Mixed-methods economic evaluation of the implementation of tobacco treatment programs in National Cancer Institute-designated cancer centers

Abstract Background The Cancer Center Cessation Initiative (C3I) was launched in 2017 as a part of the NCI Cancer Moonshot program to assist NCI-designated cancer centers in developing tobacco treatment programs for oncology patients. Participating centers have implemented varied evidence-based programs that fit their institutional resources and needs, offering a wide range of services including in-person and telephone-based counseling, point of care, interactive voice response systems, referral to the quitline, text- and web-based services, and medications. Methods We used a mixed methods comparative case study design to evaluate system-level implementation costs across 15 C3I-funded cancer centers that reported for at least one 6-month period between July 2018 and June 2020. We analyzed operating costs by resource category (e.g., personnel, medications) concurrently with transcripts from semi-structured key-informant interviews conducted during site visits. Personnel salary costs were estimated using Bureau of Labor Statistics wage data adjusted for area and occupation, and non-wage benefits. Qualitative findings provided additional information on intangible resources and contextual factors related to implementation costs. Results Median total monthly operating costs across funded centers were $11,045 (range: $5129–$20,751). The largest median operating cost category was personnel ($10,307; range: $4122–$19,794), with the highest personnel costs attributable to the provision of in-person program services. Monthly (non-zero) cost ranges for other categories were medications ($17–$573), materials ($6–$435), training ($96–$516), technology ($171–$2759), and equipment ($10–$620). Median cost-per-participant was $466 (range: $70–$2093) and cost-per-quit was $2688 (range: $330–$9628), with sites offering different combinations of program components, ranging from individually-delivered in-person counseling only to one program that offered all components. Site interviews provided context for understanding variations in program components and their cost implications. Conclusions Among most centers that have progressed in tobacco treatment program implementation, cost-per-quit was modest relative to other prevention interventions. Although select centers have achieved similar average costs by offering program components of various levels of intensity, they have varied widely in program reach and effectiveness. Evaluating implementation costs of such programs alongside reach and effectiveness is necessary to provide decision makers in oncology settings with the important additional information needed to optimize resource allocation when establishing tobacco treatment programs. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Ramzi G. Salloum [verfasserIn] Heather D’Angelo [verfasserIn] Ryan P. Theis [verfasserIn] Betsy Rolland [verfasserIn] Sarah Hohl [verfasserIn] Danielle Pauk [verfasserIn] Jennifer H. LeLaurin [verfasserIn] Yasmin Asvat [verfasserIn] Li-Shiun Chen [verfasserIn] Andrew T. Day [verfasserIn] Adam O. Goldstein [verfasserIn] Brian Hitsman [verfasserIn] Deborah Hudson [verfasserIn] Andrea C. King [verfasserIn] Cho Y. Lam [verfasserIn] Katie Lenhoff [verfasserIn] Arnold H. Levinson [verfasserIn] Judith Prochaska [verfasserIn] Fabrice Smieliauskas [verfasserIn] Kathryn Taylor [verfasserIn] Janet Thomas [verfasserIn] Hilary Tindle [verfasserIn] Elisa Tong [verfasserIn] Justin S. White [verfasserIn] W. Bruce Vogel [verfasserIn] Graham W. Warren [verfasserIn] Michael Fiore [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2021

Schlagwörter:	Implementation costs Economic evaluation Mixed methods Smoking cessation Tobacco treatment

Übergeordnetes Werk:	In: Implementation Science Communications - BMC, 2020, 2(2021), 1, Seite 12
Übergeordnetes Werk:	volume:2 ; year:2021 ; number:1 ; pages:12

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1186/s43058-021-00144-7

Katalog-ID:	DOAJ072205563

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245	1	0	\|a Mixed-methods economic evaluation of the implementation of tobacco treatment programs in National Cancer Institute-designated cancer centers
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520			\|a Abstract Background The Cancer Center Cessation Initiative (C3I) was launched in 2017 as a part of the NCI Cancer Moonshot program to assist NCI-designated cancer centers in developing tobacco treatment programs for oncology patients. Participating centers have implemented varied evidence-based programs that fit their institutional resources and needs, offering a wide range of services including in-person and telephone-based counseling, point of care, interactive voice response systems, referral to the quitline, text- and web-based services, and medications. Methods We used a mixed methods comparative case study design to evaluate system-level implementation costs across 15 C3I-funded cancer centers that reported for at least one 6-month period between July 2018 and June 2020. We analyzed operating costs by resource category (e.g., personnel, medications) concurrently with transcripts from semi-structured key-informant interviews conducted during site visits. Personnel salary costs were estimated using Bureau of Labor Statistics wage data adjusted for area and occupation, and non-wage benefits. Qualitative findings provided additional information on intangible resources and contextual factors related to implementation costs. Results Median total monthly operating costs across funded centers were $11,045 (range: $5129–$20,751). The largest median operating cost category was personnel ($10,307; range: $4122–$19,794), with the highest personnel costs attributable to the provision of in-person program services. Monthly (non-zero) cost ranges for other categories were medications ($17–$573), materials ($6–$435), training ($96–$516), technology ($171–$2759), and equipment ($10–$620). Median cost-per-participant was $466 (range: $70–$2093) and cost-per-quit was $2688 (range: $330–$9628), with sites offering different combinations of program components, ranging from individually-delivered in-person counseling only to one program that offered all components. Site interviews provided context for understanding variations in program components and their cost implications. Conclusions Among most centers that have progressed in tobacco treatment program implementation, cost-per-quit was modest relative to other prevention interventions. Although select centers have achieved similar average costs by offering program components of various levels of intensity, they have varied widely in program reach and effectiveness. Evaluating implementation costs of such programs alongside reach and effectiveness is necessary to provide decision makers in oncology settings with the important additional information needed to optimize resource allocation when establishing tobacco treatment programs.
