mccaffrey-multipleeffects-2021.pdf (1.13 MB)
Multiple effects health economic evaluation of the Ahead of The Game Study for mental health promotion in sporting club communities
journal contribution
posted on 2021-01-01, 00:00 authored by S Eckermann, Nikki McCaffreyNikki McCaffrey, Utsana TonmukayakulUtsana Tonmukayakul, C Swann, S VellaAbstract
Background
This study evaluates the Ahead Of The Game (AOTG) mental health promotion strategy for adolescent males relative to usual practice in team based sporting club community settings, allowing for joint incremental effects across 13 dimensions and 5 domains alongside intervention implementation costs.
Methods
Analysis is undertaken between matched communities with difference in differences analysis of joint multiple pre-post effect changes alongside implementation costs employing radar plots in cost-disutility space. A robust bootstrapping method allowed including all observed change in effect data from 343 AOTG and 273 control arm participants across 13 effect dimensions.
Results
Triangulation across joint evidence shows mean incremental effects favoured AOTG in all dimensions (10/13 significantly at 5% level) and in simple aggregation to each of five pre-specified 5 domains (each significant at < 1% level) and global measures (significant at 0.001% level), while mean AOTG implementation costs were conservatively estimated as $37.47 per participant.
Conclusion
The AOTG strategy was found to represent an effective mental health promotion strategy across all domains and globally with associated significant potential for downstream health system cost savings to offset against modest implementation costs. Evaluation methods extend conventional cost-effectiveness analysis to enable robust joint presentation and triangulation under uncertainty of multiple effect dimensions alongside costs.
Trial registration
ANZCTR, ACTRN12617000709347. Registered 17th May 2017.
Background
This study evaluates the Ahead Of The Game (AOTG) mental health promotion strategy for adolescent males relative to usual practice in team based sporting club community settings, allowing for joint incremental effects across 13 dimensions and 5 domains alongside intervention implementation costs.
Methods
Analysis is undertaken between matched communities with difference in differences analysis of joint multiple pre-post effect changes alongside implementation costs employing radar plots in cost-disutility space. A robust bootstrapping method allowed including all observed change in effect data from 343 AOTG and 273 control arm participants across 13 effect dimensions.
Results
Triangulation across joint evidence shows mean incremental effects favoured AOTG in all dimensions (10/13 significantly at 5% level) and in simple aggregation to each of five pre-specified 5 domains (each significant at < 1% level) and global measures (significant at 0.001% level), while mean AOTG implementation costs were conservatively estimated as $37.47 per participant.
Conclusion
The AOTG strategy was found to represent an effective mental health promotion strategy across all domains and globally with associated significant potential for downstream health system cost savings to offset against modest implementation costs. Evaluation methods extend conventional cost-effectiveness analysis to enable robust joint presentation and triangulation under uncertainty of multiple effect dimensions alongside costs.
Trial registration
ANZCTR, ACTRN12617000709347. Registered 17th May 2017.
History
Journal
Health Economics ReviewVolume
11Issue
1Article number
28Pagination
1 - 15Publisher
BMCLocation
London, Eng.Publisher DOI
Link to full text
ISSN
2191-1991eISSN
2191-1991Language
EnglishPublication classification
C1 Refereed article in a scholarly journalUsage metrics
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No categories selectedKeywords
Business & EconomicsCOMPLEX INTERVENTIONSEconomicsHealth Care Sciences & ServicesHealth Policy & ServicesHealth promotion evaluationLife Sciences & BiomedicineMental health strategiesMultiple effect domains and dimensionsMultiple outcomes cost effectiveness analysisNet benefit correspondence theoremPROGRAMScience & TechnologySETTINGSSocial Sciences
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