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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
Summary
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.
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