650		4	\|a Implementation costs
650		4	\|a Economic evaluation
650		4	\|a Mixed methods
650		4	\|a Smoking cessation
650		4	\|a Tobacco treatment
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700	0		\|a Heather D’Angelo \|e verfasserin \|4 aut
700	0		\|a Ryan P. Theis \|e verfasserin \|4 aut
700	0		\|a Betsy Rolland \|e verfasserin \|4 aut
700	0		\|a Sarah Hohl \|e verfasserin \|4 aut
700	0		\|a Danielle Pauk \|e verfasserin \|4 aut
700	0		\|a Jennifer H. LeLaurin \|e verfasserin \|4 aut
700	0		\|a Yasmin Asvat \|e verfasserin \|4 aut
700	0		\|a Li-Shiun Chen \|e verfasserin \|4 aut
700	0		\|a Andrew T. Day \|e verfasserin \|4 aut
700	0		\|a Adam O. Goldstein \|e verfasserin \|4 aut
700	0		\|a Brian Hitsman \|e verfasserin \|4 aut
700	0		\|a Deborah Hudson \|e verfasserin \|4 aut
700	0		\|a Andrea C. King \|e verfasserin \|4 aut
700	0		\|a Cho Y. Lam \|e verfasserin \|4 aut
700	0		\|a Katie Lenhoff \|e verfasserin \|4 aut
700	0		\|a Arnold H. Levinson \|e verfasserin \|4 aut
700	0		\|a Judith Prochaska \|e verfasserin \|4 aut
700	0		\|a Fabrice Smieliauskas \|e verfasserin \|4 aut
700	0		\|a Kathryn Taylor \|e verfasserin \|4 aut
700	0		\|a Janet Thomas \|e verfasserin \|4 aut
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700	0		\|a Elisa Tong \|e verfasserin \|4 aut
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700	0		\|a W. Bruce Vogel \|e verfasserin \|4 aut
700	0		\|a Graham W. Warren \|e verfasserin \|4 aut
700	0		\|a Michael Fiore \|e verfasserin \|4 aut
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allfields	10.1186/s43058-021-00144-7 doi (DE-627)DOAJ072205563 (DE-599)DOAJef8c44894a77489e86a0eaa2c8dd5e7b DE-627 ger DE-627 rakwb eng R5-920 Ramzi G. Salloum verfasserin aut Mixed-methods economic evaluation of the implementation of tobacco treatment programs in National Cancer Institute-designated cancer centers 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background The Cancer Center Cessation Initiative (C3I) was launched in 2017 as a part of the NCI Cancer Moonshot program to assist NCI-designated cancer centers in developing tobacco treatment programs for oncology patients. Participating centers have implemented varied evidence-based programs that fit their institutional resources and needs, offering a wide range of services including in-person and telephone-based counseling, point of care, interactive voice response systems, referral to the quitline, text- and web-based services, and medications. Methods We used a mixed methods comparative case study design to evaluate system-level implementation costs across 15 C3I-funded cancer centers that reported for at least one 6-month period between July 2018 and June 2020. We analyzed operating costs by resource category (e.g., personnel, medications) concurrently with transcripts from semi-structured key-informant interviews conducted during site visits. Personnel salary costs were estimated using Bureau of Labor Statistics wage data adjusted for area and occupation, and non-wage benefits. Qualitative findings provided additional information on intangible resources and contextual factors related to implementation costs. Results Median total monthly operating costs across funded centers were $11,045 (range: $5129–$20,751). The largest median operating cost category was personnel ($10,307; range: $4122–$19,794), with the highest personnel costs attributable to the provision of in-person program services. Monthly (non-zero) cost ranges for other categories were medications ($17–$573), materials ($6–$435), training ($96–$516), technology ($171–$2759), and equipment ($10–$620). Median cost-per-participant was $466 (range: $70–$2093) and cost-per-quit was $2688 (range: $330–$9628), with sites offering different combinations of program components, ranging from individually-delivered in-person counseling only to one program that offered all components. Site interviews provided context for understanding variations in program components and their cost implications. Conclusions Among most centers that have progressed in tobacco treatment program implementation, cost-per-quit was modest relative to other prevention interventions. Although select centers have achieved similar average costs by offering program components of various levels of intensity, they have varied widely in program reach and effectiveness. Evaluating implementation costs of such programs alongside reach and effectiveness is necessary to provide decision makers in oncology settings with the important additional information needed to optimize resource allocation when establishing tobacco treatment programs. Implementation costs Economic evaluation Mixed methods Smoking cessation Tobacco treatment Medicine (General) Heather D’Angelo verfasserin aut Ryan P. Theis verfasserin aut Betsy Rolland verfasserin aut Sarah Hohl verfasserin aut Danielle Pauk verfasserin aut Jennifer H. LeLaurin verfasserin aut Yasmin Asvat verfasserin aut Li-Shiun Chen verfasserin aut Andrew T. Day verfasserin aut Adam O. Goldstein verfasserin aut Brian Hitsman verfasserin aut Deborah Hudson verfasserin aut Andrea C. King verfasserin aut Cho Y. Lam verfasserin aut Katie Lenhoff verfasserin aut Arnold H. Levinson verfasserin aut Judith Prochaska verfasserin aut Fabrice Smieliauskas verfasserin aut Kathryn Taylor verfasserin aut Janet Thomas verfasserin aut Hilary Tindle verfasserin aut Elisa Tong verfasserin aut Justin S. White verfasserin aut W. Bruce Vogel verfasserin aut Graham W. Warren verfasserin aut Michael Fiore verfasserin aut In Implementation Science Communications BMC, 2020 2(2021), 1, Seite 12 (DE-627)1733552987 26622211 nnns volume:2 year:2021 number:1 pages:12 https://doi.org/10.1186/s43058-021-00144-7 kostenfrei https://doaj.org/article/ef8c44894a77489e86a0eaa2c8dd5e7b kostenfrei https://doi.org/10.1186/s43058-021-00144-7 kostenfrei https://doaj.org/toc/2662-2211 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2 2021 1 12
