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The RAND Alcohol Policy Platform (RAPP): A Microsimulation Model of Alcohol Use, Consequences, and Policies in the United States

Award Number: R01AA022132
ORGANIZATION: NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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DESCRIPTION: The growing burden of alcohol consumption on health and society at both the national and the international level have contributed to the raising awareness and interest in effective alcohol control policy. In the United States (U.S.), there are approximately 80,000 deaths each year attributed to alcohol use. Healthcare costs alone are estimated at $25.6 billion, with the full societal cost of excessive drinking exceeding $220 billion. At the global leel, alcohol use is the third leading risk factor for poor health and was the cause of 4% of all deaths worldwide in 2004. Among young people between the ages of 15 and 29, nine in ten deaths are due to alcohol-related causes. However, the relative scarcity of well-grounded and comprehensive analytic tools often prevents national and international policy bodies from considering the full range of costs and consequences of different policy actions. In this 5 year project, we propose to build an integrated decision-support platform that can be used to conduct evaluations of the health, social and economic impacts of alternative alcohol policies within and across national jurisdictions. The specific aims of this project are to do the following: (1) Develop, test and validate a dynamic micro simulation modeling platform, capturing both individual and social dynamics of alcohol use for the U.S. and a selection of six other relevant high- and middle-income countries; (2) Use the platform to project the health, social and economic consequences associated with current alcohol-use patterns; and (3) Assess the outcomes and costs of three alcohol control policies (pricing policies, blood alcohol concentration levels, and treatment) at reducing the social harms associated with alcohol misuse. Our model will track individuals' alcohol consumption on a per drink basis and capture key diseases and health outcomes, health service utilization and costs, and productivity impacts across the U.S. and six other countries, thereby enabling the model to consider important interactions between policy and social structures. Importantly, a novel estimation process is proposed that will rigorously quantify the effect of parameter uncertainty on results. This improvement in model estimation will enable more effective evaluation of the impacts of prevention and treatment strategies and has the potential to influence the social-policy modeling field. Countries to be included in the platform are: Canada, Chile, Finland, Mexico, the Russian Federation, the United Kingdom and the United States. Our internationally comparable platform will enable U.S. policy makers and researchers to evaluate, for the U.S., the impact of alcohol policies implemented elsewhere: including higher alcohol taxes and more affordable treatment.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2023 ( Subtotal = -$1,800 )
2023	2018	THE RAND CORPORATION	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Alcohol Research Programs	000	5	12/2/2022	NON-COMPETING CONTINUATION	-$1,800
														Subtotal = -$1,800

Issue Date FY: 2021 ( Subtotal = $0 )
2021	2018	RAND CORPORATION, THE	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Alcohol Research Programs	000	5	9/2/2021	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2020 ( Subtotal = $0 )
2020	2018	RAND CORPORATION, THE	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Alcohol Research Programs	000	5	5/28/2020	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2018 ( Subtotal = $386,206 )
2018	2018	RAND CORPORATION, THE	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Alcohol Research Programs	000	5	4/30/2018	NON-COMPETING CONTINUATION	$386,206
														Subtotal = $386,206

Issue Date FY: 2017 ( Subtotal = $429,157 )
2017	2017	RAND CORPORATION, THE	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Alcohol Research Programs	000	4	4/18/2017	NON-COMPETING CONTINUATION	$386,242
2017	2017	RAND CORPORATION, THE	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Alcohol Research Programs	001	4	7/27/2017	NON-COMPETING CONTINUATION	$42,915
														Subtotal = $429,157

Issue Date FY: 2016 ( Subtotal = $544,663 )
2016	2016	RAND CORPORATION	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Alcohol Research Programs	000	3	4/15/2016	NON-COMPETING CONTINUATION	$544,663
														Subtotal = $544,663

Issue Date FY: 2015 ( Subtotal = $528,991 )
2015	2015	RAND CORPORATION	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Alcohol Research Programs	000	2	4/20/2015	NON-COMPETING CONTINUATION	$528,991
														Subtotal = $528,991

Issue Date FY: 2014 ( Subtotal = $564,511 )
2014	2014	RAND CORPORATION	1776 MAIN ST	SANTA MONICA	CA	90401	LOS ANGELES	USA	Alcohol Research Programs	000	1	5/13/2014	NEW	$564,511
														Subtotal = $564,511

Grand Total All Awards = $2,451,728

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The RAND Alcohol Policy Platform (RAPP): A Microsimulation Model of Alcohol Use, Consequences, and Policies in the United States

Award Number: R01AA022132

ORGANIZATION: NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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