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. 2014 Mar;133(3):448–453. doi: 10.1542/peds.2013-1615

TABLE 1.

Costs to Implement a Brief Computer-Guided Therapist Intervention and the Efficacy Results From the SafERteens Trial Used as Inputs for the Analyses

Costs ($) Source
Expected Cost Low Cost High Cost
Fixed Costs
 Cost of software 45 000 40 500 49 500 Personal communicationa
 Cost of hardware 1000 500 1200 Personal communicatonb
 Cost of training personnel 2500 2250 2750 SafERteensc
 Total start-up cost 48 500 43 250 53 450
Variable costs
 Annual salary for a health care social worker 50 861 45 775 55 947 BLSd
 Mean cost of benefits (30.8% of salary) 15 665 14 099 17 232 BLSe
 Total annual cost of health care social worker 66 526 59 874 73 179 BLSf
 Predicted variable year 1 costs 23 284 20 956 25 613 SafERteensg
 Total fixed and variable year 1 costs 71 784 64 206 79 063
Intervention Efficacy RR 95% CI
Best RR Worst RR
Violence consequence 0.76 0.64 0.90 SafERteens7
Peer victimization 0.70 0.52 0.95 SafERteens7
Severe peer aggression 0.74 0.61 0.90 SafERteens7
a

Based on a software engineering estimate to reproduce intervention software in 2012 (±10%).

b

Estimating $500 cost of a tablet or $1000 to $1200 cost of a laptop.

c

Based on the costs experienced to train staff in motivational interviewing for the SafERteens intervention (±10%).

d

Median 2011 salary from the Bureau of Labor and Statistics (BLS), adjusted to 2012 dollars.12,14 (±10%).

e

Estimated cost of benefits in 2012 from the Bureau of Labor and Statistics13 (±10%).

f

Salary + benefits.

g

Based on the SafERteens experience, we predicted a 35% increase in daily social worker time to deliver the 30-minute intervention at an ED with a volume of 7884 adolescents per year and 80% screening positive for violence (±10%).