IDEAS home Printed from https://ideas.repec.org/a/eee/cysrev/v158y2024ics019074092400063x.html
   My bibliography  Save this article

Cost-effectiveness of a parenting program to reduce children’s behavioral problems among families receiving child protection services and other family support services – A randomized controlled trial

Author

Listed:
  • Rissanen, Elisa
  • Karjalainen, Piia
  • Kiviruusu, Olli
  • Kankaanpää, Eila
  • Aronen, Eeva T.
  • Haula, Taru
  • Sääksvuori, Lauri
  • Vornanen, Riitta
  • Linnosmaa, Ismo

Abstract

Background: Children’s behavioral problems have high prevalence among families in the child welfare system, raising the need for cost-effective ways to diminish the problems. Objective: We evaluated the cost-effectiveness of the Incredible Years® (IY) Parenting Program for children’s behavioral problems compared with a treatment-as-usual (TAU) in families receiving child protection services (CPS) and other family support services in Finland, from the health and social care payer’s perspective at the intervention end (post-assessment) and with a 12-month follow-up. Participants and setting: The randomized controlled trial included 102 families of 3–7-year-olds with behavioral problems. Families were recruited from CPS and other family support services in Finland. Methods: Incremental net monetary benefit analysis combined the costs and effects of IY intervention and TAU groups. Costs included intervention costs and register-based children’s and mothers’ health and social care costs. Effectiveness measures were the Eyberg Child Behavior Inventory and the Child Behavior Checklist. Results: In the post-assessment, the cost-effectiveness results varied according to the effectiveness measures. Compared to TAU, the IY intervention was either not cost-effective or the cost-effectiveness depended on the decision-makers’ willingness to pay. In the 12-month follow-up, IY and TAU did not differ in costs or effects. Conclusions: The cost-effectiveness estimates from previously studied populations may not generalize to families receiving CPS. Families receiving CPS are in urgent need of cost-effective support to reduce the high prevalence of children’s behavioral problems. Keywords: cost-effectiveness, parenting program, behavioral problems, child protection services, social services.

