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A cost-effectiveness analysis of a universal, preventative-focused, parent and infant programme

Gráinne E Crealey1, Gráinne Hickey2,3, Sinead McGilloway4

  • 1Clinical Costing Solutions, Belfast, BT15 4EB, UK.

BMC Health Services Research
|February 8, 2024
PubMed

Insights

The Parent and Infant (PIN) programme demonstrates cost-effectiveness compared to services as usual for parenting support. This early intervention offers real-world evidence for universal early years parenting programs.

Area of Science:

  • Health Economics
  • Early Intervention Programs
  • Parenting Support

Background:

  • Assessing the cost-effectiveness of the Parent and Infant (PIN) parenting support program against services as usual (SAU).
  • Addressing a knowledge gap in early intervention for very young children and their parents.

Purpose of the Study:

  • To evaluate the economic viability of the PIN program.
  • To compare the cost-effectiveness of PIN versus SAU from an Irish health and social care perspective.

Main Methods:

  • A non-randomised, controlled before-and-after trial involving 163 parent-infant dyads (86 intervention, 77 control).
  • Economic evaluation over a 24-month timeframe, using the Parenting Sense of Competence Scale (PSOC) as the primary outcome.

Main Results:

  • The PIN program incurred an average cost of €647 per dyad.
  • Mean incremental cost-effectiveness was €614 per PSOC unit gained, with 87% probability of cost-effectiveness at a €1,000 willingness-to-pay threshold.

Conclusions:

  • The PIN program is cost-effective at a relatively low willingness-to-pay threshold compared to SAU.
  • Provides real-world evidence on the implementation costs and cost-effectiveness of a universal early years parenting program.
  • Highlights challenges in assessing cost-effectiveness for preventative interventions in early childhood.
Abstract

Keywords:
Cost-effectivenessEarly parent interventionGroup-based parent trainingUniversal parent support

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