Benefit-cost analysis of Promoting First Relationships®: Implications of victim benefits assumptions for return on investment

Kuklinski, Margaret R.; Oxford, Monica L.; Spieker, Susan J.; Lohr, Mary Jane; Fleming, Charles B.

doi:10.1016/j.chiabu.2020.104515

Cited by 9 publications

(26 citation statements)

References 32 publications

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“…Furthermore, two studies focused on multiple countries [ 36 , 45 ], and one study did not focus on any particular country [ 55 ]. Concerning the study design, over one-half of the studies were cost-of-illness studies ( n = 26); the remaining studies were either trial-based ( n = 12) or model-based ( n = 8) economic evaluations or a combination of both ( n = 1) [ 51 ]. One study described an economic evaluation study using a quasi-experimental design [ 74 ].…”

Section: Resultsmentioning

confidence: 99%

“…In five studies, relevant cost categories were identified based on the literature search [ 9 , 45 , 52 , 55 , 64 ]. In one study, cost selection was based on data included in administrative records [ 51 ]. In addition, the authors of five studies justified their selection of cost categories as including all potentially relevant costs based on the definition of a societal perspective [ 30 , 33 , 38 , 47 , 71 ] and education costs in particular as “typical components of direct nonmedical costs” [ 43 ], “important cost for many children with autism” [ 47 ], and “important resource units” [ 72 ].…”

Section: Resultsmentioning

confidence: 99%

Section: Identificationmentioning

confidence: 99%

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Do Costs in the Education Sector Matter? A Systematic Literature Review of the Economic Impact of Psychosocial Problems on the Education Sector

et al. 2021

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Background Psychosocial (e.g., anxiety or behavior) problems lead to costs not only in the healthcare sector but also in education and other sectors. As psychosocial problems develop during the critical period of establishing educational trajectories, education costs are particularly relevant in the context of psychosocial problems among children and adolescents. Objectives This study aimed to gain insights into the methods used for the inclusion of education costs in health economics studies and into the proportion of the education costs in relation to the total costs associated with a condition or an intervention. Methods We systematically searched the PubMed, Embase, SSCI, CINAHL, PsycINFO, ERIC, and Econlit databases in August 2019 for economic evaluations of mental health, psychosocial and educational interventions, and cost-of-illness studies of mental, behavioral, and neurodevelopmental disorders conducted from a societal perspective in populations of children and adolescents. An additional search was conducted in February 2021 to update the review. Results In total, 49 articles were included in the analysis. The most common cost items were special education, school absenteeism, and various educational professionals (educational psychologist). A variety of methods were employed for the identification, measurement, and/or valuation of education costs. The proportion of education costs to the total costs of condition/intervention ranged from 0 to 67%, with the mean being 18.5%. Discussion Since education costs can constitute a significant proportion of the total costs of an intervention or condition, including them in health economics studies might be important in informing optimal resource allocation decisions. Although various methods are available for including education costs in health economics studies, further research is needed to develop evidence-based methods for producing comparable estimates.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Do Costs in the Education Sector Matter? A Systematic Literature Review of the Economic Impact of Psychosocial Problems on the Education Sector

et al. 2021

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“…Most studies did not require discounting, being less than 12 months. Six studies were from a societal perspective (Barlow et al, 2007;Bell et al, 2019;Dalziel et al, 2015;Dijkstra et al, 2018;Kuklinski, Crowley, et al, 2020;Kuklinski, Oxford, et al, 2020), three studies included both societal and healthcare payer perspectives (Barlow et al, 2019;McIntosh et al, 2009;Sonuga-Barke et al, 2018), one study was from a healthcare provider perspective only (Mathewos et al, 2017) and two did not state the perspective (Ammerman et al, 2017;Sharac et al, 2011).…”

Section: Within-trial Cost-effectivenessmentioning

confidence: 99%

“…Of note, all three of the cost-benefit analysis studies included here were modelling studies. Kuklinski, Oxford, et al (2020) used benefit-cost analysis to assess a strengths-based, 10-session home visiting programme. Costs included the costs of implementation in the intervention arm of the trial compared to the resource and referral arm.…”

Section: Cost-benefit Analysismentioning

confidence: 99%

Economic evaluation methods used in home‐visiting interventions: A systematic search and review

Bailey

Skouteris

Morris

et al. 2021

Health Soc Care Community

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Home-visiting interventions are used to improve outcomes for families experiencing disadvantage. As scarce resources must be allocated carefully, appropriate methods are required to provide accurate information on the effect of these programmes. We aimed to investigate: economic evaluation/analysis methods used in home-visiting programmes for children, young people and families, study designs and methods suitable in situations where randomised-controlled-trials are not feasible, and type of costs included in analyses, including any implementation costs stated. A systematic search and review was conducted of existing full economic evaluation/analysis methods in home-visiting programmes for children, young people and/or families. We included studies published in English between January 2000 and mid-November 2020.Of the 4,742 papers sourced, 60 were retained for full-text review, and 21 included.Economic-analysis methods found in the included studies were: within trial economic evaluation, economic evaluation using decision analytic modelling (i.e. cost-utility, cost-benefit analysis), cost comparison and cost-consequence. Studies incorporating return on investment and budget impact analysis were also found. Study designs suitable when randomisation was not feasible included parallel cluster randomised trials and using pre-post intervention data. Costs depended mainly on study context and only one study reported implementation costs. We hope this information will help guide future economic evaluations of home-visiting interventions.

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On spillovers in economic evaluations: definition, mapping review and research agenda

Mendoza-Jiménez,

van Exel,

Brouwer

2024

Eur J Health Econ

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An important issue in economic evaluations is determining whether all relevant impacts are considered, given the perspective chosen for the analysis. Acknowledging that patients are not isolated individuals has important implications in this context. Increasingly, the term “spillovers” is used to label consequences of health interventions on others. However, a clear definition of spillovers is lacking, and as a result, the scope of the concept remains unclear. In this study, we aim to clarify the concept of spillovers by proposing a definition applicable in health economic evaluations. To illustrate the implications of this definition, we highlight the diversity of potential spillovers through an expanded impact inventory and conduct a mapping review that outlines the evidence base for the different types of spillovers. In the context of economic evaluations of health interventions, we define spillovers as all impacts from an intervention on all parties or entities other than the users of the intervention under evaluation. This definition encompasses a broader range of potential costs and effects, beyond informal caregivers and family members. The expanded impact inventory enables a systematic approach to identifying broader impacts of health interventions. The mapping review shows that the relevance of different types of spillovers is context-specific. Some spillovers are regularly included in economic evaluations, although not always recognised as such, while others are not. A consistent use of the term “spillovers”, improved measurement of these costs and effects, and increased transparency in reporting them are still necessary. To that end, we propose a research agenda.

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Benefit-cost analysis of Promoting First Relationships®: Implications of victim benefits assumptions for return on investment

Cited by 9 publications

References 32 publications

Do Costs in the Education Sector Matter? A Systematic Literature Review of the Economic Impact of Psychosocial Problems on the Education Sector

Do Costs in the Education Sector Matter? A Systematic Literature Review of the Economic Impact of Psychosocial Problems on the Education Sector

Economic evaluation methods used in home‐visiting interventions: A systematic search and review

On spillovers in economic evaluations: definition, mapping review and research agenda

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