Suggested Citation

  • Rissanen, Elisa & Karjalainen, Piia & Kiviruusu, Olli & Kankaanpää, Eila & Aronen, Eeva T. & Haula, Taru & Sääksvuori, Lauri & Vornanen, Riitta & Linnosmaa, Ismo, 2024. "Cost-effectiveness of a parenting program to reduce children’s behavioral problems among families receiving child protection services and other family support services – A randomized controlled trial," Children and Youth Services Review, Elsevier, vol. 158(C).
    • Handle: RePEc:eee:cysrev:v:158:y:2024:i:c:s019074092400063x
    DOI: 10.1016/j.childyouth.2024.107491
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S019074092400063X
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.childyouth.2024.107491?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Kenneth F Schulz & Douglas G Altman & David Moher & for the CONSORT Group, 2010. "CONSORT 2010 Statement: Updated Guidelines for Reporting Parallel Group Randomised Trials," PLOS Medicine, Public Library of Science, vol. 7(3), pages 1-7, March.
    2. Camilla Nystrand & Inna Feldman & Pia Enebrink & Filipa Sampaio, 2019. "Cost-effectiveness analysis of parenting interventions for the prevention of behaviour problems in children," PLOS ONE, Public Library of Science, vol. 14(12), pages 1-17, December.
    3. Katherine Stevens, 2012. "Valuation of the Child Health Utility 9D Index," PharmacoEconomics, Springer, vol. 30(8), pages 729-747, August.
    4. Donal O’Neill & Sinéad McGilloway & Michael Donnelly & Tracey Bywater & Paul Kelly, 2013. "A cost-effectiveness analysis of the Incredible Years parenting programme in reducing childhood health inequalities," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 14(1), pages 85-94, February.
    5. Karjalainen, Piia & Kiviruusu, Olli & Aronen, Eeva T. & Santalahti, Päivi, 2019. "Group-based parenting program to improve parenting and children's behavioral problems in families using special services: A randomized controlled trial in a real-life setting," Children and Youth Services Review, Elsevier, vol. 96(C), pages 420-429.
    6. Jeffrey S. Hoch & Andrew H. Briggs & Andrew R. Willan, 2002. "Something old, something new, something borrowed, something blue: a framework for the marriage of health econometrics and cost‐effectiveness analysis," Health Economics, John Wiley & Sons, Ltd., vol. 11(5), pages 415-430, July.
    7. Foster, E.M. & Jones, D.E. & Greenberg, M.I., 2005. "The high costs of aggression: Public expenditures resulting from conduct disorder," American Journal of Public Health, American Public Health Association, vol. 95(10), pages 1767-1772.
    8. Rita Faria & Manuel Gomes & David Epstein & Ian White, 2014. "A Guide to Handling Missing Data in Cost-Effectiveness Analysis Conducted Within Randomised Controlled Trials," PharmacoEconomics, Springer, vol. 32(12), pages 1157-1170, December.
    9. Drummond, Michael F. & Sculpher, Mark J. & Claxton, Karl & Stoddart, Greg L. & Torrance, George W., 2015. "Methods for the Economic Evaluation of Health Care Programmes," OUP Catalogue, Oxford University Press, edition 4, number 9780199665884, Decembrie.
    10. Tanja Mingebach & Inge Kamp-Becker & Hanna Christiansen & Linda Weber, 2018. "Meta-meta-analysis on the effectiveness of parent-based interventions for the treatment of child externalizing behavior problems," PLOS ONE, Public Library of Science, vol. 13(9), pages 1-21, September.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Victoria K. Brennan & Georgina Jones & Stephen Radley & Simon Dixon, 2021. "Incorporating Process Utility into Cost-Effectiveness Analysis via a Bolt-On Domain to the SF-6D: An Exploratory Study," Applied Health Economics and Health Policy, Springer, vol. 19(5), pages 747-756, September.
    2. Mohamed El Alili & Johanna M. van Dongen & Jonas L. Esser & Martijn W. Heymans & Maurits W. van Tulder & Judith E. Bosmans, 2022. "A scoping review of statistical methods for trial‐based economic evaluations: The current state of play," Health Economics, John Wiley & Sons, Ltd., vol. 31(12), pages 2680-2699, December.
    3. Qi Cao & Erik Buskens & Hans L. Hillege & Tiny Jaarsma & Maarten Postma & Douwe Postmus, 2019. "Stratified treatment recommendation or one-size-fits-all? A health economic insight based on graphical exploration," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 20(3), pages 475-482, April.
    4. Abualbishr Alshreef & Allan J. Wailoo & Steven R. Brown & James P. Tiernan & Angus J. M. Watson & Katie Biggs & Mike Bradburn & Daniel Hind, 2017. "Cost-Effectiveness of Haemorrhoidal Artery Ligation versus Rubber Band Ligation for the Treatment of Grade II–III Haemorrhoids: Analysis Using Evidence from the HubBLe Trial," PharmacoEconomics - Open, Springer, vol. 1(3), pages 175-184, September.
    5. William Hollingworth & Christopher G. Fawsitt & Padraig Dixon & Larisa Duffy & Ricardo Araya & Tim J. Peters & Howard Thom & Nicky J. Welton & Nicola Wiles & Glyn Lewis, 2020. "Cost-Effectiveness of Sertraline in Primary Care According to Initial Severity and Duration of Depressive Symptoms: Findings from the PANDA RCT," PharmacoEconomics - Open, Springer, vol. 4(3), pages 427-438, September.
