The lifetime costs of pediatric abusive head trauma and a cost-effectiveness analysis of the Period of Purple crying program in British Columbia, Canada

Beaulieu, Émilie; Rajabali, Fahra; Zheng, Alex; Pike, Ian

doi:10.1016/j.chiabu.2019.104133

Cited by 18 publications

(16 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Even though there were only 14 studies included in this category, they collectively indicate that community‐level interventions, like community‐wide knowledge campaigns or socioeconomically oriented efforts, may prove to be both efficacious and cost effective for preventing AHT (Beaulieu et al ., 2019; Berthold et al ., 2019b; Friedman et al ., 2012; Shanahan et al ., 2014). Early research suggests that there is a correlation between economic hardship and incidence of AHT, and two studies indicated that the incidence of AHT appears to rise during economic recessions (Berger et al ., 2011; Huang et al ., 2011).…”

Section: Resultsmentioning

confidence: 99%

A Structured Review of the Literature on Abusive Head Trauma Prevention

Roygardner¹,

Hughes²,

Palusci

2021

Child Abuse Review

View full text Add to dashboard Cite

We searched the US National Library of Medicine's PubMed, Google Scholar and the American Psychological Association's Psychinfo databases during September 2019 for citations and abstracts on abusive head trauma (AHT) and shaken baby syndrome prevention dated 1 January 2000 to 31 August 2019. We identified 53 empirical studies and performed a structured review to identify the effects of prevention, if any, on AHT. We identified three lines of investigation that have focused on: (i) strategies which teach parents how to respond to newborn crying and the dangers of shaking babies; (ii) community and public health factors; and (iii) professional education and practice. Most studies were observational, although a small number used sophisticated designs such as prospective or randomised controlled trials. We note other strengths and weaknesses of these articles and suggest future directions for research in each of these areas based on the current level of scientific inquiry. Key Practitioner Messages Research on AHT prevention is limited, although a growing research base supports teaching parents how to respond to newborn crying and about the dangers of shaking babies. Social care systems addressing provision of material and other support have positive effects on AHT rates. Professional education should improve practitioners' identification of families with increased risk and enhance AHT identification and treatment. Those wishing to prevent AHT should consider multilevel approaches and their own community needs, practice setting, and patient/client risk profiles when designing strategies.

show abstract

Section: Resultsmentioning

confidence: 99%

A Structured Review of the Literature on Abusive Head Trauma Prevention

Roygardner¹,

Hughes²,

Palusci

2021

Child Abuse Review

View full text Add to dashboard Cite

show abstract

“…One study described an economic evaluation study using a quasi-experimental design [ 74 ]. One study combined a cost-of-illness study with a model-based economic evaluation [ 32 ]. The majority of the studies focused on mental and neurodevelopmental disorders among children and adolescents, including autism spectrum disorder ( n = 10), attention-deficit/hyperactivity disorder ( n = 8), and anxiety disorders ( n = 6).…”

Section: Resultsmentioning

confidence: 99%

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

View full text Add to dashboard Cite

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.

show abstract

“…A study conducted in British Columbia reviewing 64 cases of AHT events from 2002-2014 found that subsequent costs ranged from healthcare continues to shift toward a preventative paradigm, this data strongly emphasizes the need to conduct future research in the U.S. surrounding cost-related barriers to implementing such tion to facilitate support from key stakeholders such as policymakers and health care providers, emphasizing that "…investing upstream in well-developed AHT prevention programs, such as PURPLE, not only promote child safety and health but also translates into avoided costs to society" (Beaulieu et al, 2019) vent SBS and AHT to improve health outcomes and reduce future healthcare spending.…”

Section: Readers Can Also Follow Neonatology Today Via Our Twitter Feed @Neotodaymentioning

confidence: 98%

Prevention of Shaken Baby Syndrome Among High-Risk Neonates: Program Implementation and Evaluation

et al. 2021

View full text Add to dashboard Cite

Background: Studies suggest that the implementation of high-quality education and support services for caregivers may reduce the incidence of unplanned harm to infants and young children under high-stress circumstances. Purpose: This pilot study evaluates the usefulness of the Period of PURPLE Crying program in a high-acuity NICU at The University of Chicago Comer Children’s Hospital based on six measurable objectives. Methods: The pilot study utilized a Likert-style pretest-posttest survey design to evaluate how NICU nurses perceived the Period of PURPLE Crying program. Nurses were educated on the program content during an in-service to teach participants how to utilize the Period of PURPLE Crying program materials to support and educate families about Shaken Baby Syndrome (SBS). Results: The intervention effectively increased nursing confidence in delivering the SBS and Abusive Head Trauma (AHT) education and increased accessibility to available resources pertaining to SBS and AHT. Questions pertaining specifically to the Period of PURPLE Crying presented exclusively on the post-test were met with an overwhelmingly positive response, with the majority (n=33, 97%) of respondents agreeing that the intervention was useful in standardizing SBS education, providing meaningful, effective information on this topic area, and delivering SBS and AHT information promptly.

show abstract

The lifetime costs of pediatric abusive head trauma and a cost-effectiveness analysis of the Period of Purple crying program in British Columbia, Canada

Cited by 18 publications

References 23 publications

A Structured Review of the Literature on Abusive Head Trauma Prevention

A Structured Review of the Literature on Abusive Head Trauma Prevention

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

Prevention of Shaken Baby Syndrome Among High-Risk Neonates: Program Implementation and Evaluation

Contact Info

Product

Resources

About