spelling	10.1186/s43058-021-00144-7 doi (DE-627)DOAJ072205563 (DE-599)DOAJef8c44894a77489e86a0eaa2c8dd5e7b DE-627 ger DE-627 rakwb eng R5-920 Ramzi G. Salloum verfasserin aut Mixed-methods economic evaluation of the implementation of tobacco treatment programs in National Cancer Institute-designated cancer centers 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background The Cancer Center Cessation Initiative (C3I) was launched in 2017 as a part of the NCI Cancer Moonshot program to assist NCI-designated cancer centers in developing tobacco treatment programs for oncology patients. Participating centers have implemented varied evidence-based programs that fit their institutional resources and needs, offering a wide range of services including in-person and telephone-based counseling, point of care, interactive voice response systems, referral to the quitline, text- and web-based services, and medications. Methods We used a mixed methods comparative case study design to evaluate system-level implementation costs across 15 C3I-funded cancer centers that reported for at least one 6-month period between July 2018 and June 2020. We analyzed operating costs by resource category (e.g., personnel, medications) concurrently with transcripts from semi-structured key-informant interviews conducted during site visits. Personnel salary costs were estimated using Bureau of Labor Statistics wage data adjusted for area and occupation, and non-wage benefits. Qualitative findings provided additional information on intangible resources and contextual factors related to implementation costs. Results Median total monthly operating costs across funded centers were $11,045 (range: $5129–$20,751). The largest median operating cost category was personnel ($10,307; range: $4122–$19,794), with the highest personnel costs attributable to the provision of in-person program services. Monthly (non-zero) cost ranges for other categories were medications ($17–$573), materials ($6–$435), training ($96–$516), technology ($171–$2759), and equipment ($10–$620). Median cost-per-participant was $466 (range: $70–$2093) and cost-per-quit was $2688 (range: $330–$9628), with sites offering different combinations of program components, ranging from individually-delivered in-person counseling only to one program that offered all components. Site interviews provided context for understanding variations in program components and their cost implications. Conclusions Among most centers that have progressed in tobacco treatment program implementation, cost-per-quit was modest relative to other prevention interventions. Although select centers have achieved similar average costs by offering program components of various levels of intensity, they have varied widely in program reach and effectiveness. Evaluating implementation costs of such programs alongside reach and effectiveness is necessary to provide decision makers in oncology settings with the important additional information needed to optimize resource allocation when establishing tobacco treatment programs. Implementation costs Economic evaluation Mixed methods Smoking cessation Tobacco treatment Medicine (General) Heather D’Angelo verfasserin aut Ryan P. Theis verfasserin aut Betsy Rolland verfasserin aut Sarah Hohl verfasserin aut Danielle Pauk verfasserin aut Jennifer H. LeLaurin verfasserin aut Yasmin Asvat verfasserin aut Li-Shiun Chen verfasserin aut Andrew T. Day verfasserin aut Adam O. Goldstein verfasserin aut Brian Hitsman verfasserin aut Deborah Hudson verfasserin aut Andrea C. King verfasserin aut Cho Y. Lam verfasserin aut Katie Lenhoff verfasserin aut Arnold H. Levinson verfasserin aut Judith Prochaska verfasserin aut Fabrice Smieliauskas verfasserin aut Kathryn Taylor verfasserin aut Janet Thomas verfasserin aut Hilary Tindle verfasserin aut Elisa Tong verfasserin aut Justin S. White verfasserin aut W. Bruce Vogel verfasserin aut Graham W. Warren verfasserin aut Michael Fiore verfasserin aut In Implementation Science Communications BMC, 2020 2(2021), 1, Seite 12 (DE-627)1733552987 26622211 nnns volume:2 year:2021 number:1 pages:12 https://doi.org/10.1186/s43058-021-00144-7 kostenfrei https://doaj.org/article/ef8c44894a77489e86a0eaa2c8dd5e7b kostenfrei https://doi.org/10.1186/s43058-021-00144-7 kostenfrei https://doaj.org/toc/2662-2211 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2 2021 1 12
allfields_unstemmed	10.1186/s43058-021-00144-7 doi (DE-627)DOAJ072205563 (DE-599)DOAJef8c44894a77489e86a0eaa2c8dd5e7b DE-627 ger DE-627 rakwb eng R5-920 Ramzi G. Salloum verfasserin aut Mixed-methods economic evaluation of the implementation of tobacco treatment programs in National Cancer Institute-designated cancer centers 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background The Cancer Center Cessation Initiative (C3I) was launched in 2017 as a part of the NCI Cancer Moonshot program to assist NCI-designated cancer centers in developing tobacco treatment programs for oncology patients. Participating centers have implemented varied evidence-based programs that fit their institutional resources and needs, offering a wide range of services including in-person and telephone-based counseling, point of care, interactive voice response systems, referral to the quitline, text- and web-based services, and medications. Methods We used a mixed methods comparative case study design to evaluate system-level implementation costs across 15 C3I-funded cancer centers that reported for at least one 6-month period between July 2018 and June 2020. We analyzed operating costs by resource category (e.g., personnel, medications) concurrently with transcripts from semi-structured key-informant interviews conducted during site visits. Personnel salary costs were estimated using Bureau of Labor Statistics wage data adjusted for area and occupation, and non-wage benefits. Qualitative findings provided additional information on intangible resources and contextual factors related to implementation costs. Results Median total monthly operating costs across funded centers were $11,045 (range: $5129–$20,751). The largest median operating cost category was personnel ($10,307; range: $4122–$19,794), with the highest