TY - JOUR
T1 - Population cost-effectiveness of the Triple P parenting programme for the treatment of conduct disorder
T2 - an economic modelling study
AU - Sampaio, Filipa
AU - Barendregt, Jan J.
AU - Feldman, Inna
AU - Lee, Yong Yi
AU - Sawyer, Michael G.
AU - Dadds, Mark R.
AU - Scott, James G.
AU - Mihalopoulos, Cathrine
N1 - Funding Information:
The authors would like to thank Holly Erskine for providing the epidemiological estimates of Conduct Disorder and Raziye Salari for her valuable inputs to the manuscript. This project was funded through the Australian Government National Health and Medical Research Council (NHMRC) Centre of Research Excellence in Mental Health Systems Improvement (CREMSI) (Grant No. APP1041131); and supported by the common grant of major Swedish research funders termed ?Mental health of children and adolescents?, FORMAS 259?2012-68. C.M. was supported by an NHMRC Early Career Fellowship (Grant No. APP1035887) and J.G.S. was supported by an NHMRC Practitioner Fellowship (Grant No. APP1105807) during the conduct of this study. The views expressed in this paper are those of the authors and not those of the NHMRC or any other funding body. The funders had no role in study design, data collection and analysis, decision to publish, or manuscript preparation. J.J.B. owns Epigear International, which sells the Ersatz software used in the analysis. No other relationships or activities could appear to have influenced the submitted work.
Funding Information:
for providing the epidemiological estimates of Conduct Disorder and Raziye Salari for her valuable inputs to the manuscript. This project was funded through the Australian Government National Health and Medical Research Council (NHMRC) Centre of Research Excellence in Mental Health Systems Improvement (CREMSI) (Grant No. APP1041131); and supported by the common grant of major Swedish research funders termed ‘Mental health of children and adolescents’, FORMAS 259–2012-68. C.M. was supported by an NHMRC Early Career Fellowship (Grant No. APP1035887) and J.G.S. was supported by an NHMRC Practitioner Fellowship (Grant No. APP1105807) during the conduct of this study. The views expressed in this paper are those of the authors and not those of the NHMRC or any other funding body. The funders had no role in study design, data collection and analysis, decision to publish, or manuscript preparation.
Publisher Copyright:
© 2017, The Author(s).
PY - 2018/7
Y1 - 2018/7
N2 - Parenting 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.
AB - Parenting 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.
KW - Children and adolescents
KW - Conduct disorder
KW - Cost-effectiveness
KW - Parenting programme
KW - Population model
UR - http://www.scopus.com/inward/record.url?scp=85039736706&partnerID=8YFLogxK
U2 - 10.1007/s00787-017-1100-1
DO - 10.1007/s00787-017-1100-1
M3 - Article
C2 - 29288334
AN - SCOPUS:85039736706
SN - 1018-8827
VL - 27
SP - 933
EP - 944
JO - European Child & Adolescent Psychiatry
JF - European Child & Adolescent Psychiatry
IS - 7
ER -
