The cost-effectiveness of a culturally tailored parenting program: estimating the value of multiple outcomes.
The cost-effectiveness of a culturally tailored parenting program: estimating the value of multiple outcomes.
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DOI：
10.1186/s12962-021-00278-4
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发表时间：
2021-04-23
期刊：
影响因子：
--
通讯作者：
Feldman I
中科院分区：
文献类型：
--
作者：
Nystrand C;Sampaio F;Hoch JS;Osman F;Feldman I
育儿计划可以是经济上有吸引力的干预措施，以改善父母及其子女的心理健康。很少有人试图同时分析儿童和父母的结果的价值，为决策提供合格的支持。进行了试验内的成本效益评估，比较Ladnaan，索马里出生的父母的文化定制的育儿计划，与候补名单控制。通过将一般健康问卷-12映射到Euroqol的EQ-5D-3L以检索效用来估计父母的质量调整生命年（QALY）。儿童行为问题的测量使用儿童行为检查表（CBCL）。估计了试验的干预费用。采用净效益回归框架研究干预措施的成本效益，在同一分析中处理多个效应，以估计不同的支付意愿（WTP）阈值组合。对于CBCL量表（儿童）上总问题改善一点的大约300欧元的WTP，Ladnaan具有成本效益。相比之下，每个QALY（父母）的支付意愿大约为58万欧元，这样才具有成本效益。两种结果的WTP值的各种组合（即，CBCL和QALY）可用于描述Ladnaan具有成本效益的其他情况。对多种效应感兴趣的决策者必须考虑与预算有关的效应组合，以获得具有成本效益的结果。一个文化适应的育儿计划可能是具有成本效益的，这取决于主要结果，或多个利益的结果。试用注册clinicaltrials.gov，NCT 02114593。2014年4月15日注册-预期注册，https://www.clinicaltrials.gov/ct2/results? recrs=&cond=&term=NCT02114593&cntry=&state=&city=&dist=
Parenting programs can be economically attractive interventions for improving the mental health of both parents and their children. Few attempts have been made to analyse the value of children’s and parent’s outcomes simultaneously, to provide a qualified support for decision making. A within trial cost-effectiveness evaluation was conducted, comparing Ladnaan, a culturally tailored parenting program for Somali-born parents, with a waitlist control. Quality-adjusted life years (QALY) for parents were estimated by mapping the General Health Questionnaire-12 to Euroqol’s EQ-5D-3L to retrieve utilities. Behavioural problems in children were measured using the Child Behaviour Checklist (CBCL). Intervention costs were estimated for the trial. A net benefit regression framework was employed to study the cost-effectiveness of the intervention, dealing with multiple effects in the same analysis to estimate different combinations of willingness-to pay (WTP) thresholds. For a WTP of roughly €300 for a one point improvement in total problems on the CBCL scale (children), Ladnaan is cost-effective. In contrast, the WTP would have to be roughly €580,000 per QALY (parents) for it to be cost-effective. Various combinations of WTP values for the two outcomes (i.e., CBCL and QALY) may be used to describe other scenarios where Ladnaan is cost-effective. Decision-makers interested in multiple effects must take into account combinations of effects in relation to budget, in order to obtain cost-effective results. A culturally adapted parenting program may be cost-effective, depending on the primary outcome, or multiple outcomes of interest. Trial registration clinicaltrials.gov, NCT02114593. Registered 15 April 2014—prospectively registered, https://www.clinicaltrials.gov/ct2/results?recrs=&cond=&term=NCT02114593&cntry=&state=&city=&dist=
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影响因子：
105.7
作者：
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通讯作者：
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影响因子：
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