成本效益 - - 在贫困城市社区的公立学前教育学校实施的育儿技能计划
Eric P Slade1,2,3, Amie F Bettencourt4,5,6, Deborah A Gross4,5,6
1Johns Hopkins School of Nursing, Baltimore, MD, USA. eslade@jhu.edu.
Administration and policy in mental health
|July 26, 2023
概括
基于学校的通用家长培训计划,如芝加哥家长计划 (CPP),为减少城市社区儿童行为问题提供了具有成本效益的解决方案. 这项研究证明了CPP.
科学领域:
- 公共卫生 公共卫生
- 儿童心理学 儿童心理学
- 卫生经济学 卫生经济学
背景情况:
- 在贫困城市地区的美国小学,通用家长培训计划的成本效益在很大程度上是未知的.
- 处于不利地位的城市社区面临着影响儿童发展的独特挑战,需要可访问和有效的干预措施.
研究的目的:
- 估计芝加哥家长计划 (CPP) 基于学校的普遍实施的成本效益.
- 为了比较CPP的成本效益与类似的欧洲育儿干预措施.
主要方法:
- 芝加哥家长计划 (CPP) 在12所巴尔的摩市第一标题学校为学前教育学生的家长 (n=380) 实施.
- 微成本方法用于估计计划实施和运营成本.
- 合规者平均因果影响 (CACE) 框架计算了CPP的增量成本效益比率 (ICER),将其与欧洲计划 (Connect,令人难以置信的岁月,COPE,彗星) 进行比较.
主要成果:
- 每名儿童的CPP费用为937.51美元,平均ICER为29.86美元,每减少1%的行为问题患病率.
- CPP显示,父母参加的孩子的行为问题减少了31.4%.
- 该公司的ICER值相当于Connect (25.50美元) 和COPE (29.72美元),低于Incredible Years (50.36美元) 和Comet (59.69美元).
结论:
- 全面的,以学校为基础的CPP在贫困的城市社区提供了良好的价值.
- CPP是一种成本效益高的策略,可以减少幼儿的行为问题.
- 调查结果支持基于学校的家长培训计划的可扩展性和经济可行性.
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