Cost Effectiveness of a Community-Delivered Consultation to Improve Infant Sleep Problems and Maternal Well-Being

Saing, Sopany; Parkinson, Bonny; Church, Jody; Goodall, Stephen

doi:10.1016/j.vhri.2017.12.004

Cited by 2 publications

(15 citation statements)

References 38 publications

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“…56,64 Alternatively, an intervention is costeffective when the generated health gain is large enough to offset its additional costs, which was the case in sixteen studies. 29,30,32,33,37,40,42,44,46,48,49,52,55,57,58,62 French et al did not report an ICER but significant clinical improvements and a positive net benefit, indicating cost-effectiveness. 59 Cost-effective or cost-saving ICERs were found for psychological/social support (n = 13), screening (n = 4), pharmacological (n = 2) or mixed (n = 4) programs for depression (n = 12), smoking cessation (n = 8), and substance abuse (n = 3), before (n = 13) and after (n = 10) birth.…”

Section: Synthesis Of Costeffectiveness Resultsmentioning

confidence: 96%

“…In terms of type of intervention, we identified four broad categories. Psychosocial support includes psycho‐education, home visits, mentorship, financial incentives, or supportive phone calls or text messages (n = 14) 26,31,35,40,43,47,48,51‐53,55‐57,62 . Psychosocial support is based on the social environment, whereas psychological support departs from psychological methods such as cognitive behavioral therapy and interpersonal therapy (n = 7) 27,36,41,45,54,58,63,65 .…”

Section: Resultsmentioning

confidence: 99%

“…The type of economic analysis differed between studies. Fifteen evaluations considered health outcomes in terms of quality‐adjusted life‐years (QALYs) in a cost‐utility analysis (CUA) 26‐28,30,32,34,38,40,41,44,45,51,55,58,61,64 . QALYs are a generic measure of disease burden representing the time in a certain health state, adjusted for the quality of life (QoL) experienced in this health state 25 .…”

Section: Resultsmentioning

confidence: 99%

“…Seven studies dominated, 27,28,34,36,51,56,64 even though considerable statistical uncertainty was pointed out by two 56,64 . Alternatively, an intervention is cost‐effective when the generated health gain is large enough to offset its additional costs, which was the case in sixteen studies 29,30,32,33,37,40,42,44,46,48,49,52,55,57,58,62 . French et al did not report an ICER but significant clinical improvements and a positive net benefit, indicating cost‐effectiveness 59 .…”

Section: Resultsmentioning

confidence: 99%

“…). 26,31,35,40,43,47,48,[51][52][53][55][56][57]62 Psychosocial support is based on the social environment, whereas psychological support departs from psychological methods such as cognitive behavioral therapy and interpersonal therapy (n = 7). 27,36,41,45,54,58,63,65 Some programs combine both types of support (n = 3).…”

Section: Dominant Interventionmentioning

confidence: 99%

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Cost‐effectiveness of mental health interventions during and after pregnancy: A systematic review

Verbeke

Bogaerts

Nuyts

et al. 2022

Birth

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Background Mental health problems during and after pregnancy such as depression, anxiety, post‐traumatic stress disorder (PTSD), or addiction are common and can have lifelong implications for both parents and offspring. This review investigates the cost‐effectiveness of interventions tackling these problems, assesses the methodological quality of included studies, and indicates suggestions for further research. Methods Thirteen databases were searched for economic evaluations of interventions related to antenatal, perinatal, and postnatal mental health conditions, published between 2000 and September 2021, in high‐income countries. Results Thirty‐nine studies met all inclusion criteria. Interventions considered were screening programs, pharmacological treatments, and various forms of psychosocial and psychological support. Six studies reported that the intervention was cost‐saving. Eighteen were cost‐effective and seven likely to be cost‐effective. Only six studies included health outcomes for the child; one study considered paternal health. The time horizon for which costs and consequences were considered was for most evaluations limited to 1 year (n = 18) or 2 years (n = 11) postpartum. Conclusions Given the importance of the subject, a relatively low number of studies have investigated the cost‐effectiveness of interventions tackling mental health problems during and after pregnancy. The scant evidence available suggests good overall value for money. Likely, cost‐effectiveness is underestimated as costly long‐term consequences on offspring are systematically excluded. No evidence was found for several frequently occurring conditions. Further research is required to obtain reliable, long‐term effectiveness data and to address the methodological challenges related to measuring all relevant health outcomes for all parties affected.

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