The health for hearts united dissemination Trial: Implementation costs to reduce cardiovascular risk in African Americans
Objectives: We report on the implementation costs of disseminating Health for Hearts United (HH), a church-based intervention designed to reduce CVD in African Americans. Study design: Cost analysis from dissemination trial of the CVD risk reducing, HH Intervention. Methods: Total costs included mat...
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Elsevier
2025-12-01
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| Series: | Public Health in Practice |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666535225000527 |
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| author | Jon C. Mills Jeffrey Harman Pauline Muturi Christina Davis Iris Young-Clark Penny Ralston |
| author_facet | Jon C. Mills Jeffrey Harman Pauline Muturi Christina Davis Iris Young-Clark Penny Ralston |
| author_sort | Jon C. Mills |
| collection | DOAJ |
| description | Objectives: We report on the implementation costs of disseminating Health for Hearts United (HH), a church-based intervention designed to reduce CVD in African Americans. Study design: Cost analysis from dissemination trial of the CVD risk reducing, HH Intervention. Methods: Total costs included materials purchased and labor hours contributed by the academic team to implement the intervention. Materials costs included supplies and printing calculated in total, as well as on a per-participant basis. Labor hours were tracked for each team member. Labor hours were further categorized by the phase of the intervention (Training, Planning & Coaching, Delivery & Recognition). Per-participant and per-church costs are reported as the cost measurement divided by the total health leaders that participated (reached). Results: A total of n = 168 out of 173 health leader participants were reached (97 %). Total program costs were $87,207.66. Total material costs were $13,308.00, while labor costs accounted for 85 % of the total program costs ($87,207.66) at $73,899.66. The Training Phase comprised the largest portion (74 %) of the total labor costs ($54,598.29). Total per-health leader participant reached cost were $519.09. Conclusions: In one of the first studies to report the costs of implementing a CVD risk reducing intervention among African Americans in a church setting, in partnership with a local academic institution, training was the main cost driver. Costs of implementing HH could be reduced by lowering hourly labor cost. Future research should examine costs associated with different methods of implementation (e.g., using more lay people). |
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| institution | Kabale University |
| issn | 2666-5352 |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Elsevier |
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| series | Public Health in Practice |
| spelling | doaj-art-935a79a0dac9408a8025a82d34bc78ce2025-08-20T03:28:40ZengElsevierPublic Health in Practice2666-53522025-12-011010063310.1016/j.puhip.2025.100633The health for hearts united dissemination Trial: Implementation costs to reduce cardiovascular risk in African AmericansJon C. Mills0Jeffrey Harman1Pauline Muturi2Christina Davis3Iris Young-Clark4Penny Ralston5Florida State University, College of Medicine, Department of Behavioral Sciences and Social Medicine, 1115 West Call Street, Tallahassee, FL, 32306, USA; Corresponding author. Florida State University, College of Medicine, Department of Behavioral Sciences and Social Medicine, 1115 West Call Street, Tallahassee, FL, 32306, USA.Florida State University, College of Medicine, Department of Behavioral Sciences and Social Medicine, 1115 West Call Street, Tallahassee, FL, 32306, USACenter on Better Health and Life for Underserved Populations, Florida State University, P.O. Box 3061491, Tallahassee, FL, 32306-1491, USACenter on Better Health and Life for Underserved Populations, Florida State University, P.O. Box 3061491, Tallahassee, FL, 32306-1491, USAOffice of Career Development Services, School of Business and Industry, Florida Agriculture and Mechanical University, 1601 S. Martin Luther King Jr Blvd, Tallahassee, FL, 32307, USACenter on Better Health and Life for Underserved Populations, Florida State University, P.O. Box 3061491, Tallahassee, FL, 32306-1491, USAObjectives: We report on the implementation costs of disseminating Health for Hearts United (HH), a church-based intervention designed to reduce CVD in African Americans. Study design: Cost analysis from dissemination trial of the CVD risk reducing, HH Intervention. Methods: Total costs included materials purchased and labor hours contributed by the academic team to implement the intervention. Materials costs included supplies and printing calculated in total, as well as on a per-participant basis. Labor hours were tracked for each team member. Labor hours were further categorized by the phase of the intervention (Training, Planning & Coaching, Delivery & Recognition). Per-participant and per-church costs are reported as the cost measurement divided by the total health leaders that participated (reached). Results: A total of n = 168 out of 173 health leader participants were reached (97 %). Total program costs were $87,207.66. Total material costs were $13,308.00, while labor costs accounted for 85 % of the total program costs ($87,207.66) at $73,899.66. The Training Phase comprised the largest portion (74 %) of the total labor costs ($54,598.29). Total per-health leader participant reached cost were $519.09. Conclusions: In one of the first studies to report the costs of implementing a CVD risk reducing intervention among African Americans in a church setting, in partnership with a local academic institution, training was the main cost driver. Costs of implementing HH could be reduced by lowering hourly labor cost. Future research should examine costs associated with different methods of implementation (e.g., using more lay people).http://www.sciencedirect.com/science/article/pii/S2666535225000527Cost analysisCardiovascular diseaseChurch-based healthCommunity-based participatory researchDissemination researchAfrican Americans |
| spellingShingle | Jon C. Mills Jeffrey Harman Pauline Muturi Christina Davis Iris Young-Clark Penny Ralston The health for hearts united dissemination Trial: Implementation costs to reduce cardiovascular risk in African Americans Public Health in Practice Cost analysis Cardiovascular disease Church-based health Community-based participatory research Dissemination research African Americans |
| title | The health for hearts united dissemination Trial: Implementation costs to reduce cardiovascular risk in African Americans |
| title_full | The health for hearts united dissemination Trial: Implementation costs to reduce cardiovascular risk in African Americans |
| title_fullStr | The health for hearts united dissemination Trial: Implementation costs to reduce cardiovascular risk in African Americans |
| title_full_unstemmed | The health for hearts united dissemination Trial: Implementation costs to reduce cardiovascular risk in African Americans |
| title_short | The health for hearts united dissemination Trial: Implementation costs to reduce cardiovascular risk in African Americans |
| title_sort | health for hearts united dissemination trial implementation costs to reduce cardiovascular risk in african americans |
| topic | Cost analysis Cardiovascular disease Church-based health Community-based participatory research Dissemination research African Americans |
| url | http://www.sciencedirect.com/science/article/pii/S2666535225000527 |
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