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The economic evaluation of an Internet-based parental wellbeing intervention
journal contribution
posted on 2023-02-12, 22:12 authored by Peter LeePeter Lee, Davina Sanders, Jeannette Milgrom, David J Kavanagh, Paul A ScuffhamBackground Internet-based parental programmes may improve parental wellbeing and mitigate the burden of mental health issues during the perinatal period. However, few studies have explored the cost and clinical impacts of such interventions. In the present study, we sought to evaluate the cost-effectiveness associated with an online cognitive behaviour therapy intervention ( Baby Steps Wellbeing) to an information-only programme (Baby Care). Methods An alongside-trial cost-effectiveness analysis was undertaken using data from a randomised clinical trial comparing the Baby Steps Wellbeing intervention to Baby Care. Direct healthcare costs, as well as indirect costs attributed to income loss, were considered. The Assessment of Quality of Life-8 Dimensions multi-attribute utility instrument was used to estimate participant utilities, and subsequently calculate quality-adjusted life years (QALYs). Incremental cost-effectiveness ratios were calculated to assess the cost-effectiveness of the intervention. The economic evaluation adopted a societal perspective. Results In total, 496 parents were randomised to either the Baby Steps Wellbeing intervention or the Baby Care control arm. No significant differences in costs (−$27, 95% confidence interval (CI): −$1189–$1134) or QALYs (0.051, 95% CI: −0.097–0.200) were identified. Bootstrapped results showed that the Baby Steps Wellbeing programme was cost-saving and health improving in 38% of simulations and cost-effective in another 37% of simulations. Conclusions The Baby Steps Wellbeing programme was slightly cost-saving with slightly improved health outcomes compared with Baby Care. Bootstrapped results indicate the Baby Steps Wellbeing was cost-effective in 75% of simulations. Overall, the Baby Steps Wellbeing programme is an online programme that is cost-effective. Trial registration Australian & New Zealand Clinical Trials Registry: ANZCTR12614001256662.
History
Journal
JOURNAL OF TELEMEDICINE AND TELECARELocation
EnglandPublisher DOI
ISSN
1357-633XeISSN
1758-1109Language
EnglishPublication classification
C1.1 Refereed article in a scholarly journalPublisher
SAGE PUBLICATIONS LTDUsage metrics
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Keywords
Science & TechnologyLife Sciences & BiomedicineHealth Care Sciences & ServicesTelehealthperinatalbaby steps wellbeingcost-effectiveness analysisquality of lifemental healthonline interventionPREVALENCEDEPRESSIONTelehealth, perinatalCost Effectiveness ResearchClinical Trials and Supportive ActivitiesClinical ResearchBehavioral and Social ScienceComparative Effectiveness ResearchHealth Services8.2 Health and welfare economics8 Health and social care services research3 Good Health and Well BeingInformation SystemsBiomedical Engineering not elsewhere classifiedPublic Health and Health Services not elsewhere classified
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