Cost Effectiveness of a Community-Delivered Consultation to Improve Infant Sleep Problems and Maternal Well-Being

Saing, S; Parkinson, B; Church, J; Goodall, S

Cost Effectiveness of a Community-Delivered Consultation to Improve Infant Sleep Problems and Maternal Well-Being

Saing, S

Parkinson, B

Church, J Goodall, S

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Publication Type:: Journal Article
Citation:: Value in Health Regional Issues, 2018, 15 pp. 91 - 98
Issue Date:: 2018-05-01

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Field	Value	Language
dc.contributor.author	Saing, S https://orcid.org/0000-0001-5913-9654	en_US
dc.contributor.author	Parkinson, B https://orcid.org/0000-0002-2137-0962	en_US
dc.contributor.author	Church, J	en_US
dc.contributor.author	Goodall, S https://orcid.org/0000-0001-6611-6565	en_US
dc.date.available	2020-05-25T19:28:06Z
dc.date.issued	2018-05-01	en_US
dc.identifier.citation	Value in Health Regional Issues, 2018, 15 pp. 91 - 98	en_US
dc.identifier.issn	2212-1099	en_US
dc.identifier.uri	http://hdl.handle.net/10453/123164
dc.description.abstract	© 2018 Objectives: To evaluate the cost effectiveness of a community-delivered consultation aimed at improving infant sleep and maternal well-being. Methods: A decision-analytic model was developed that compared the costs and benefits of an infant sleep consultation with usual care. The effectiveness of the consultation was based on clinical evidence, and improvements in maternal quality of life were estimated by mapping the Edinburgh Postnatal Depression Scale scores to published utility scores. Cost effectiveness was calculated as the incremental cost per quality-adjusted life-year gained (QALY). Results: The statistically significant improvements in mean Edinburgh Postnatal Depression Scale scores at 4- and 16-month follow-ups were used to estimate the benefit in terms of QALYs. The modeled results demonstrated that the infant sleep consultation is low-cost (A$ 436), more effective in terms of QALYs gained (0.017), and cost-effective. The estimated incremental cost-effectiveness ratio was A$ 4031/QALY gained. The main drivers of the model were the use of early parenting centers and nurse training costs. Conclusions: Community-based nurse-delivered infant sleep consultations aid infant sleep, improve maternal quality of life, and are cost-effective compared with usual care and lead to improvements in quality of life through a reduction in postnatal depression.	en_US
dc.relation.ispartof	Value in Health Regional Issues	en_US
dc.relation.isbasedon	10.1016/j.vhri.2017.12.004	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Depression, Postpartum	en_US
dc.subject.mesh	Mothers	en_US
dc.subject.mesh	Mental Health	en_US
dc.subject.mesh	Psychiatric Status Rating Scales	en_US
dc.subject.mesh	Community Health Nursing	en_US
dc.subject.mesh	Quality of Life	en_US
dc.subject.mesh	Infant	en_US
dc.subject.mesh	Cost-Benefit Analysis	en_US
dc.subject.mesh	Referral and Consultation	en_US
dc.subject.mesh	Australia	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Sleep Wake Disorders	en_US
dc.title	Cost Effectiveness of a Community-Delivered Consultation to Improve Infant Sleep Problems and Maternal Well-Being	en_US
dc.type	Journal Article
utslib.citation.volume	15	en_US
utslib.for	140208 Health Economics	en_US
utslib.for	1115 Pharmacology and Pharmaceutical Sciences	en_US
utslib.for	1117 Public Health and Health Services	en_US
utslib.for	1402 Applied Economics	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Business
pubs.organisational-group	/University of Technology Sydney/Strength - CHERE - Centre for Health Economics Research and Evaluation
utslib.copyright.status	open_access
pubs.publication-status	Published	en_US
pubs.volume	15	en_US

Abstract:

© 2018 Objectives: To evaluate the cost effectiveness of a community-delivered consultation aimed at improving infant sleep and maternal well-being. Methods: A decision-analytic model was developed that compared the costs and benefits of an infant sleep consultation with usual care. The effectiveness of the consultation was based on clinical evidence, and improvements in maternal quality of life were estimated by mapping the Edinburgh Postnatal Depression Scale scores to published utility scores. Cost effectiveness was calculated as the incremental cost per quality-adjusted life-year gained (QALY). Results: The statistically significant improvements in mean Edinburgh Postnatal Depression Scale scores at 4- and 16-month follow-ups were used to estimate the benefit in terms of QALYs. The modeled results demonstrated that the infant sleep consultation is low-cost (A$ 436), more effective in terms of QALYs gained (0.017), and cost-effective. The estimated incremental cost-effectiveness ratio was A$ 4031/QALY gained. The main drivers of the model were the use of early parenting centers and nurse training costs. Conclusions: Community-based nurse-delivered infant sleep consultations aid infant sleep, improve maternal quality of life, and are cost-effective compared with usual care and lead to improvements in quality of life through a reduction in postnatal depression.

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http://hdl.handle.net/10453/123164