personnel costs attributable to the provision of in-person program services. Monthly (non-zero) cost ranges for other categories were medications ($17–$573), materials ($6–$435), training ($96–$516), technology ($171–$2759), and equipment ($10–$620). Median cost-per-participant was $466 (range: $70–$2093) and cost-per-quit was $2688 (range: $330–$9628), with sites offering different combinations of program components, ranging from individually-delivered in-person counseling only to one program that offered all components. Site interviews provided context for understanding variations in program components and their cost implications. Conclusions Among most centers that have progressed in tobacco treatment program implementation, cost-per-quit was modest relative to other prevention interventions. Although select centers have achieved similar average costs by offering program components of various levels of intensity, they have varied widely in program reach and effectiveness. Evaluating implementation costs of such programs alongside reach and effectiveness is necessary to provide decision makers in oncology settings with the important additional information needed to optimize resource allocation when establishing tobacco treatment programs. Implementation costs Economic evaluation Mixed methods Smoking cessation Tobacco treatment Medicine (General) Heather D’Angelo verfasserin aut Ryan P. Theis verfasserin aut Betsy Rolland verfasserin aut Sarah Hohl verfasserin aut Danielle Pauk verfasserin aut Jennifer H. LeLaurin verfasserin aut Yasmin Asvat verfasserin aut Li-Shiun Chen verfasserin aut Andrew T. Day verfasserin aut Adam O. Goldstein verfasserin aut Brian Hitsman verfasserin aut Deborah Hudson verfasserin aut Andrea C. King verfasserin aut Cho Y. Lam verfasserin aut Katie Lenhoff verfasserin aut Arnold H. Levinson verfasserin aut Judith Prochaska verfasserin aut Fabrice Smieliauskas verfasserin aut Kathryn Taylor verfasserin aut Janet Thomas verfasserin aut Hilary Tindle verfasserin aut Elisa Tong verfasserin aut Justin S. White verfasserin aut W. Bruce Vogel verfasserin aut Graham W. Warren verfasserin aut Michael Fiore verfasserin aut In Implementation Science Communications BMC, 2020 2(2021), 1, Seite 12 (DE-627)1733552987 26622211 nnns volume:2 year:2021 number:1 pages:12 https://doi.org/10.1186/s43058-021-00144-7 kostenfrei https://doaj.org/article/ef8c44894a77489e86a0eaa2c8dd5e7b kostenfrei https://doi.org/10.1186/s43058-021-00144-7 kostenfrei https://doaj.org/toc/2662-2211 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2 2021 1 12
allfieldsGer	10.1186/s43058-021-00144-7 doi (DE-627)DOAJ072205563 (DE-599)DOAJef8c44894a77489e86a0eaa2c8dd5e7b DE-627 ger DE-627 rakwb eng R5-920 Ramzi G. Salloum verfasserin aut Mixed-methods economic evaluation of the implementation of tobacco treatment programs in National Cancer Institute-designated cancer centers 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background The Cancer Center Cessation Initiative (C3I) was launched in 2017 as a part of the NCI Cancer Moonshot program to assist NCI-designated cancer centers in developing tobacco treatment programs for oncology patients. Participating centers have implemented varied evidence-based programs that fit their institutional resources and needs, offering a wide range of services including in-person and telephone-based counseling, point of care, interactive voice response systems, referral to the quitline, text- and web-based services, and medications. Methods We used a mixed methods comparative case study design to evaluate system-level implementation costs across 15 C3I-funded cancer centers that reported for at least one 6-month period between July 2018 and June 2020. We analyzed operating costs by resource category (e.g., personnel, medications) concurrently with transcripts from semi-structured key-informant interviews conducted during site visits. Personnel salary costs were estimated using Bureau of Labor Statistics wage data adjusted for area and occupation, and non-wage benefits. Qualitative findings provided additional information on intangible resources and contextual factors related to implementation costs. Results Median total monthly operating costs across funded centers were $11,045 (range: $5129–$20,751). The largest median operating cost category was personnel ($10,307; range: $4122–$19,794), with the highest personnel costs attributable to the provision of in-person program services. Monthly (non-zero) cost ranges for other categories were medications ($17–$573), materials ($6–$435), training ($96–$516), technology ($171–$2759), and equipment ($10–$620). Median cost-per-participant was $466 (range: $70–$2093) and cost-per-quit was $2688 (range: $330–$9628), with sites offering different combinations of program components, ranging from individually-delivered in-person counseling only to one program that offered all components. Site interviews provided context for understanding variations in program components and their cost implications. Conclusions Among most centers that have progressed in tobacco treatment program implementation, cost-per-quit was modest relative to other prevention interventions. Although select centers have achieved similar average costs by offering program components of various levels of intensity, they have varied widely in program reach and effectiveness. Evaluating implementation costs of such programs alongside reach and effectiveness is necessary to provide decision makers in oncology settings with the important additional information needed to optimize resource allocation when establishing tobacco treatment programs. Implementation costs Economic evaluation Mixed methods Smoking cessation Tobacco treatment Medicine (General) Heather D’Angelo verfasserin aut Ryan P. Theis verfasserin aut Betsy Rolland verfasserin aut Sarah Hohl verfasserin aut Danielle Pauk verfasserin aut Jennifer H. LeLaurin verfasserin aut Yasmin Asvat verfasserin aut Li-Shiun Chen verfasserin aut Andrew T. Day verfasserin aut Adam O. Goldstein verfasserin aut Brian Hitsman verfasserin aut Deborah Hudson verfasserin aut Andrea C. King verfasserin aut Cho Y. Lam verfasserin aut Katie Lenhoff verfasserin aut Arnold H. Levinson verfasserin aut Judith Prochaska verfasserin aut Fabrice Smieliauskas verfasserin aut Kathryn Taylor verfasserin aut Janet Thomas verfasserin aut Hilary Tindle verfasserin aut Elisa Tong verfasserin aut Justin S. White verfasserin aut W. Bruce Vogel verfasserin aut Graham W. Warren verfasserin aut Michael Fiore verfasserin aut In Implementation Science Communications BMC, 2020 2(2021), 1, Seite 12 (DE-627)1733552987 26622211 nnns volume:2 year:2021 number:1 pages:12 https://doi.org/10.1186/s43058-021-00144-7 kostenfrei https://doaj.org/article/ef8c44894a77489e86a0eaa2c8dd5e7b kostenfrei https://doi.org/10.1186/s43058-021-00144-7 kostenfrei https://doaj.org/toc/2662-2211 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2 2021 1 12
