IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0225503.html
   My bibliography  Save this article

Cost-effectiveness analysis of parenting interventions for the prevention of behaviour problems in children

Author

Listed:
  • Camilla Nystrand
  • Inna Feldman
  • Pia Enebrink
  • Filipa Sampaio

Abstract

Background: Behavior problems are common among children and place a high disease and financial burden on individuals and society. Parenting interventions are commonly used to prevent such problems, but little is known about their possible longer-term economic benefits. This study modelled the longer-term cost-effectiveness of five parenting interventions delivered in a Swedish context: Comet, Connect, the Incredible Years (IY), COPE, bibliotherapy, and a waitlist control, for the prevention of persistent behavior problems. Methods: A decision analytic model was developed and used to forecast the cost per averted disability-adjusted life-year (DALY) by each parenting intervention and the waitlist control, for children aged 5–12 years. Age-specific cohorts were modelled until the age of 18. Educational and health care sector costs related to behavior problems were included. Active interventions were compared to the waitlist control as well as to each other. Results: Intervention costs ranged between US$ 14 (bibliotherapy) to US$ 1,300 (IY) per child, with effects of up to 0.23 averted DALYs per child (IY). All parenting interventions were cost-effective at a threshold of US$ 15,000 per DALY in relation to the waitlist control. COPE and bibliotherapy strongly dominated the other options, and an additional US$ 2,629 would have to be invested in COPE to avert one extra DALY, in comparison to bibliotherapy. Conclusions: Parenting interventions are cost-effective in the longer run in comparison to a waitlist control. Bibliotherapy or COPE are the most efficient options when comparing interventions to one another. Optimal decision for investment should to be based on budget considerations and priority settings.

