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The population cost-effectiveness of a parenting intervention designed to prevent anxiety disorders in children
Open accessAbstract
Background Prevention and early intervention for anxiety disorders has lagged behind many other forms of mental disorder. Recent research has demonstrated the efficacy of a parent-focussed psycho-educational programme. The programme is directed at parents of inhibited preschool children and has been shown to reduce anxiety disorders at 1 and 3 years following intervention. The current study assesses the cost-effectiveness of this intervention to determine whether it could provide value-for-money across a population. Method A cost-utility economic framework, using Disability-Adjusted-Life-Years (DALYs) as the outcome, was adopted. Economic modelling techniques were used to assess the incremental cost-effectiveness ratio (ICER) of the intervention within the Australian population context, which was modelled as add-on to current practice. The perspective was the health sector. Uncertainty was measured using multivariate probabilistic testing and key assumptions were tested using univariate sensitivity analysis. Results The median ICER for the intervention was AUD$8,000 per DALY averted with 99.8% of the uncertainty iterations falling below the threshold value-for-money criterion of AUD$50,000 per DALY averted. The results were robust to sensitivity testing. Conclusions Screening young children in a preschool setting for an inhibited temperament and providing a brief intervention to the parents of children with high levels of inhibition appears to provide very good value-for-mone…
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Economic evidence of psychological interventions targeting high-risk populations for the prevention of anxiety disorders has consistently shown that youth-focused CBT, parent-focused CBT, or parent-focused psychoeducational interventions provide good value for money.
“Economic evidence of psychological interventions targeting high-risk populations for the prevention of anxiety disorders has consistently shown that youth-focused CBT, parent-focused CBT, or parentfocused psychoeducational interventions provide good value for money.”
From The Lancet Psychiatry Commission on youth mental health (2024) · cites this paper as [407]
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The Lancet Psychiatry Commission on youth mental health
McGorry, P. D., Mei, C., Dalal, N., Alvarez-Jimenez, M., Blakemore, S.-J., Browne, V., Dooley, B., Hickie, I. B., Jones, P. B., McDaid, D., et al. (2024) · The Lancet Psychiatry · doi:10.1016/s2215-0366(24)00163-9 · Cited by 663
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Lau, E. X., Rapee, R. M., & Coplan, R. J. (2017) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2017.08.007 · Cited by 52
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Metadata
- Authors
- Mihalopoulos, C., Vos, T., Rapee, R. M., Pirkis, J., Chatterton, M. L., Lee, Y., & Carter, R.
- Affiliations
- Deakin University (AU)
- University of Washington (US)
- Macquarie University (AU)
- The University of Melbourne (AU)
- Corresponding author
- Mihalopoulos, Cathrine
- Venue
- Journal of Child Psychology and Psychiatry
- Publisher
- Wiley
- Published
- 2015-06-26
- Volume
- 56
- Issue
- 9
- Pages
- 1026-1033
- ISSN
- 0021-9630 (ISSN-L)
- 1469-7610
- OpenAlex
- W136025390
- Cited by
- 41
- References
- 5
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 2 · 2022: 6 · 2021: 11 · 2020: 1 · 2019: 1 · 2018: 5 · 2017: 9 · 2016: 2 · 2015: 1
- FWCI
- 13.65
- Type
- journal article
- Language
- en
- Open access
- green
- figshare.com
- Locations
- Journal of Child Psychology and Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Deakin Research Online (Deakin University) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Funders
- National Health and Medical Research Council (NHMRC) Health Service Grant (351558)
- NHMRC Capacity Building Grant (456002)
- NHMRC Early Career Fellowship (1035887)
- NHMRC (167201)
- Topics
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Keywords
- cost-effectiveness, parenting support, childhood anxiety disorders, prevention, inhibited temperament, preschool children, disability-adjusted life years, incremental cost-effectiveness ratio, value for money, early intervention, child screening
- MeSH terms
- Adult, Anxiety Disorders, Child, Preschool, Cost-Benefit Analysis, Female, Health Education, Humans, Inhibition, Psychological, Male, Parents, Psychotherapy, Parenting, Outcome Assessment, Health Care, Quality-Adjusted Life Years
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