allfieldsSound	10.1186/s43058-021-00144-7 doi (DE-627)DOAJ072205563 (DE-599)DOAJef8c44894a77489e86a0eaa2c8dd5e7b DE-627 ger DE-627 rakwb eng R5-920 Ramzi G. Salloum verfasserin aut Mixed-methods economic evaluation of the implementation of tobacco treatment programs in National Cancer Institute-designated cancer centers 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background The Cancer Center Cessation Initiative (C3I) was launched in 2017 as a part of the NCI Cancer Moonshot program to assist NCI-designated cancer centers in developing tobacco treatment programs for oncology patients. Participating centers have implemented varied evidence-based programs that fit their institutional resources and needs, offering a wide range of services including in-person and telephone-based counseling, point of care, interactive voice response systems, referral to the quitline, text- and web-based services, and medications. Methods We used a mixed methods comparative case study design to evaluate system-level implementation costs across 15 C3I-funded cancer centers that reported for at least one 6-month period between July 2018 and June 2020. We analyzed operating costs by resource category (e.g., personnel, medications) concurrently with transcripts from semi-structured key-informant interviews conducted during site visits. Personnel salary costs were estimated using Bureau of Labor Statistics wage data adjusted for area and occupation, and non-wage benefits. Qualitative findings provided additional information on intangible resources and contextual factors related to implementation costs. Results Median total monthly operating costs across funded centers were $11,045 (range: $5129–$20,751). The largest median operating cost category was personnel ($10,307; range: $4122–$19,794), with the highest personnel costs attributable to the provision of in-person program services. Monthly (non-zero) cost ranges for other categories were medications ($17–$573), materials ($6–$435), training ($96–$516), technology ($171–$2759), and equipment ($10–$620). Median cost-per-participant was $466 (range: $70–$2093) and cost-per-quit was $2688 (range: $330–$9628), with sites offering different combinations of program components, ranging from individually-delivered in-person counseling only to one program that offered all components. Site interviews provided context for understanding variations in program components and their cost implications. Conclusions Among most centers that have progressed in tobacco treatment program implementation, cost-per-quit was modest relative to other prevention interventions. Although select centers have achieved similar average costs by offering program components of various levels of intensity, they have varied widely in program reach and effectiveness. Evaluating implementation costs of such programs alongside reach and effectiveness is necessary to provide decision makers in oncology settings with the important additional information needed to optimize resource allocation when establishing tobacco treatment programs. Implementation costs Economic evaluation Mixed methods Smoking cessation Tobacco treatment Medicine (General) Heather D’Angelo verfasserin aut Ryan P. Theis verfasserin aut Betsy Rolland verfasserin aut Sarah Hohl verfasserin aut Danielle Pauk verfasserin aut Jennifer H. LeLaurin verfasserin aut Yasmin Asvat verfasserin aut Li-Shiun Chen verfasserin aut Andrew T. Day verfasserin aut Adam O. Goldstein verfasserin aut Brian Hitsman verfasserin aut Deborah Hudson verfasserin aut Andrea C. King verfasserin aut Cho Y. Lam verfasserin aut Katie Lenhoff verfasserin aut Arnold H. Levinson verfasserin aut Judith Prochaska verfasserin aut Fabrice Smieliauskas verfasserin aut Kathryn Taylor verfasserin aut Janet Thomas verfasserin aut Hilary Tindle verfasserin aut Elisa Tong verfasserin aut Justin S. White verfasserin aut W. Bruce Vogel verfasserin aut Graham W. Warren verfasserin aut Michael Fiore verfasserin aut In Implementation Science Communications BMC, 2020 2(2021), 1, Seite 12 (DE-627)1733552987 26622211 nnns volume:2 year:2021 number:1 pages:12 https://doi.org/10.1186/s43058-021-00144-7 kostenfrei https://doaj.org/article/ef8c44894a77489e86a0eaa2c8dd5e7b kostenfrei https://doi.org/10.1186/s43058-021-00144-7 kostenfrei https://doaj.org/toc/2662-2211 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2 2021 1 12
language	English
source	In Implementation Science Communications 2(2021), 1, Seite 12 volume:2 year:2021 number:1 pages:12
sourceStr	In Implementation Science Communications 2(2021), 1, Seite 12 volume:2 year:2021 number:1 pages:12
format_phy_str_mv	Article
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topic_facet	Implementation costs Economic evaluation Mixed methods Smoking cessation Tobacco treatment Medicine (General)
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container_title	Implementation Science Communications
