数字预防性家长培训的成本效益,用于早期儿童的破坏性行为
Elisa Rissanen1, Virpi Kuvaja-Köllner, Eila Kankaanpää
1P.O. Box 1627, FI-70270 Kuopio, Finland, elisa.rissanen@uef.fi.
The journal of mental health policy and economics
|September 18, 2024
概括
数字家长培训有效地减少了儿童的破坏性行为. 它的成本效益取决于决策者.
科学领域:
- 儿童心理学 儿童心理学
- 卫生经济学 卫生经济学
- 数字健康干预措施 数字健康干预措施
背景情况:
- 儿童破坏性行为障碍 (DBD) 与重大问题和成本有关.
- 家长培训是儿童DBD的有效干预措施.
- 对于DBD的数字家长培训的成本效益存在有限的研究.
研究的目的:
- 评估最强家庭智能网站 (SFSW) 数字家长培训干预的两年成本效益.
- 将SFSW与教育控制 (EC) 组进行比较,以防止儿童的破坏性行为.
- 从医疗保健资助者和家长的综合角度评估成本效益.
主要方法:
- 利用了一项随机对照试验 (RCT) 的数据,该试验涉及464名4岁的破坏性儿童.
- 干预组获得SFSW;对照组获得EC.
- 评估治疗意图增加的净货币收益,并使用儿童行为检查清单 (CBCL) 外化得分作为有效性衡量标准.
主要成果:
- 从医疗保健资助者和家长的角度来看,SFSW干预成本高于EC.
- 与EC相比,SFSW显著降低了CBCL外部化得分.
- 成本效益分析表明,当支付意愿超过879欧元时,外部化得分每单位减少的正净货币收益.
结论:
- SFSW的成本效益取决于决策者愿意为行为改进付出代价.
- 在减少破坏性行为方面,SFSW干预是有效的,但必须考虑相关的成本.
- 需要使用标准化高质量方法对数字干预措施进行进一步的经济评估.
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