Cost-Effectiveness a Parenting Skills Program Implemented in Public PreK Schools in Disadvantaged Urban Communities.
Cost-Effectiveness a Parenting Skills Program Implemented in Public PreK Schools in Disadvantaged Urban Communities.
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在贫困城市社区的公立学前班学校实施的育儿技能计划的成本效益。
DOI：
10.1007/s10488-023-01287-6
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Gross,DeborahA
中科院分区：
文献类型：
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作者：
Slade,EricP;Bettencourt,AmieF;Gross,DeborahA
背景很少有人知道的成本效益的家长培训计划时，普遍提供的美国小学在贫困的城市社区。目的评价芝加哥家长项目（CPP）在学校实施的成本-效果。从2014年到2017年，CPP普遍提供给12所巴尔的摩城市标题1学校的PreK学生的家长（n= 380; 61.1%黑人/非洲裔美国人，24.1%西班牙裔）。CPP计划的实施和运营成本估计使用微成本计算方法和数据来自研究记录。一个编译器平均因果效应（CACE）框架被用来估计增量成本效益比（ICER）的CPP的平均成本每儿童每1%的行为问题患病率下降在后续行动。然后，将该ICER与在欧洲实施和评估的四种育儿干预措施的可比ICER进行比较：Connect，Incredible Years，科普和Comet。结果CPP费用为937.51元/例（95%CI：902.09 ~ 971.92），调整后的CACE估计值显示，家长参加CPP的随访儿童中，CPP导致问题发生率降低31.4%（95%CI：-39.7%~23.9%），患病率每降低1%，CPP的平均ICER为29.86（95%CI：21.05 ~ 50.71）。CPP的ICER与Connect（25.50）和COPE（29.72）的ICER相似，低于Incredible Years（50.36）和Comet（59.69）的ICER。结论与欧洲广泛使用的类似育儿计划相比，在美国极端弱势的城市社区中，普遍向过渡到幼儿园的儿童的父母提供的基于学校的CPP提供了相对较好的价值。
Background Little is known about the cost-effectiveness of parent training programs when offered universally in US elementary schools in disadvantaged urban communities. Objective To estimate the cost-effectiveness of a universal school-based implementation study of the Chicago Parent Program (CPP). Methods CPP was offered universally from 2014 to 2017 to parents of PreK students in 12 Baltimore City Title 1 schools (n= 380; 61.1% Black/African American, 24.1% Hispanic). CPP program implementation and operating costs were estimated using microcosting methods and data drawn from study records. A Complier Average Causal Effects (CACE) framework was used to estimate an Incremental Cost Effectiveness Ratio (ICER) for CPP’s average cost per child per 1% decrease in conduct problem prevalence at follow-up. This ICER was then compared with comparable ICERs for four parenting interventions that have been implemented and evaluated in Europe: Connect, Incredible Years, COPE, and Comet. Results CPP cost 937.51perchild(95%CI: 902.09 to 971.92).AdjustedCACEestimatesindicatedthatCPPresultedina31.4%reduction(95%CI:-39.7%to-23.9%)inconductproblemprevalenceatfollow-upamongchildrenwhoseparentsattendedCPP.ThemeanICERforCPPwas 29.86 per each 1% reduction in prevalence (95% CI: 21.05to 50.71). CPP’s ICER was similar to ICERs for Connect (25.50)andCOPE( 29.72), and less than ICERs for Incredible Years (50.36)andComet( 59.69). Conclusion School-based CPP offered universally to parents of children transitioning to Kindergarten in extremely disadvantaged US urban communities was found to offer relatively good value compared with similar parenting programs that are widely used in Europe.