Multiple effects health economic evaluation of the Ahead of The Game Study for mental health promotion in sporting club communities
| Autor: | Christian Swann, Utsana Tonmukayakul, Nikki McCaffrey, Stewart A. Vella, Simon Eckermann |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Net benefit correspondence theorem
Medicine (General) medicine.medical_specialty Health economics Research Health Policy Public health media_common.quotation_subject Applied psychology Health services research Health promotion evaluation Mental health Difference in differences R5-920 Promotion (rank) Multiple outcomes cost effectiveness analysis Economic evaluation Multiple effect domains and dimensions medicine Club Psychology Mental health strategies media_common |
| Zdroj: | Health Economics Review Health Economics Review, Vol 11, Iss 1, Pp 1-15 (2021) |
| ISSN: | 2191-1991 |
| DOI: | 10.1186/s13561-021-00323-1 |
| Popis: | Background This study evaluates the Ahead Of The Game (AOTG) mental health promotion strategy for adolescent males relative to usual practice in team based sporting club community settings, allowing for joint incremental effects across 13 dimensions and 5 domains alongside intervention implementation costs. Methods Analysis is undertaken between matched communities with difference in differences analysis of joint multiple pre-post effect changes alongside implementation costs employing radar plots in cost-disutility space. A robust bootstrapping method allowed including all observed change in effect data from 343 AOTG and 273 control arm participants across 13 effect dimensions. Results Triangulation across joint evidence shows mean incremental effects favoured AOTG in all dimensions (10/13 significantly at 5% level) and in simple aggregation to each of five pre-specified 5 domains (each significant at Conclusion The AOTG strategy was found to represent an effective mental health promotion strategy across all domains and globally with associated significant potential for downstream health system cost savings to offset against modest implementation costs. Evaluation methods extend conventional cost-effectiveness analysis to enable robust joint presentation and triangulation under uncertainty of multiple effect dimensions alongside costs. Trial registration ANZCTR, ACTRN12617000709347. Registered 17th May 2017. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink