The population cost-effectiveness of a parenting intervention designed to prevent anxiety disorders in children

Mihalopoulos, Cathrine, Vos, Theo, Rapee, Ronald M., Pirkis, Jane, Chatterton, Mary Lou, Lee, Yu-Chen and Carter, Rob 2015, The population cost-effectiveness of a parenting intervention designed to prevent anxiety disorders in children, Journal of child psychology and psychiatry, vol. 56, no. 9, pp. 1026-1033, doi: 10.1111/jcpp.12438.

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Title The population cost-effectiveness of a parenting intervention designed to prevent anxiety disorders in children
Author(s) Mihalopoulos, CathrineORCID iD for Mihalopoulos, Cathrine
Vos, Theo
Rapee, Ronald M.
Pirkis, Jane
Chatterton, Mary LouORCID iD for Chatterton, Mary Lou
Lee, Yu-Chen
Carter, RobORCID iD for Carter, Rob
Journal name Journal of child psychology and psychiatry
Volume number 56
Issue number 9
Start page 1026
End page 1033
Total pages 8
Publisher Wiley
Place of publication Chichester, Eng.
Publication date 2015-06-26
ISSN 1469-7610
Keyword(s) Economic evaluation
anxiety disorders
Summary BACKGROUND: Prevention and early intervention for anxiety disorders has lagged behind many other forms of mental disorder. Recent research has demonstrated the efficacy of a parent-focussed psycho-educational programme. The programme is directed at parents of inhibited preschool children and has been shown to reduce anxiety disorders at 1 and 3 years following intervention. The current study assesses the cost-effectiveness of this intervention to determine whether it could provide value-for-money across a population. METHOD: A cost-utility economic framework, using Disability-Adjusted-Life-Years (DALYs) as the outcome, was adopted. Economic modelling techniques were used to assess the incremental cost-effectiveness ratio (ICER) of the intervention within the Australian population context, which was modelled as add-on to current practice. The perspective was the health sector. Uncertainty was measured using multivariate probabilistic testing and key assumptions were tested using univariate sensitivity analysis. RESULTS: The median ICER for the intervention was AUD$8,000 per DALY averted with 99.8% of the uncertainty iterations falling below the threshold value-for-money criterion of AUD$50,000 per DALY averted. The results were robust to sensitivity testing. CONCLUSIONS: Screening young children in a preschool setting for an inhibited temperament and providing a brief intervention to the parents of children with high levels of inhibition appears to provide very good value-for-money and worth considering in any package of preventive care. Further evaluation of this intervention under routine health service conditions will strengthen conclusions. Acceptability issues associated with this intervention, particularly to preschool staff and parents, need to be considered before wide-scale adoption is undertaken.
Language eng
DOI 10.1111/jcpp.12438
Field of Research 111709 Health Care Administration
111799 Public Health and Health Services not elsewhere classified
Socio Economic Objective 920299 Health and Support Services not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Wiley
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Document type: Journal Article
Collections: Faculty of Health
Population Health
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