Micro-Costing in Public Health Economics: Steps Towards a Standardized Framework, Using the Incredible Years Toddler Parenting Program as a Worked Example

2013 ◽  
Vol 14 (4) ◽  
pp. 377-389 ◽  
Author(s):  
J. M. Charles ◽  
R. T. Edwards ◽  
T. Bywater ◽  
J. Hutchings
2020 ◽  
Author(s):  
Fátima Valencia ◽  
Elena Urbiola ◽  
Marina Romero González ◽  
Inmaculada Navas-Domenech ◽  
Maria Elias ◽  
...  

Abstract Having access to parenting interventions in the early years is key to improve developmental outcomes of children with neurodevelopmental problems. The Incredible Years® (IY) Parent Program is a group intervention that has demonstrated efficacy in terms of reducing stress in parents, as well as improving behavioral, emotional and social outcomes in children. The program has been recently adapted for families of children with autism or language delays (IY-ASLD®). This intervention has not yet been implemented in the Spanish Public Health System, where there is a scarcity of evidence-based interventions being offered to families with young children presenting neurodevelopmental problems. The main aims of this study are to determine the feasibility of implementing the IY-ASLD® program within Spanish Child Mental Health Services, as well as to examine parents’ acceptability and satisfaction with the intervention. As a secondary objective, we aim to evaluate its preliminary effectiveness in terms of reducing parental stress and behavioral difficulties in their children. The FIRST STEPS study is a multicenter, pilot randomized controlled trial comparing the IY-ASLD® program with a treatment-as-usual (TAU) condition. Approximately 70 families of children with Autism Spectrum Disorder (ASD) and preterm children with communication and/or socialization difficulties (aged 2–5 years) will be recruited. Families will be assessed prior to randomization and after the intervention.The FIRST STEPS pilot trial will demonstrate the feasibility and acceptability of reliably implementing the IY-ASLD® program within the Spanish Public Health System. The results of this study could represent a first step to inform policy makers in Spain when designing evidence-based healthcare pathways for families of children presenting ASD symptoms or neurodevelopmental difficulties at early stages.


2008 ◽  
Vol 18 (6) ◽  
pp. 543-554 ◽  
Author(s):  
Susan B. Stern ◽  
Ramona Alaggia ◽  
Katina Watson ◽  
Tanya R. Morton

This study examined group leaders' adherence to The Incredible Years Parenting Program's components and collaborative process during a yearlong dissemination in a large multicultural city and universal prevention context. Mixed methods were used to evaluate adherence and develop an understanding of the barriers and facilitators of therapist fidelity. Results suggest that the protocol and collaborative group processes were implemented with a high degree of adherence with the three exceptions of role plays, videotape modeling dosage, and “buddy calls.” A number of interconnected barriers with implications for future implementation were identified. Key contributors to adherence included the training and structure of the program, emphasis on accountability and ongoing session monitoring, and important aspects of supervision and group leader qualities.


2010 ◽  
Author(s):  
Mary A. Peterson ◽  
Diomaris E. Jurecska ◽  
Jeri. Turgesen ◽  
Michelle S. Anderson

2019 ◽  
Vol 31 (5) ◽  
pp. 1851-1862 ◽  
Author(s):  
Patty Leijten ◽  
Frances Gardner ◽  
G.J. Melendez-Torres ◽  
Joyce Weeland ◽  
Judy Hutchings ◽  
...  

AbstractChildren vary in the extent to which they benefit from parenting programs for conduct problems. How does parental mental health change if children benefit less or more? We assessed whether changes in conduct problems and maternal depressive symptoms co-occur following participation in the Incredible Years parenting program. We integrated individual participant data from 10 randomized trials (N = 1280; children aged 2–10 years) and distinguished latent classes based on families' baseline and post-test conduct problems and maternal depressive symptoms, using repeated measures latent class analysis (RMLCA) and latent transition analysis (LTA). Classes differed mainly in severity of conduct problems and depression (RMLCA; 4 classes). Conduct problems reduced in all classes. Depressive symptoms did not change in most classes, except in a class of families where conduct problems and depression were particularly severe. Incredible Years led to a greater likelihood of families with particularly severe conduct problems and depression moving to a class with mild problems (LTA; 3 classes). Our findings suggest that for the majority of families, children's conduct problems reduce, but maternal depressive symptoms do not, suggesting relative independence, with the exception of families with severe depression and severe conduct problems where changes for the better do co-occur.


2021 ◽  
pp. 263207702097640
Author(s):  
Xiang Zhou ◽  
Richard M. Lee ◽  
Judy Ohm

Parenting training (PT) can be implemented as a prevention program to effectively address children’s behavioral and psychosocial problems. In the current feasibility study, we implemented the Incredible Years (IY) Attentive Parenting Program as universal/primary prevention in a community mental health setting with racially diverse families. We evaluated the attendance and treatment outcomes in a one-group pre–post design. A total of 152 parents (88% mothers; 81% non-White) participated in the IY Attentive Parenting Program. Parents who completed the program reported a significant decrease in conduct problems and an increase in prosocial behaviors in their children. Minimal differences among race and gender were found in parents’ attendance, parenting stress, and children’s internalizing and externalizing symptoms and prosocial behaviors. However, pretreatment child externalizing behaviors predicted parents’ attendance. The study provides preliminary support for the feasibility of the recently developed IY Attentive Parenting Program as a universal prevention program for behavioral and psychosocial problems in children.


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