authorswithroles_txt_mv	Ramzi G. Salloum @@aut@@ Heather D’Angelo @@aut@@ Ryan P. Theis @@aut@@ Betsy Rolland @@aut@@ Sarah Hohl @@aut@@ Danielle Pauk @@aut@@ Jennifer H. LeLaurin @@aut@@ Yasmin Asvat @@aut@@ Li-Shiun Chen @@aut@@ Andrew T. Day @@aut@@ Adam O. Goldstein @@aut@@ Brian Hitsman @@aut@@ Deborah Hudson @@aut@@ Andrea C. King @@aut@@ Cho Y. Lam @@aut@@ Katie Lenhoff @@aut@@ Arnold H. Levinson @@aut@@ Judith Prochaska @@aut@@ Fabrice Smieliauskas @@aut@@ Kathryn Taylor @@aut@@ Janet Thomas @@aut@@ Hilary Tindle @@aut@@ Elisa Tong @@aut@@ Justin S. White @@aut@@ W. Bruce Vogel @@aut@@ Graham W. Warren @@aut@@ Michael Fiore @@aut@@
publishDateDaySort_date	2021-01-01T00:00:00Z
hierarchy_top_id	1733552987
id	DOAJ072205563
language_de	englisch
fullrecord	<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">DOAJ072205563</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230309105424.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">230228s2021 xx \|\|\|\|\|o 00\| \|\|eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1186/s43058-021-00144-7</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)DOAJ072205563</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)DOAJef8c44894a77489e86a0eaa2c8dd5e7b</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">R5-920</subfield></datafield><datafield tag="100" ind1="0" ind2=" "><subfield code="a">Ramzi G. Salloum</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Mixed-methods economic evaluation of the implementation of tobacco treatment programs in National Cancer Institute-designated cancer centers</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2021</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Abstract Background The Cancer Center Cessation Initiative (C3I) was launched in 2017 as a part of the NCI Cancer Moonshot program to assist NCI-designated cancer centers in developing tobacco treatment programs for oncology patients. Participating centers have implemented varied evidence-based programs that fit their institutional resources and needs, offering a wide range of services including in-person and telephone-based counseling, point of care, interactive voice response systems, referral to the quitline, text- and web-based services, and medications. Methods We used a mixed methods comparative case study design to evaluate system-level implementation costs across 15 C3I-funded cancer centers that reported for at least one 6-month period between July 2018 and June 2020. We analyzed operating costs by resource category (e.g., personnel, medications) concurrently with transcripts from semi-structured key-informant interviews conducted during site visits. Personnel salary costs were estimated using Bureau of Labor Statistics wage data adjusted for area and occupation, and non-wage benefits. Qualitative findings provided additional information on intangible resources and contextual factors related to implementation costs. Results Median total monthly operating costs across funded centers were $11,045 (range: $5129–$20,751). The largest median operating cost category was personnel ($10,307; range: $4122–$19,794), with the highest personnel costs attributable to the provision of in-person program services. Monthly (non-zero) cost ranges for other categories were medications ($17–$573), materials ($6–$435), training ($96–$516), technology ($171–$2759), and equipment ($10–$620). Median cost-per-participant was $466 (range: $70–$2093) and cost-per-quit was $2688 (range: $330–$9628), with sites offering different combinations of program components, ranging from individually-delivered in-person counseling only to one program that offered all components. Site interviews provided context for understanding variations in program components and their cost implications. Conclusions Among most centers that have progressed in tobacco treatment program implementation, cost-per-quit was modest relative to other prevention interventions. Although select centers have achieved similar average costs by offering program components of various levels of intensity, they have varied widely in program reach and effectiveness. Evaluating implementation costs of such programs alongside reach and effectiveness is necessary to provide decision makers in oncology settings with the important additional information needed to optimize resource allocation when establishing tobacco treatment programs.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Implementation costs</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Economic evaluation</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Mixed methods</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Smoking cessation</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Tobacco treatment</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Medicine (General)</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Heather D’Angelo</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Ryan P. 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author	Ramzi G. Salloum
spellingShingle	Ramzi G. Salloum misc R5-920 misc Implementation costs misc Economic evaluation misc Mixed methods misc Smoking cessation misc Tobacco treatment misc Medicine (General) Mixed-methods economic evaluation of the implementation of tobacco treatment programs in National Cancer Institute-designated cancer centers
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topic_title	R5-920 Mixed-methods economic evaluation of the implementation of tobacco treatment programs in National Cancer Institute-designated cancer centers Implementation costs Economic evaluation Mixed methods Smoking cessation Tobacco treatment
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title	Mixed-methods economic evaluation of the implementation of tobacco treatment programs in National Cancer Institute-designated cancer centers
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title_full	Mixed-methods economic evaluation of the implementation of tobacco treatment programs in National Cancer Institute-designated cancer centers
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author_browse	Ramzi G. Salloum Heather D’Angelo Ryan P. Theis Betsy Rolland Sarah Hohl Danielle Pauk Jennifer H. LeLaurin Yasmin Asvat Li-Shiun Chen Andrew T. Day Adam O. Goldstein Brian Hitsman Deborah Hudson Andrea C. King Cho Y. Lam Katie Lenhoff Arnold H. Levinson Judith Prochaska Fabrice Smieliauskas Kathryn Taylor Janet Thomas Hilary Tindle Elisa Tong Justin S. White W. Bruce Vogel Graham W. Warren Michael Fiore
