Table 4 Cost inputs for the economic evaluation of the Enhanced REP implementation strategy
Phase | Cost type | Description | Activities |
|---|---|---|---|
Pre-Implementation | Intervention | Ongoing intervention costs | • Subscription to website to access health curriculum online • In-class materials: printing handouts, student assessments • Basic teacher training • Hard-copy of the curriculum (as indicated) |
Implementation | Prepare schools for implementation strategy deployment | • Time updating curriculum content (MDHHSa, health coordinator activity, community and/or academic partners) • Meet with school leadership, teachers, intermediate school districts (health coordinator activity) • Review logistics of Enhanced REP deployment (health coordinator/ISDb activity) • Make needed modifications to website/material formats to fit with local school district (e.g., for Google Classroom; health coordinator activity) • Review Enhanced REP components (i.e., tailored curriculum) with participating schools and other stakeholders as indicated (health coordinator activity) • Review Enhanced REP components with appropriate experts in adaption are (e.g., trauma-informed approaches; health coordinator and community and/or academic partners) | |
Implementation phase | Intervention | Ongoing costs for delivering the MMH | • Intervention costs (subscription to regular online MMH curriculum) • Materials related to the curriculum (posters, etc.) • Printed materials for students (handouts, etc. as applicable) |
Implementation | Implementation strategy deployment | • Facilitation training for health coordinators (ISD activity) • Teacher training component of the Enhanced REP implementation strategy (health coordinator/ISD activity) • Meetings with teachers to set goals, expectations, engage in problem-solving to mitigate implementation barriers (i.e., facilitation; health coordinator activity) • Fidelity monitoring completed by teachers (teacher activity) • Travel-health coordinators visiting participating schools/classrooms (health coordinator activity) | |
Sustainment phase | Intervention |  | • Recurring costs for intervention subscription, updated materials, preparation time related to curriculum updates |
Implementation | Post-program evaluation | • Data analysis (school/district/ISD activity) • Implementation review (teacher/school activity/health coordinator) • Implementation strategy assessment (all levels) • Implementation strategy refinement (district/ISD/health coordinator activity) • Ongoing costs for implementation strategy deployment (e.g., time engaging in facilitation, teacher training) (school/district/ISD activity) |