Suggested Citation

  • Camilla Nystrand & Inna Feldman & Pia Enebrink & Filipa Sampaio, 2019. "Cost-effectiveness analysis of parenting interventions for the prevention of behaviour problems in children," PLOS ONE, Public Library of Science, vol. 14(12), pages 1-17, December.
    • Handle: RePEc:plo:pone00:0225503
    DOI: 10.1371/journal.pone.0225503
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0225503
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0225503&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0225503?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Mikael Svensson & Fredrik Nilsson & Karl Arnberg, 2015. "Reimbursement Decisions for Pharmaceuticals in Sweden: The Impact of Disease Severity and Cost Effectiveness," PharmacoEconomics, Springer, vol. 33(11), pages 1229-1236, November.
    2. Sebastian Braun & Jan Zeidler & Roland Linder & Susanne Engel & Frank Verheyen & Wolfgang Greiner, 2013. "Treatment costs of attention deficit hyperactivity disorder in Germany," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 14(6), pages 939-945, December.
    3. Donal O’Neill & Sinéad McGilloway & Michael Donnelly & Tracey Bywater & Paul Kelly, 2013. "A cost-effectiveness analysis of the Incredible Years parenting programme in reducing childhood health inequalities," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 14(1), pages 85-94, February.
    4. Bonin, Eva-Maria & Stevens, Madeleine & Beecham, Jennifer & Byford, Sarah & Parsonage, Michael, 2011. "Costs and longer-term savings of parenting programmes for the prevention of persistent conduct disorder: a modelling study," LSE Research Online Documents on Economics 39432, London School of Economics and Political Science, LSE Library.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Rissanen, Elisa & Karjalainen, Piia & Kiviruusu, Olli & Kankaanpää, Eila & Aronen, Eeva T. & Haula, Taru & Sääksvuori, Lauri & Vornanen, Riitta & Linnosmaa, Ismo, 2024. "Cost-effectiveness of a parenting program to reduce children’s behavioral problems among families receiving child protection services and other family support services – A randomized controlled trial," Children and Youth Services Review, Elsevier, vol. 158(C).
    2. Gagné, Marie-Hélène & Piché, Geneviève & Brunson, Liesette & Clément, Marie-Ève & Drapeau, Sylvie & Jean, Sarah-Maude, 2023. "Efficacy of the Triple P – Positive Parenting Program on 0–12 year-old Quebec children's behavior," Children and Youth Services Review, Elsevier, vol. 149(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Skarda, Ieva & Asaria, Miqdad & Cookson, Richard, 2022. "Evaluating childhood policy impacts on lifetime health, wellbeing and inequality: Lifecourse distributional economic evaluation," Social Science & Medicine, Elsevier, vol. 302(C).
    2. Khavjou, Olga & Forehand, Rex & Loiselle, Raelyn & Turner, Patrick & Buell, Naomi & Jones, Deborah J., 2020. "Helping the noncompliant child: An updated assessment of program costs and cost-effectiveness," Children and Youth Services Review, Elsevier, vol. 114(C).
    3. McGuinness, Seamus & Bergin, Adele & Whelan, Adele, 2016. "An Exploration of (Area-based) Social Inclusion and Community Development Training Programmes in Ireland," Research Series, Economic and Social Research Institute (ESRI), number RS54.
    4. Marion Davin & Emmanuelle Lavaine, 2021. "The role of health at birth and parental investment in early child development: evidence from the French ELFE cohort," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 22(8), pages 1217-1237, November.
    5. Rissanen, Elisa & Karjalainen, Piia & Kiviruusu, Olli & Kankaanpää, Eila & Aronen, Eeva T. & Haula, Taru & Sääksvuori, Lauri & Vornanen, Riitta & Linnosmaa, Ismo, 2024. "Cost-effectiveness of a parenting program to reduce children’s behavioral problems among families receiving child protection services and other family support services – A randomized controlled trial," Children and Youth Services Review, Elsevier, vol. 158(C).
    6. Ieva Skarda & Miqdad Asaria & Richard Cookson, 2021. "LifeSim: A Lifecourse Dynamic Microsimulation Model of the Millennium Birth Cohort in England," International Journal of Microsimulation, International Microsimulation Association, vol. 14(1), pages 2-42.
    7. Guillem López-Casasnovas & José Luis Pinto Prades, 2022. "QALY Maximization and the Social Optimum," Hacienda Pública Española / Review of Public Economics, IEF, vol. 242(3), pages 111-127, September.
    8. Malin Ulfsdotter & Lene Lindberg & Anna Månsdotter, 2015. "A Cost-Effectiveness Analysis of the Swedish Universal Parenting Program All Children in Focus," PLOS ONE, Public Library of Science, vol. 10(12), pages 1-16, December.
    9. Elena Nicod, 2017. "Why do health technology assessment coverage recommendations for the same drugs differ across settings? Applying a mixed methods framework to systematically compare orphan drug decisions in four Europ," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 18(6), pages 715-730, July.
    10. Axford, Nick & Bjornstad, Gretchen & Matthews, Justin & Heilmann, Sarah & Raja, Anam & Ukoumunne, Obioha C. & Berry, Vashti & Wilkinson, Tom & Timmons, Luke & Hobbs, Tim & Eames, Tim & Kallitsoglou, A, 2020. "The effectiveness of a therapeutic parenting program for children aged 6–11 years with behavioral or emotional difficulties: Results from a randomized controlled trial," Children and Youth Services Review, Elsevier, vol. 117(C).
    11. Peter Lindgren & Sofia Löfvendahl & Gunnar Brådvik & Ola Weiland & Bengt Jönsson, 2022. "Value appropriation in hepatitis C," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 23(6), pages 1059-1070, August.
    12. Ugne Sabale & Mattias Ekman & Daniel Thunström & Claire Telford & Christopher Livings, 2017. "Economic Evaluation of Fulvestrant 500 mg Compared to Generic Aromatase Inhibitors in Patients with Advanced Breast Cancer in Sweden," PharmacoEconomics - Open, Springer, vol. 1(4), pages 279-290, December.
    13. Björn Sund & Mikael Svensson, 2018. "Estimating a constant WTP for a QALY—a mission impossible?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(6), pages 871-880, July.
    14. S. Olofsson & U.-G. Gerdtham & L. Hultkrantz & U. Persson, 2018. "Measuring the end-of-life premium in cancer using individual ex ante willingness to pay," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(6), pages 807-820, July.
    15. McGuinness, Seamus & Bergin, Adele & Whelan, Adele, 2017. "Making centralised data work for community development: an exploration of area-based training programmes in a unified framework," Papers WP555, Economic and Social Research Institute (ESRI).
    16. El-Banna, Asmaa & Petrou, Stavros & Yiu, Hei Hang Edmund & Daher, Shahd & Forrester, Donald & Scourfield, Jonathan & Wilkins, David & Evans, Rhiannon & Turley, Ruth & Wallace, Sarah, 2021. "Systematic review of economic evaluations of children’s social care interventions," Children and Youth Services Review, Elsevier, vol. 121(C).
    17. Svensson, Mikael & Barregård, Lars & Axelsson, Gösta & Andersson, Eva, 2018. "A cost-effectiveness analysis of lowering residential radon levels in Sweden—Results from a modelling study," Health Policy, Elsevier, vol. 122(6), pages 687-692.
    18. Simona Gamba & Niklas Jakobsson & Mikael Svensson, 2022. "The impact of cost-sharing on prescription drug demand: evidence from a double-difference regression kink design," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 23(9), pages 1591-1599, December.
    19. Sampaio, Filipa & Ssegonja, Richard & Thiblin, Ingemar & Nystrand, Camilla, 2021. "A model for evaluating the economic value of prevention programs for illicit use of anabolic androgenic steroids," Health Policy, Elsevier, vol. 125(6), pages 807-813.
    20. Bauer, Annette & Pawlby, S. & Plant, D. T. & King, Derek & Pariante, C. M. & Knapp, M., 2015. "Perinatal depression and child development: exploring the economic consequences from a South London cohort," LSE Research Online Documents on Economics 57718, London School of Economics and Political Science, LSE Library.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0225503. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.