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Preventing postnatal maternal mental health problems using a psychoeducational intervention: the cost-effectiveness of What Were We Thinking

Ride, Jemimah, Lorgelly, Paula, Tran, Thach, Wynter, Karen, Rowe, Heather and Fisher, Jane 2016, Preventing postnatal maternal mental health problems using a psychoeducational intervention: the cost-effectiveness of What Were We Thinking, BMJ open, vol. 6, no. 11, doi: 10.1136/bmjopen-2016-012086.

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Title Preventing postnatal maternal mental health problems using a psychoeducational intervention: the cost-effectiveness of What Were We Thinking
Author(s) Ride, Jemimah
Lorgelly, Paula
Tran, Thach
Wynter, KarenORCID iD for Wynter, Karen orcid.org/0000-0003-4620-7691
Rowe, Heather
Fisher, Jane
Journal name BMJ open
Volume number 6
Issue number 11
Total pages 11
Publisher BMJ Publishing
Place of publication London, Eng.
Publication date 2016-11
ISSN 2044-6055
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Medicine, General & Internal
General & Internal Medicine
WILLINGNESS-TO-PAY
QUALITY-OF-LIFE
POSTPARTUM DEPRESSION
WOMEN
UTILITY
DISORDERS
OUTCOMES
Cost-effectiveness
Economic evaluation
MENTAL HEALTH
Postnatal depression
Prevention
Summary © 2016 Published by the BMJ Publishing Group Limited. Objectives: Postnatal maternal mental health problems, including depression and anxiety, entail a significant burden globally, and finding cost-effective preventive solutions is a public policy priority. This paper presents a cost-effectiveness analysis of the intervention, What Were We Thinking (WWWT), for the prevention of postnatal maternal mental health problems. Design: The economic evaluation, including cost-effectiveness and cost-utility analyses, was conducted alongside a cluster-randomised trial. Setting: 48 Maternal and Child Health Centres in Victoria, Australia. Participants: Participants were English-speaking first-time mothers attending participating Maternal and Child Health Centres. Full data were collected for 175 participants in the control arm and 184 in the intervention arm. Intervention: WWWT is a psychoeducational intervention targeted at the partner relationship, management of infant behaviour and parental fatigue. Outcome measures: The evaluation considered public sector plus participant out-of-pocket costs, while outcomes were expressed in the 30-day prevalence of depression, anxiety and adjustment disorders, and quality-adjusted life years (QALYs). Incremental costs and outcomes were estimated using regression analyses to account for relevant sociodemographic, prognostic and clinical characteristics. Results: The intervention was estimated to cost $A118.16 per participant. The analysis showed no statistically significant difference between the intervention and control groups in costs or outcomes. The incremental cost-effectiveness ratios were $A36 451 per QALY gained and $A152 per percentage-point reduction in 30-day prevalence of depression, anxiety and adjustment disorders. The estimate lies under the unofficial cost-effectiveness threshold of $A55 000 per QALY; however, there was considerable uncertainty surrounding the results, with a 55% probability that WWWT would be considered cost-effective at that threshold. Conclusions: The results suggest that, although WWWT shows promise as a preventive intervention for postnatal maternal mental health problems, further research is required to reduce the uncertainty over its cost-effectiveness as there were no statistically significant differences in costs or outcomes.
Language eng
DOI 10.1136/bmjopen-2016-012086
Indigenous content off
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2016, The Authors
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30129877

Document type: Journal Article
Collections: Faculty of Health
School of Nursing and Midwifery
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.