最近被诊断患有自闭症的儿童的护理人员的诊断后心理教育,接受和承诺治疗计划:基于随机对照试验的成本效益分析 (REACH-ASD试验)
Gemma Shields1, Aleix Rowlandson1, Linda Davies1
1Division of Population Health, Health Services Research and Primary Care, Manchester Centre for Health Economics, University of Manchester, Manchester, UK.
EClinicalMedicine
|November 3, 2025
概括
授权自闭症干预可能对自闭症谱系障碍 (ASD) 儿童的照顾者具有成本效益,为心理健康和生活质量提供了潜在的改善.
科学领域:
- 卫生经济学 卫生经济学
- 心理社会干预 心理社会干预
- 自闭症谱系障碍 (ASD) 研究研究
背景情况:
- 自闭症儿童的照顾者面临着重大的心理健康挑战和就业困难.
- 这些挑战会影响护理人员的健康状况和生产力.
- 一个群体心理社会干预,授权自闭症,被评估与通常的治疗 (TAU).
研究的目的:
- 评估授权自闭症干预加TAU与单独TAU的成本效益.
- 评估对最近被诊断患有自闭症儿童的照顾者的影响.
主要方法:
- 一个多中心,评估者掩盖的,随机对照试验,涉及379名主要护理人员.
- 在52周的随访期间前性收集的经济数据.
- 以质量调整的寿命年 (QALYs) 为主要结果;多次归算缺失的数据.
主要成果:
- 在初级 (归算) 和完整案例分析之间对比结果.
- 完整的案例分析表明成本效益 (ICER ~ £16k).
- 使用GHQ-30的替代分析显示,每一点心理健康改善的成本为150英.
结论:
- 由于COVID-19流行病的不完整数据引入了不确定性.
- 有迹象表明,授权自闭症干预措施具有成本效益.
- 需要进一步的研究来证实长期的成本效益.
更多相关视频
相关概念视频
01:19Autism Spectrum Disorder
946
Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
946
01:26Modeling in Therapy
370
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
370
01:24Operant Conditioning Intervention
449
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
In operant conditioning, behaviors that are...
449