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Evidence for investing in parenting interventions aiming to improve child health: a systematic review of economic evaluations
Department of Public Health and Caring Sciences, Uppsala University, BMC, Uppsala, Sweden.
Department of Public Health and Caring Sciences, Uppsala University, BMC, Uppsala, Sweden.
Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health. Department of Public Health and Caring Sciences, Uppsala University, BMC, Uppsala, Sweden.ORCID iD: 0000-0003-3329-6066
School of Health and Social Development, Deakin Health Economics, Institute for Health Transformation, Deakin University, Geelong, Australia.
2024 (English)In: European Child and Adolescent Psychiatry, ISSN 1018-8827, E-ISSN 1435-165X, Vol. 33, no 2, p. 323-355Article, review/survey (Refereed) Published
Abstract [en]

A comprehensive review of the economic evidence on parenting interventions targeting different aspects of child health is lacking to support decision-making. The aim of this review is to provide an up to date synthesis of the available health economic evidence for parenting interventions aiming to improve child health. A systematic review was conducted with articles identified through Econlit, Medline, PsychINFO, and ERIC databases. Only full economic evaluations comparing two or more options, considering both costs and outcomes were included. We assessed the quality of the studies using the Drummond checklist. We identified 44 studies of varying quality that met inclusion criteria; 22 targeting externalizing behaviors, five targeting internalizing problems, and five targeting other mental health problems including autism and alcohol abuse. The remaining studies targeted child abuse (n = 5), obesity (n = 3), and general health (n = 4). Studies varied considerably and many suffered from methodological limitations, such as limited costing perspectives, challenges with outcome measurement and short-time horizons. Parenting interventions showed good value for money in particular for preventing child externalizing and internalizing behaviors. For the prevention of child abuse, some programs had the potential of being cost-saving over the longer-term. Interventions were not cost-effective for the treatment of autism and obesity. Future research should include a broader spectrum of societal costs and quality-of-life impacts on both children and their caregivers.

Place, publisher, year, edition, pages
Springer, 2024. Vol. 33, no 2, p. 323-355
Keywords [en]
Child health, Cost-effectiveness analysis, Economic evaluation, Parenting, Prevention, treatment
National Category
Public Health, Global Health, Social Medicine and Epidemiology Psychiatry
Identifiers
URN: urn:nbn:se:umu:diva-193354DOI: 10.1007/s00787-022-01969-wISI: 000770503100001PubMedID: 35304645Scopus ID: 2-s2.0-85126538651OAI: oai:DiVA.org:umu-193354DiVA, id: diva2:1648909
Available from: 2022-04-01 Created: 2022-04-01 Last updated: 2024-04-30Bibliographically approved

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Feldman, Inna

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