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title_sort	mixed-methods economic evaluation of the implementation of tobacco treatment programs in national cancer institute-designated cancer centers
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title_auth	Mixed-methods economic evaluation of the implementation of tobacco treatment programs in National Cancer Institute-designated cancer centers
abstract	Abstract Background The Cancer Center Cessation Initiative (C3I) was launched in 2017 as a part of the NCI Cancer Moonshot program to assist NCI-designated cancer centers in developing tobacco treatment programs for oncology patients. Participating centers have implemented varied evidence-based programs that fit their institutional resources and needs, offering a wide range of services including in-person and telephone-based counseling, point of care, interactive voice response systems, referral to the quitline, text- and web-based services, and medications. Methods We used a mixed methods comparative case study design to evaluate system-level implementation costs across 15 C3I-funded cancer centers that reported for at least one 6-month period between July 2018 and June 2020. We analyzed operating costs by resource category (e.g., personnel, medications) concurrently with transcripts from semi-structured key-informant interviews conducted during site visits. Personnel salary costs were estimated using Bureau of Labor Statistics wage data adjusted for area and occupation, and non-wage benefits. Qualitative findings provided additional information on intangible resources and contextual factors related to implementation costs. Results Median total monthly operating costs across funded centers were $11,045 (range: $5129–$20,751). The largest median operating cost category was personnel ($10,307; range: $4122–$19,794), with the highest personnel costs attributable to the provision of in-person program services. Monthly (non-zero) cost ranges for other categories were medications ($17–$573), materials ($6–$435), training ($96–$516), technology ($171–$2759), and equipment ($10–$620). Median cost-per-participant was $466 (range: $70–$2093) and cost-per-quit was $2688 (range: $330–$9628), with sites offering different combinations of program components, ranging from individually-delivered in-person counseling only to one program that offered all components. Site interviews provided context for understanding variations in program components and their cost implications. Conclusions Among most centers that have progressed in tobacco treatment program implementation, cost-per-quit was modest relative to other prevention interventions. Although select centers have achieved similar average costs by offering program components of various levels of intensity, they have varied widely in program reach and effectiveness. Evaluating implementation costs of such programs alongside reach and effectiveness is necessary to provide decision makers in oncology settings with the important additional information needed to optimize resource allocation when establishing tobacco treatment programs.
abstractGer	Abstract Background The Cancer Center Cessation Initiative (C3I) was launched in 2017 as a part of the NCI Cancer Moonshot program to assist NCI-designated cancer centers in developing tobacco treatment programs for oncology patients. Participating centers have implemented varied evidence-based programs that fit their institutional resources and needs, offering a wide range of services including in-person and telephone-based counseling, point of care, interactive voice response systems, referral to the quitline, text- and web-based services, and medications. Methods We used a mixed methods comparative case study design to evaluate system-level implementation costs across 15 C3I-funded cancer centers that reported for at least one 6-month period between July 2018 and June 2020. We analyzed operating costs by resource category (e.g., personnel, medications) concurrently with transcripts from semi-structured key-informant interviews conducted during site visits. Personnel salary costs were estimated using Bureau of Labor Statistics wage data adjusted for area and occupation, and non-wage benefits. Qualitative findings provided additional information on intangible resources and contextual factors related to implementation costs. Results Median total monthly operating costs across funded centers were $11,045 (range: $5129–$20,751). The largest median operating cost category was personnel ($10,307; range: $4122–$19,794), with the highest personnel costs attributable to the provision of in-person program services. Monthly (non-zero) cost ranges for other categories were medications ($17–$573), materials ($6–$435), training ($96–$516), technology ($171–$2759), and equipment ($10–$620). Median cost-per-participant was $466 (range: $70–$2093) and cost-per-quit was $2688 (range: $330–$9628), with sites offering different combinations of program components, ranging from individually-delivered in-person counseling only to one program that offered all components. Site interviews provided context for understanding variations in program components and their cost implications. Conclusions Among most centers that have progressed in tobacco treatment program implementation, cost-per-quit was modest relative to other prevention interventions. Although select centers have achieved similar average costs by offering program components of various levels of intensity, they have varied widely in program reach and effectiveness. Evaluating implementation costs of such programs alongside reach and effectiveness is necessary to provide decision makers in oncology settings with the important additional information needed to optimize resource allocation when establishing tobacco treatment programs.
