Economic evaluation of the Happy Talk pilot effectiveness trial: A targeted selective speech, language and communication intervention for children from areas of social disadvantage.
Economic evaluation of the Happy Talk pilot effectiveness trial: A targeted selective speech, language and communication intervention for children from areas of social disadvantage.
复制标题
Happy Talk 试点效果试验的经济评估：针对社会弱势地区儿童的有针对性的选择性言语、语言和沟通干预。
DOI：
10.1080/17549507.2021.1975815
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发表时间：
2022
影响因子：
1.8
通讯作者：
Frizelle P
中科院分区：
文献类型：
--
作者：
Frizelle P
目的：本研究对一项有针对性的选择性学前干预计划“快乐谈话”进行了成本效益分析，该计划通过同时加强家长互动和学前环境，重点关注语言发展。方法：快乐谈话（向 77 名儿童提供）是一项附加干预措施，与常规护理相比，采用医疗保健的角度。使用学前语言量表 5 总分 (PLS-5) 进行基线分析，并使用儿童健康实用工具 (CHU9D) 进行二次分析。结果：基线成本效益分析显示 Happy Talk 更有效（PLS-5 标准总分变化 6.3 分 - 效果大小 0.463SD，并且比常规护理更昂贵（82.06 欧元）（成本效益比为 每单位变动 13.02 欧元）。使用代理来估计货币净收益，收益大于成本，表明其具有成本效益。然而，当考虑与健康相关的生活质量结果指标时，结果并不会持续存在。结论：研究结果表明，有针对性的选择性公共卫生方法可以被认为是物有所值的，可以减轻言语、语言和沟通水平较低的儿童的社会负担。然而，长期结果的衡量 并且需要进行更大规模的试验，才能明确地告知政策变化。
Purpose:This study presents a cost-effectiveness analysis of a targeted selective pre-school intervention programme, “Happy Talk”, which focuses on language development, by simultaneously enhancing parental interaction and the pre-school environment.Method:Happy Talk (delivered to 77 children) is an add on intervention, and is compared to usual care, adopting a healthcare perspective. Cost-effectiveness analyses were carried out using the Pre-school Language Scale 5- Total (PLS-5) for baseline analysis and the Child Health Utility Instrument (CHU9D) in a secondary analysis.Result:Baseline cost-effectiveness analysis showed Happy Talk was more effective (6.3 point change in total PLS-5 standard score – effect size 0.463SDand more expensive (€82.06) than usual care (cost-effectiveness ratio is €13.02 per unit change). Employing a proxy to estimate monetary net benefit, the benefits outweigh the costs, showing that it is cost-effective. However, results do not persist when health-related quality of life outcome measures are considered.Conclusion:Findings suggest a targeted selective public health approach, could be considered value for money to reduce the societal burden of children with low levels of speech, language and communication. However, measurement of longer term outcomes and a larger trial are required, to definitively inform policy changes.