Cost-Effectiveness of a Behavioral Psychosocial Treatment Integrated Across Home and School for Pediatric ADHD-Inattentive Type.
Cost-Effectiveness of a Behavioral Psychosocial Treatment Integrated Across Home and School for Pediatric ADHD-Inattentive Type.
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家庭和学校针对儿童多动症注意力不集中型行为心理社会治疗的成本效益。
DOI：
10.1007/s10488-018-0857-y
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发表时间：
2018
期刊：
影响因子：
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通讯作者：
Wilson,Leslie
中科院分区：
文献类型：
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作者：
Tran,JenniferLA;Sheng,Rena;Beaulieu,Allyson;Villodas,Miguel;McBurnett,Keith;Pfiffner,LindaJ;Wilson,Leslie
我们对adhd -注意力不集中型儿童的两种行为社会心理干预措施进行了成本-效果分析（CEA）：儿童生活和注意力技能（CLAS）计划和以父母为中心的治疗（PFT）与以社区为基础的常规治疗（TAU）相比。CEA通过家长和老师对ADHD注意力不集中症状的报告来评估每个ADHD病例解决的成本。CLAS、PFT和TAU的每名患者总费用分别为1559美元、710美元和0美元。CLAS是最昂贵的治疗方法，比PFT和TAU更有效。每个解决的疾病病例的增量成本效益比（ICER）为：CLAS与TAU为3997美元，PFT与TAU为3227美元，CLAS与PFT为4994美元。PFT是基于初始CEA的更具成本效益的选择。然而，通过简化模型，CLAS可能具有相当的成本效益，与PFT相比，ICER为29美元。值得注意的是，CLAS的费用大大低于未解决的ADHD的年度费用。
We conducted a cost-effectiveness analysis (CEA) of two behavioral psychosocial interventions for children with ADHD-inattentive type: Child Life and Attention Skills (CLAS) program and parent-focused treatment (PFT) compared to community-based treatment as usual (TAU). The CEA evaluated cost per ADHD case resolved measured by parent and teacher reports of ADHD inattentive symptoms. Total cost per patient for CLAS, PFT, and TAU were $1559, $710, and $0. CLAS, the costliest treatment, was more effective than PFT and TAU. The incremental cost-effectiveness ratios (ICER) per disordered case resolved are: $3997 for CLAS versus TAU, $3227 for PFT versus TAU, and $4994 for CLAS versus PFT. PFT is the more cost-effective option based on initial CEA. However, CLAS may be comparably cost-effective by streamlining the model, which resulted in an ICER of $29 compared to PFT. Notably, cost for CLAS is substantially below the annual cost for unresolved ADHD.