Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/112105
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Type: Journal article
Title: Population cost-effectiveness of the Triple P parenting programme for the treatment of conduct disorder: an economic modelling study
Author: Sampaio, F.
Barendregt, J.
Feldman, I.
Lee, Y.
Sawyer, M.
Dadds, M.
Scott, J.
Mihalopoulos, C.
Citation: European Child and Adolescent Psychiatry, 2018; 27(7):933-944
Publisher: Springer
Issue Date: 2018
ISSN: 1018-8827
1435-165X
Statement of
Responsibility: 
Filipa Sampaio, Jan J. Barendregt, Inna Feldman, Yong Yi Lee, Michael G. Sawyer, Mark R. Dadds, James G. Scott, Cathrine Mihalopoulos
Abstract: Parenting programmes are the recommended treatments of conduct disorders (CD) in children, but little is known about their longer term cost-effectiveness. This study aimed to evaluate the population cost-effectiveness of one of the most researched evidence-based parenting programmes, the Triple P-Positive Parenting Programme, delivered in a group and individual format, for the treatment of CD in children. A population-based multiple cohort decision analytic model was developed to estimate the cost per disability-adjusted life year (DALY) averted of Triple P compared with a 'no intervention' scenario, using a health sector perspective. The model targeted a cohort of 5-9-year-old children with CD in Australia currently seeking treatment, and followed them until they reached adulthood (i.e., 18 years). Multivariate probabilistic and univariate sensitivity analyses were conducted to incorporate uncertainty in the model parameters. Triple P was cost-effective compared to no intervention at a threshold of AU$50,000 per DALY averted when delivered in a group format [incremental cost-effectiveness ratio (ICER) = $1013 per DALY averted; 95% uncertainty interval (UI) 471-1956] and in an individual format (ICER = $20,498 per DALY averted; 95% UI 11,146-39,470). Evidence-based parenting programmes, such as the Triple P, for the treatment of CD among children appear to represent good value for money, when delivered in a group or an individual face-to-face format, with the group format being the most cost-effective option. The current model can be used for economic evaluations of other interventions targeting CD and in other settings.
Keywords: Children and adolescents; Conduct disorder; Cost-effectiveness; Parenting programme; Population model
Rights: © The Author(s) 2017. This article is an open access publication. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http ://crea tive comm ons.org/lice nses /by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
RMID: 0030081106
DOI: 10.1007/s00787-017-1100-1
Grant ID: http://purl.org/au-research/grants/nhmrc/1105807
http://purl.org/au-research/grants/nhmrc/1041131
http://purl.org/au-research/grants/nhmrc/1035887
Appears in Collections:Psychology publications

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