Cost-effectiveness of PoNDER health visitor training for mothers at lower risk of depression: findings on prevention of postnatal depression from a cluster-randomised controlled trial

Psychological Medicine
Catherine HendersonT S Brugha

Abstract

There is evidence for the cost-effectiveness of health visitor (HV) training to assess postnatal depression (PND) and deliver psychological approaches to women at risk of depression. Whether this approach is cost-effective for lower-risk women is unknown. There is a need to know the cost of HV-delivered universal provision, and how much it might cost to improve health-related quality of life for postnatal women. A sub-study of a cluster-randomised controlled trial in the former Trent region (England) previously investigated the effectiveness of PoNDER HV training in mothers at lower risk of PND. We conducted a parallel cost-effectiveness analysis at 6-months postnatal for all mothers with lower-risk status attributed to an Edinburgh Postnatal Depression Scale (EPDS) score <12 at 6-weeks postnatal. Intervention HVs were trained in assessment and cognitive behavioural or person-centred psychological support techniques to prevent depression. Outcomes examined: quality-adjusted life-year (QALY) gains over the period between 6 weeks and 6 months derived from SF-6D (from SF-36); risk-of-depression at 6 months (dichotomising 6-month EPDS scores into lower risk (<12) and at-risk (⩾12). In lower-risk women, 1474 intervention (63 c...Continue Reading

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Citations

Jan 11, 2020·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Martin Knapp, Gloria Wong
Jan 17, 2021·Archives of Women's Mental Health·Jennifer E McCabeLisa S Segre
May 19, 2021·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Paolo Fusar-PoliJohn P A Ioannidis

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Methods Mentioned

BETA
PCA

Software Mentioned

miceadds
R
Stata
PoNDER

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