经济评估学习通过玩加在与通常的照顾抑郁的母亲与随机对照试验一起随机对照试验相比
Tehmina Ashraf1, Mohsin H Alvi1,2,3, Akbar Ullah4
1Pakistan Institute of Living and Learning, Karachi, Pakistan.
BMC health services research
|February 4, 2026
概括
在巴基斯坦,学习通过游戏加 (LTP+) 干预改善了与通常治疗 (TAU) 相比,母亲和儿童的结果. LTP+的成本效益很高,这表明它是减少产后抑郁症的有价值的公共卫生投资.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
- 围产期心理健康 围产期心理健康
背景情况:
- 发展中国家对产后抑郁症治疗的成本效益数据有限.
- 需要对针对母亲心理健康和儿童发展的干预措施进行经济评估.
研究的目的:
- 为了评估综合育儿干预措施的成本效益,学习通过游戏加 (LTP+),与通常的治疗 (TAU) 相比.
- 评估LTP+对巴基斯坦产后抑郁症和儿童发育的影响.
主要方法:
- 经济评估与随机对照试验 (ROSHNI-PK) 一起进行,其中包括764名母亲.
- 使用EQ-5D-3L进行成本效益分析,使用EPDS和ASQ进行成本效益分析:SE.
- 在六个月的时间范围内计算的增量成本效益比率 (ICERs).
主要成果:
- LTP+的成本为每个双68.7美元,使母亲的成本增加了33美元,并获得了0.06个QALY.
- 每个获得的母体QALY的ICER为582美元 (母体成本) 或258美元 (dyad成本).
- 迪亚德恢复成本为29美元;LTP+在特定门下显示100%的成本效益概率,低于巴基斯坦人均GDP.
结论:
- 与TAU结合的LTP+改善了QALY和恢复率,成本高于单独的TAU.
- LTP+很可能比单独的TAU更具成本效益.
- 该干预措施代表了在类似环境中对母亲和儿童福祉的潜在有价值的投资.
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