Incredible Years parenting programme: cost-effectiveness and implementation
Abstract
Purpose
There is growing interest in the economic evaluation of public health prevention initiatives and increasing government awareness of the societal costs of conduct disorder in early childhood. The purpose of this paper is to investigate the cost-effectiveness of the Incredible Years (IY) BASIC parenting programme compared with a six-month waiting list control.
Design/methodology/approach
Cost-effectiveness analysis alongside a pragmatic randomised controlled trial of a group-parenting programme. The primary outcome measure was the Strengths and Difficulties Questionnaire (SDQ), a measure of child behaviour.
Findings
The IY programme was found to have a high probability of being cost-effective, shifting an additional 23 per cent of children from above the clinical concern to below the cut-off on the SDQ compared to the control group, at a cost ranging from £1612-£2418 per child, depending on the number of children in the group.
Originality/value
The positive findings of this study have led to ongoing implementation of the IY programme and is therefore an example of commitment to evidence-based service provision and investment in prevention initiatives.
Keywords
Acknowledgements
Declaration of Interest: J.H. is paid by the IY programme developer for running occasional training courses in the delivery of the parent programme. All other authors declare no conflict of interest.Funding: This study was funded by Birmingham City Council in collaboration with the Social Research Unit, Dartington. Ethical Approval: North West Wales Ethics Committee.
Trial No. ISRCTN48762440. Note: As two authors of this paper were employees of the Dartington Social Research Unit (DSRU) at the time of the research (albeit not when the paper was submitted), and the research formed part of wider study by the DSRU, it was inappropriate for the Editors of the Journal of Children’s Services at the time (Nick Axford and Michael Little, both employees of the DSRU) to oversee the review process. Accordingly, a member of the Editorial Board, Professor Jeni Beecham, kindly oversaw the review process and made all decisions concerning the paper, including reviewer selection, recommended revisions and ultimately acceptance for publication.
The authors wish to acknowledge the support from Birmingham County Council Brighter Futures team and the Social Research Unit, Dartington, Devon. The author also acknowledge and thank the valuable help participants in the study gave in completing questionnaires. Furthermore, the authors would like to thank Seow Tien Yeo at the Centre for Health Economics and Medicines Evaluation for her advice and statistical support and Alison Shaw and Jacqueline Williams-Bulkeley for reader support in preparation of this manuscript.
Citation
Edwards, R.T., Jones, C., Berry, V., Charles, J., Linck, P., Bywater, T. and Hutchings, J. (2016), "Incredible Years parenting programme: cost-effectiveness and implementation", Journal of Children's Services, Vol. 11 No. 1, pp. 54-72. https://doi.org/10.1108/JCS-02-2015-0005
Publisher
:Emerald Group Publishing Limited
Copyright © 2016, Emerald Group Publishing Limited