Skip to content Skip to navigation
University of Warwick
  • Study
  • |
  • Research
  • |
  • Business
  • |
  • Alumni
  • |
  • News
  • |
  • About

University of Warwick
Publications service & WRAP

Highlight your research

  • WRAP
    • Home
    • Search WRAP
    • Browse by Warwick Author
    • Browse WRAP by Year
    • Browse WRAP by Subject
    • Browse WRAP by Department
    • Browse WRAP by Funder
    • Browse Theses by Department
  • Publications Service
    • Home
    • Search Publications Service
    • Browse by Warwick Author
    • Browse Publications service by Year
    • Browse Publications service by Subject
    • Browse Publications service by Department
    • Browse Publications service by Funder
  • Help & Advice
University of Warwick

The Library

  • Login
  • Admin

Economic evaluation of an intensive home visiting programme for vulnerable families : a cost-effectiveness analysis of a public health intervention

Tools
- Tools
+ Tools

McIntosh, Emma, Barlow, Jane, Davis, Hilton and Stewart-Brown, Sarah L. (2009) Economic evaluation of an intensive home visiting programme for vulnerable families : a cost-effectiveness analysis of a public health intervention. Journal of Public Health, Vol.31 (No.3). pp. 423-433. doi:10.1093/pubmed/fdp047 ISSN 1741-3842.

Research output not available from this repository.

Request-a-Copy directly from author or use local Library Get it For Me service.

Official URL: http://dx.doi.org/10.1093/pubmed/fdp047

Request Changes to record.

Abstract

Recent reviews have shown that home visiting programmes that address parenting have the potential to improve long term health and social outcomes for children. However there are few studies exploring the cost-effectiveness of such interventions. The objective of this study was to evaluate the cost-effectiveness of an intensive home visiting programme directed at vulnerable families during the antenatal and postnatal periods.

The design was an economic evaluation alongside a multicentre randomized controlled trial, in which 131 eligible women were randomly allocated to receive 18 months of intensive home visiting (n=67) or standard services (n=64). Due to the public health nature of the intervention a cost-effectiveness analysis was undertaken from a societal perspective.

The mean 'societal costs' in the control and intervention arms were 3874 pound and 7120 pound, respectively, a difference of 3246 pound (p < 0.000). The mean 'health service only' costs were 3324 pound and 5685 pound respectively, a difference of 2361 pound (p < 0.000). As well as significant improvements in maternal sensitivity and infant cooperativeness there was also a non-significant increase in the likelihood of the intervention group infants being removed from the home due to abuse and neglect. These incremental benefits were delivered at an incremental societal cost of 3246 pound per woman.

The results of the study provide evidence to suggest that, within the context of regular home visits, specially trained home visitors can increase maternal sensitivity and infant cooperativeness and are better able to identify infants in need of removal from the home for child protection. The extent to which these benefits are 'worth' the societal cost of 3246 pound per woman however is a matter of judgment.

Item Type: Journal Article
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Journal or Publication Title: Journal of Public Health
Publisher: Oxford University Press
ISSN: 1741-3842
Official Date: September 2009
Dates:
DateEvent
September 2009Published
Volume: Vol.31
Number: No.3
Number of Pages: 11
Page Range: pp. 423-433
DOI: 10.1093/pubmed/fdp047
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
Funder: Department of Health, The Nuffield foundation

Data sourced from Thomson Reuters' Web of Knowledge

Request changes or add full text files to a record

Repository staff actions (login required)

View Item View Item
twitter

Email us: wrap@warwick.ac.uk
Contact Details
About Us