    6. El-Banna, Asmaa & Petrou, Stavros & Yiu, Hei Hang Edmund & Daher, Shahd & Forrester, Donald & Scourfield, Jonathan & Wilkins, David & Evans, Rhiannon & Turley, Ruth & Wallace, Sarah, 2021. "Systematic review of economic evaluations of children’s social care interventions," Children and Youth Services Review, Elsevier, vol. 121(C).
    7. Padraig Dixon & William Hollingworth & Jonathan Benger & James Calvert & Melanie Chalder & Anna King & Stephanie MacNeill & Katherine Morton & Emily Sanderson & Sarah Purdy, 2020. "Observational Cost-Effectiveness Analysis Using Routine Data: Admission and Discharge Care Bundles for Patients with Chronic Obstructive Pulmonary Disease," PharmacoEconomics - Open, Springer, vol. 4(4), pages 657-667, December.
    8. Violeta Calle-Guisado & Jose Carmelo Adsuar & Sabina Barrios-Fernandez & María Mendoza-Muñoz & Laura Muñoz-Bermejo & Francisco Javier Domínguez-Muñoz & Luis Ortiz-González & Jorge Rojo-Ramos, 2023. "Effects of a Multicomponent Programme for Improving Physical and Psychological Health in Victims of Intimate Partner Violence: Study Protocol for a Randomised Control Trial," IJERPH, MDPI, vol. 20(4), pages 1-9, February.
    9. Theodoros Mantopoulos & Paul M. Mitchell & Nicky J. Welton & Richard McManus & Lazaros Andronis, 2016. "Choice of statistical model for cost-effectiveness analysis and covariate adjustment: empirical application of prominent models and assessment of their results," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 17(8), pages 927-938, November.
    10. Gagné, Marie-Hélène & Piché, Geneviève & Brunson, Liesette & Clément, Marie-Ève & Drapeau, Sylvie & Jean, Sarah-Maude, 2023. "Efficacy of the Triple P – Positive Parenting Program on 0–12 year-old Quebec children's behavior," Children and Youth Services Review, Elsevier, vol. 149(C).
    11. Baptiste Leurent & Manuel Gomes & James R. Carpenter, 2018. "Missing data in trial‐based cost‐effectiveness analysis: An incomplete journey," Health Economics, John Wiley & Sons, Ltd., vol. 27(6), pages 1024-1040, June.
    12. Deidda, Manuela & Geue, Claudia & Kreif, Noemi & Dundas, Ruth & McIntosh, Emma, 2019. "A framework for conducting economic evaluations alongside natural experiments," Social Science & Medicine, Elsevier, vol. 220(C), pages 353-361.
    13. Baptiste Leurent & Manuel Gomes & Rita Faria & Stephen Morris & Richard Grieve & James R. Carpenter, 2018. "Sensitivity Analysis for Not-at-Random Missing Data in Trial-Based Cost-Effectiveness Analysis: A Tutorial," PharmacoEconomics, Springer, vol. 36(8), pages 889-901, August.
    14. Stephen Rocks & Daniela Berntson & Alejandro Gil-Salmerón & Mudathira Kadu & Nieves Ehrenberg & Viktoria Stein & Apostolos Tsiachristas, 2020. "Cost and effects of integrated care: a systematic literature review and meta-analysis," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(8), pages 1211-1221, November.
    15. Jason R. Guertin & Blanchard Conombo & Raphaël Langevin & Frédéric Bergeron & Anne Holbrook & Brittany Humphries & Alexis Matteau & Brian J. Potter & Christel Renoux & Jean-Éric Tarride & Madelein, 2020. "A Systematic Review of Methods Used for Confounding Adjustment in Observational Economic Evaluations in Cardiology Conducted between 2013 and 2017," Medical Decision Making, , vol. 40(5), pages 582-595, July.
    16. Baptiste Leurent & Manuel Gomes & Suzie Cro & Nicola Wiles & James R. Carpenter, 2020. "Reference‐based multiple imputation for missing data sensitivity analyses in trial‐based cost‐effectiveness analysis," Health Economics, John Wiley & Sons, Ltd., vol. 29(2), pages 171-184, February.
    17. Ben F M Wijnen & Karin Pos & Eva Velthorst & Frederike Schirmbeck & Hoi Yau Chan & Lieuwe de Haan & Mark van der Gaag & Silvia M A A Evers & Filip Smit, 2018. "Economic evaluation of brief cognitive behavioural therapy for social activation in recent-onset psychosis," PLOS ONE, Public Library of Science, vol. 13(11), pages 1-16, November.
    18. Jorge Carlos-Vivas & Jorge Pérez-Gómez & Serafín Delgado-Gil & José Carlos Campos-López & Manuel Granado-Sánchez & Jorge Rojo-Ramos & Laura Muñoz-Bermejo & Sabina Barrios-Fernandez & María Mendoza-Muñ, 2020. "Cost-Effectiveness of “Tele-Square Step Exercise” for Falls Prevention in Fibromyalgia Patients: A Study Protocol," IJERPH, MDPI, vol. 17(3), pages 1-16, January.
    19. Chiranjeev Sanyal & Don Husereau, 2020. "Systematic Review of Economic Evaluations of Services Provided by Community Pharmacists," Applied Health Economics and Health Policy, Springer, vol. 18(3), pages 375-392, June.
    20. Andrea Gabrio & Catrin Plumpton & Sube Banerjee & Baptiste Leurent, 2022. "Linear mixed models to handle missing at random data in trial‐based economic evaluations," Health Economics, John Wiley & Sons, Ltd., vol. 31(6), pages 1276-1287, June.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:cysrev:v:158:y:2024:i:c:s019074092400063x. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/childyouth .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.