abstract_unstemmed	Abstract Background The Cancer Center Cessation Initiative (C3I) was launched in 2017 as a part of the NCI Cancer Moonshot program to assist NCI-designated cancer centers in developing tobacco treatment programs for oncology patients. Participating centers have implemented varied evidence-based programs that fit their institutional resources and needs, offering a wide range of services including in-person and telephone-based counseling, point of care, interactive voice response systems, referral to the quitline, text- and web-based services, and medications. Methods We used a mixed methods comparative case study design to evaluate system-level implementation costs across 15 C3I-funded cancer centers that reported for at least one 6-month period between July 2018 and June 2020. We analyzed operating costs by resource category (e.g., personnel, medications) concurrently with transcripts from semi-structured key-informant interviews conducted during site visits. Personnel salary costs were estimated using Bureau of Labor Statistics wage data adjusted for area and occupation, and non-wage benefits. Qualitative findings provided additional information on intangible resources and contextual factors related to implementation costs. Results Median total monthly operating costs across funded centers were $11,045 (range: $5129–$20,751). The largest median operating cost category was personnel ($10,307; range: $4122–$19,794), with the highest personnel costs attributable to the provision of in-person program services. Monthly (non-zero) cost ranges for other categories were medications ($17–$573), materials ($6–$435), training ($96–$516), technology ($171–$2759), and equipment ($10–$620). Median cost-per-participant was $466 (range: $70–$2093) and cost-per-quit was $2688 (range: $330–$9628), with sites offering different combinations of program components, ranging from individually-delivered in-person counseling only to one program that offered all components. Site interviews provided context for understanding variations in program components and their cost implications. Conclusions Among most centers that have progressed in tobacco treatment program implementation, cost-per-quit was modest relative to other prevention interventions. Although select centers have achieved similar average costs by offering program components of various levels of intensity, they have varied widely in program reach and effectiveness. Evaluating implementation costs of such programs alongside reach and effectiveness is necessary to provide decision makers in oncology settings with the important additional information needed to optimize resource allocation when establishing tobacco treatment programs.
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title_short	Mixed-methods economic evaluation of the implementation of tobacco treatment programs in National Cancer Institute-designated cancer centers
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Salloum</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Mixed-methods economic evaluation of the implementation of tobacco treatment programs in National Cancer Institute-designated cancer centers</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2021</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Abstract Background The Cancer Center Cessation Initiative (C3I) was launched in 2017 as a part of the NCI Cancer Moonshot program to assist NCI-designated cancer centers in developing tobacco treatment programs for oncology patients. Participating centers have implemented varied evidence-based programs that fit their institutional resources and needs, offering a wide range of services including in-person and telephone-based counseling, point of care, interactive voice response systems, referral to the quitline, text- and web-based services, and medications. Methods We used a mixed methods comparative case study design to evaluate system-level implementation costs across 15 C3I-funded cancer centers that reported for at least one 6-month period between July 2018 and June 2020. We analyzed operating costs by resource category (e.g., personnel, medications) concurrently with transcripts from semi-structured key-informant interviews conducted during site visits. Personnel salary costs were estimated using Bureau of Labor Statistics wage data adjusted for area and occupation, and non-wage benefits. Qualitative findings provided additional information on intangible resources and contextual factors related to implementation costs. Results Median total monthly operating costs across funded centers were $11,045 (range: $5129–$20,751). The largest median operating cost category was personnel ($10,307; range: $4122–$19,794), with the highest personnel costs attributable to the provision of in-person program services. Monthly (non-zero) cost ranges for other categories were medications ($17–$573), materials ($6–$435), training ($96–$516), technology ($171–$2759), and equipment ($10–$620). Median cost-per-participant was $466 (range: $70–$2093) and cost-per-quit was $2688 (range: $330–$9628), with sites offering different combinations of program components, ranging from individually-delivered in-person counseling only to one program that offered all components. Site interviews provided context for understanding variations in program components and their cost implications. Conclusions Among most centers that have progressed in tobacco treatment program implementation, cost-per-quit was modest relative to other prevention interventions. Although select centers have achieved similar average costs by offering program components of various levels of intensity, they have varied widely in program reach and effectiveness. Evaluating implementation costs of such programs alongside reach and effectiveness is necessary to provide decision makers in oncology settings with the important additional information needed to optimize resource allocation when establishing tobacco treatment programs.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Implementation costs</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Economic evaluation</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Mixed methods</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Smoking cessation</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Tobacco treatment</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Medicine (General)</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Heather D’Angelo</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Ryan P. Theis</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Betsy Rolland</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Sarah Hohl</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Danielle Pauk</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Jennifer H. 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Mixed-methods economic evaluation of the implementation of tobacco treatment programs in National Cancer Institute-designated cancer centers

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