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Population cost-effectiveness of the Triple P parenting programme for the treatment of conduct disorder: an economic modelling study
journal contribution
posted on 2018-07-01, 00:00 authored by F Sampaio, J J Barendregt, I Feldman, Yong Yi Lee, Mary Sawyer, M R Dadds, J G Scott, Cathy MihalopoulosCathy MihalopoulosParenting programmes are the recommended treatments of conduct disorders (CD) in children, but little is known about their longer term cost-effectiveness. This study aimed to evaluate the population cost-effectiveness of one of the most researched evidence-based parenting programmes, the Triple P-Positive Parenting Programme, delivered in a group and individual format, for the treatment of CD in children. A population-based multiple cohort decision analytic model was developed to estimate the cost per disability-adjusted life year (DALY) averted of Triple P compared with a 'no intervention' scenario, using a health sector perspective. The model targeted a cohort of 5-9-year-old children with CD in Australia currently seeking treatment, and followed them until they reached adulthood (i.e., 18 years). Multivariate probabilistic and univariate sensitivity analyses were conducted to incorporate uncertainty in the model parameters. Triple P was cost-effective compared to no intervention at a threshold of AU$50,000 per DALY averted when delivered in a group format [incremental cost-effectiveness ratio (ICER) = $1013 per DALY averted; 95% uncertainty interval (UI) 471-1956] and in an individual format (ICER = $20,498 per DALY averted; 95% UI 11,146-39,470). Evidence-based parenting programmes, such as the Triple P, for the treatment of CD among children appear to represent good value for money, when delivered in a group or an individual face-to-face format, with the group format being the most cost-effective option. The current model can be used for economic evaluations of other interventions targeting CD and in other settings.
History
Journal
European child & adolescent psychiatryVolume
27Issue
7Pagination
933 - 944Publisher
SpringerLocation
Berlin, GermanyPublisher DOI
Link to full text
ISSN
1018-8827eISSN
1435-165XLanguage
engPublication classification
C Journal article; C1 Refereed article in a scholarly journalCopyright notice
2017, The AuthorsUsage metrics
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No categories selectedKeywords
Children and adolescentsConduct disorderCost-effectivenessParenting programmePopulation modelSocial SciencesScience & TechnologyLife Sciences & BiomedicinePsychology, DevelopmentalPediatricsPsychiatryPsychologyATTENTION-DEFICIT\/HYPERACTIVITY DISORDERGLOBAL BURDEN188 COUNTRIESSHOW MECHILDRENDISABILITYOUTCOMESMETAANALYSISCHILDHOODINJURIES
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