Me & You: Building Healthy Relationships (Me & You) is a multilevel, technology-enhanced adolescent dating violence (DV) prevention program that aimed to reduce DV among ethnic-minority, early adolescent, urban youth. A group-randomized control trial of Me & You, conducted with 10 middle schools from a large urban school district in Southeast Texas in 2014-2015, found it to be effective in reducing DV perpetration and decreasing some forms of DV victimization. Economic evaluations of DV interventions are extremely limited, despite calls for more economic analyses to be incorporated in research. We help fill this gap by evaluating the cost-effectiveness from the payer and societal perspectives of implementing the Me & You program. Using cost data collected alongside the Me & You group-randomized trial, we computed incremental cost-effectiveness ratios. Our primary outcome was "any DV perpetrated" within 12 months of the intervention. We conducted a cost-benefit analysis beyond the intervention endpoint by using literature estimates of per-victim lifetime costs of DV. We performed sensitivity analyses to assess effects of uncertain parameters. Under the base-case scenario, the cost of the Me & You curriculum compared to the standard curriculum was $103.70 per-student from the societal perspective, and the effectiveness was 34.84 perpetrations averted, implying an incremental cost per perpetration averted of $2.98, which ranged from $0.48 to $73.24 in sensitivity analysis. Thus, we find the Me & You curriculum is cost-effective and cost-saving in most scenarios. Policymakers should carefully consider school-based DV prevention programs, and cost data should be regularly collected in adolescent prevention program evaluations.

中文翻译：

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预防青少年约会暴力干预措施的经济评估（我和你）。

我和你：建立健康的关系（我和你）是一个多层次的、技术增强的青少年约会暴力 (DV) 预防计划，旨在减少少数民族、早期青春期和城市青年之间的 DV。2014 年至 2015 年对德克萨斯州东南部一个大型城市学区的 10 所中学进行的 Me & You 分组随机对照试验发现，它可有效减少 DV 实施和某些形式的 DV 受害。尽管呼吁将更多经济分析纳入研究，但对 DV 干预措施的经济评估极为有限。我们通过从付款人和社会角度评估实施“我和你”计划的成本效益来帮助填补这一空白。使用与 Me & You 分组随机试验一起收集的成本数据，我们计算了增量成本效益比。我们的主要结果是干预后 12 个月内“发生的任何 DV”。我们通过使用 DV 每位受害者一生成本的文献估计，进行了干预终点之外的成本效益分析。我们进行了敏感性分析以评估不确定参数的影响。在基本情况下，从社会角度来看，与标准课程相比，Me & You 课程的成本为每名学生 103.70 美元，有效避免了 34.84 次犯罪，这意味着每次避免犯罪的增量成本为 2.98 美元，范围为敏感性分析从 0.48 美元到 73.24 美元。因此，我们发现 Me & You 课程在大多数情况下都具有成本效益和成本节约。