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

Dados Bibliográficos

ID11333335
AutoresElisa Rissanen (0000-0002-4710-9084, University of Eastern Finland, autor correspondente), Piia Karjalainen (0000-0001-7339-888X, Finnish Institute for Health and Welfare), Olli Kiviruusu (0000-0003-4864-8378, Finnish Institute for Health and Welfare), Eila Kankaanpää (0000-0001-5719-5783, University of Eastern Finland), Eeva T Aronen (0000-0001-8756-8894, University of Helsinki), Taru Haula (0000-0002-3215-9062, Finnish Institute for Health and Welfare), Lauri Sääksvuori (0000-0002-6960-043X, University of Turku), Riitta Vornanen (0000-0002-1600-3893, University of Eastern Finland), Ismo Linnosmaa (0000-0003-0178-8111, University of Eastern Finland)
Ano2024
Volume158
Páginas107491
Data de publicação2024-03-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoChildren and Youth Services Review (JOURNAL)
Identificadores do periódicoISSN: 0190-7409 • E-ISSN: 1873-7765
EditoraElsevier BV (PUBLISHER)
DOI10.1016/j.childyouth.2024.107491
OpenAlexW4391848569
IdiomaEN
Referências citadas37

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

Child protection · Developmental psychology · Intervention (counseling · Parent training · Psychiatry · Randomized controlled trial · Child Abuse and Trauma · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Family and Disability Support Research · Medicine · Nursing · Psychology