptability curves determined the relative cost\u2010effectiveness of the three conditions from both the clinic and patient perspectives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>From a health\u2010care provider perspective, e\u2010SBIRT is likely (with probability greater than 0.5) to be cost\u2010effective for any willingness\u2010to\u2010pay value for an additional day of primary\u2010substance abstinence and an additional day of all\u2010substance abstinence. From a patient perspective, EUC is most likely to be the cost\u2010effective intervention when the willingness to pay for an additional day of abstinence (both primary\u2010substance and all\u2010substance) is less than $0.18 and e\u2010SBIRT is most likely to be the cost\u2010effective intervention when the willingness to pay for an additional day of abstinence (both primary\u2010substance and all\u2010substance) is greater than $0.18.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>e\u2010SBIRT could be a cost\u2010effective approach, from both health\u2010care provider and patient perspectives, for use in reproductive health centers to help women reduce substance misuse.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/add.14668","type":"journal-article","created":{"date-parts":[[2019,5,21]],"date-time":"2019-05-21T00:39:25Z","timestamp":1558399165000},"page":"1659-1669","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Cost\u2010effectiveness of electronic\u2010 and clinician\u2010delivered screening, brief intervention and referral to treatment for women in reproductive health centers"],"prefix":"10.1111","volume":"114","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0464-181X","authenticated-orcid":false,"given":"Todd A.","family":"Olmstead","sequence":"first","affiliation":[{"name":"Lyndon B. Johnson School of Public Affairs The University of Texas at Austin  Austin TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly A.","family":"Yonkers","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Yale University School of Medicine  New Haven CT USA"},{"name":"Department of Obstetrics, Gynecology and Reproductive Sciences Yale University School of Medicine  New Haven CT USA"},{"name":"Division of Chronic Disease Yale University School of Epidemiology and Public Health  New Haven CT USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven J.","family":"Ondersma","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Neurosciences and Merrill\u2010Palmer Skillman Institute Wayne State University  Detroit MI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ariadna","family":"Forray","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Yale University School of Medicine  New Haven CT USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"Gilstad\u2010Hayden","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Yale University School of Medicine  New Haven CT USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steve","family":"Martino","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Yale University School of Medicine  New Haven CT USA"},{"name":"VA Connecticut Healthcare System  West Haven CT USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,6,28]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Center for Behavioral Health Statistics and Quality.Behavioral Health Trends in the United States:Results from the 2014 National Survey on Drug Use and Health. 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