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- Title
Cost-effectiveness analysis of a communication-focused therapy for pre-school children with autism: results from a randomised controlled trial.
- Authors
Byford, Sarah; Cary, Maria; Barrett, Barbara; Aldred, Catherine R.; Charman, Tony; Howlin, Patricia; Hudry, Kristelle; Leadbitter, Kathy; Le Couteur, Ann; McConachie, Helen; Pickles, Andrew; Slonims, Vicky; Temple, Kathryn J.; Green, Jonathan
- Abstract
Background: Autism is associated with impairments that have life-time consequences for diagnosed individuals and a substantial impact on families. There is growing interest in early interventions for children with autism, yet despite the substantial economic burden, there is little evidence of the cost-effectiveness of such interventions with which to support resource allocation decisions. This study reports an economic evaluation of a parent-mediated, communication-focused therapy carried out within the Pre-School Autism Communication Trial (PACT). Methods: 152 pre-school children with autism were randomly assigned to treatment as usual (TAU) or PACT + TAU. Primary outcome was severity of autism symptoms at 13-month follow-up. Economic data included health, education and social services, childcare, parental productivity losses and informal care. Results: Clinically meaningful symptom improvement was evident for 53 % of PACT + TAU versus 41 % of TAU (odds ratio 1.91, p = 0.074). Service costs were significantly higher for PACT + TAU (mean difference £4,489, p < 0.001), but the difference in societal costs was smaller and non-significant (mean difference £1,385, p = 0.788) due to lower informal care rates for PACT + TAU. Conclusions: Improvements in outcome generated by PACT come at a cost. Although this cost is lower when burden on parents is included, the cost and effectiveness results presented do not support the cost-effectiveness of PACT + TAU compared to TAU alone.
- Subjects
TREATMENT of autism in children; MEDICAL care costs; SOCIAL services; COMMUNICATION; FOLLOW-up studies (Medicine); RANDOMIZED controlled trials
- Publication
BMC Psychiatry, 2015, Vol 15, p1
- ISSN
1471-244X
- Publication type
Article
- DOI
10.1186/s12888-015-0700-x