Economic analyses of an alcohol misconduct prevention program in a military setting

Tao Li, Teresa M. Waters, Erin K. Kaplan, Cameron M. Kaplan, Kwame A. Nyarko, Karen J. Derefinko, Gerald W. Talcott, Robert C. Klesges

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


Objective: The economic burden associated with alcohol misuse, in particular early attrition or discharge associated with alcohol-related incidents (ARIs), is significant in military settings. We assessed the potential economic benefit of a brief alcohol intervention program, the Alcohol Misconduct Prevention Program (AMPP), initially implemented at Joint Base San Antonio-Lackland Technical Training site for the U.S. Air Force (USAF) from October 1, 2010, to December 31, 2012. Methods: We conducted cost-effectiveness and cost-benefit analyses of the AMPP from the perspective of the USAF. Program effectiveness was measured as the number of ARIs avoided after the AMPP implementation, and program benefit was measured as the potential cost savings related to reductions in ARIs. One-way sensitivity analyses were conducted to examine the robustness of base case results. Results: The AMPP resulted in the avoidance of 59 ARIs which cost $9,869 for every ARI avoided. For every dollar invested in the AMPP, the USAF saved $4.09 in a conservative model without health effects, and saved $6.17 taking into account the potential health benefits. Our findings of favorable cost benefit were robust across sensitivity analyses. Conclusions: Investing in the AMPP at other military bases is likely to produce substantial economic benefit.

Original languageEnglish
Pages (from-to)e1562-e1567
JournalMilitary Medicine
Issue number1
StatePublished - Jan 2017

Bibliographical note

Funding Information:
The authors gratefully acknowledge the support of 2nd Air Force, the leadership branch for training in the U.S. Air Force. The study was funded by the Department of Defense (W81XWH-14-1-0367) awarded jointly to Robert Klesges and Gerald W. Talcott, Co-Principal Investigators. This research is conducted as part of a Cooperative Research and Development Agreement (CRADA) between the Air Force and the University of Tennessee Health Science Center (CRADA no. 13-289- SG-C13026).

Publisher Copyright:
© Association of Military Surgeons of the U.S. All rights reserved.

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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