sustainable. Accordingly, we tracked the cost of the intervention's
implementation in order to determine whether the SystemCHANGE–
HIV intervention could efficiently be delivered to its target population.
We found that a total cost of delivering the 10 week intervention to 20
people was $3731 or $185.65 per participant, which is consistent with
other group-based self-management programs in the United States
(Gordon, 2007). Most of our costs were associated with the $10
incentive given to eachparticipant for each session attended ($2,000)—a
cost that could be minimized if adapted to a community-based setting
which do not customarily give incentives for programs.Whether or not
the SystemCHANGE–HIV intervention could be deemed cost-effective,
will be dependent upon whether a refined intervention is effective in
future research. However, participants of the intervention reported that
theywould bewilling to pay, on average $177 (±$222) for the 10 week
intervention. If insurance was paying for the intervention, the perceived
average value of the 10 week intervention increased to $479 (±386).
This discrepancy between the value of the intervention based on who
was paying was not surprising. The actual cost of implementing the
intervention was close to the average value if participants were selfpaying
(+$9) and was well below the average reported value if
insurance was paying (−$293). Taken together, the SystemCHANGE–
HIV appears to be a sustainable intervention which enhances the
feasibility of the intervention.
sustainable. Accordingly, we tracked the cost of the intervention's
implementation in order to determine whether the SystemCHANGE–
HIV intervention could efficiently be delivered to its target population.
We found that a total cost of delivering the 10 week intervention to 20
people was $3731 or $185.65 per participant, which is consistent with
other group-based self-management programs in the United States
(Gordon, 2007). Most of our costs were associated with the $10
incentive given to eachparticipant for each session attended ($2,000)—a
cost that could be minimized if adapted to a community-based setting
which do not customarily give incentives for programs.Whether or not
the SystemCHANGE–HIV intervention could be deemed cost-effective,
will be dependent upon whether a refined intervention is effective in
future research. However, participants of the intervention reported that
theywould bewilling to pay, on average $177 (±$222) for the 10 week
intervention. If insurance was paying for the intervention, the perceived
average value of the 10 week intervention increased to $479 (±386).
This discrepancy between the value of the intervention based on who
was paying was not surprising. The actual cost of implementing the
intervention was close to the average value if participants were selfpaying
(+$9) and was well below the average reported value if
insurance was paying (−$293). Taken together, the SystemCHANGE–
HIV appears to be a sustainable intervention which enhances the
feasibility of the intervention.
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