Cost-effectiveness of Legacy for Children™ for Reducing Behavioral Problems and Risk for ADHD among Children Living in Poverty

Details

• Alternative Title:
  J Child Adolesc Behav
• Personal Author:
  Corso, Phaedra S ; Visser, Susanna N ; Ingels, Justin B ; Perou, Ruth
• Description:
  This paper describes the programmatic costs required for implementation of the Legacy for Children™ (|) program at two sites (Miami and Los Angeles) and enumerate the cost-effectiveness of the program. | provided group-based parenting intervention for mothers and children living in poverty. This cost-effectiveness analysis included two behavioral outcomes, behavioral problems, and attention-deficit/hyperactivity disorder (ADHD), and programmatic costs collected prospectively (2008 US$). Incremental costs, effects, the incremental cost-effectiveness ratio (ICER), and cost-effectiveness acceptability curves were estimated for the intervention groups relative to a comparison group with a 5 year analytic horizon. The intervention costs per family for Miami and Los Angeles were $16,900 and $14,100, respectively. For behavioral problems, the incremental effects were marginally significant (p=0.11) for Miami with an ICER of $178,000 per child at high risk for severe behavioral problems avoided. For ADHD, the incremental effects were significant (p=0.03) for Los Angeles with an ICER of $91,100 per child at high risk for ADHD avoided. | was related to improvements in behavioral outcomes within two community-drawn sites and the costs and effects are reasonable considering the associated economic costs.
• Keywords:
  Attention-deficit/Hyperactivity Disorder Behavioral Problems Cost-effectiveness Analysis Economic Evaluation Programmatic Cost Analysis
• Source:
  J Child Adolesc Behav. 3(5):240
• Pubmed ID:
  32953987
• Pubmed Central ID:
  PMC7500872
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  3
• Issue:
  5
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:9ceabb1576364d95dad48c7b4645f4ff1869614cb82c1f70bf0110ca1e2f1c5e
• Download URL:
  https://stacks.cdc.gov/view/cdc/94156/cdc_94156_DS1.pdf
• File Type:
  [PDF - 420.86 KB ]