Evidence map›Paper›PMID 40110768›Full record

ArticleHealth services research2025

A Bootstrap Method to Estimate Cost of Behavioral Intervention Implementation: A Proof of Concept.

Julia Mo, Daniel Maeng, Mark C Hornbrook, Virginia Sun, Ruth C McCorkle, Ronald S Weinstein, Robert S Krouse

Abstract readMulticenter Study
In one paragraph

Article in Health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Julia MoDepartment of Medicine, University of Rochester Medical Center, Rochester, New York, USA.ORCID https://orcid.org/0000-0002-6850-2184
Daniel MaengDepartment of Psychiatry, University of Rochester Medical Center, Rochester, New York, USA.
Mark C HornbrookCenter for Health Research, Kaiser Permanente Northwest Region, Portland, Oregon, USA.
Virginia SunDivision of Nursing Research and Education, City of Hope, Duarte, California, USA.
Ruth C McCorkleSchool of Nursing, Yale University, West Haven, Connecticut, USA.
Ronald S WeinsteinArizona Telemedicine Program, University of Arizona, Tucson, Arizona, USA.
Robert S KrouseDepartment of Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Funding

Patient-Centered Outcomes Research Institute CDR-1507-31690
6 · The paper itself

Abstract

objectiveTo develop a bootstrapping method to augment time-driven activity-based costing (TDABC) analysis intended to allow more realistic cost estimates. DATA SOURCES: Secondary data from a multisite clinical trial conducted from 2016 to 2018 on an ostomy self-management telehealth intervention for cancer survivors. STUDY

designThe intervention cost was newly estimated by incorporating expected patient participation rates calculated via bootstrapping. This cost was compared against the cost estimate obtained via traditional TDABC. DATA COLLECTION: Study personnel self-reported the time spent on each activity associated with the intervention. We also utilized patient participation data collected from the trial. PRINCIPAL

findingsThe total cost of the telehealth intervention estimated via the bootstrapping method was $210,052.62 (95% CI: 208,652.13, 211,402.51), with an average cost per participant of $1981.63 (95% CI: 1968.42, 1994.36). Traditional TDABC analysis yielded $186,363 or $1758 per participant. Further adjusting assumptions about the cost of the postintervention monitoring phase, our approach yielded an alternative estimate of $176,362.56 (95% CI: 174,962.07, 177,712.45) and an average cost per participant of $1663.80 (95% CI: 1650.59, 1676.53) suggesting both methods yielded similar bottom-line results.

conclusionsIncorporating bootstrapping into traditional TDABC methodology is feasible and is likely to capture variance in clinical trial data.

Indexed as

Cancer SurvivorsCosts and Cost AnalysisSelf-ManagementTelemedicineCost-Benefit AnalysisFemaleHumansMaleMiddle AgedPatient ParticipationProof of Concept Studybehavioral interventionsbootstrappingcost methodseconomic modelingtime‐driven activity‐based costing

Identifiers

PMID40110768
PMCPMC12277123

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.