The Cost-Effectiveness of the Kiva Antibullying Program: Results from a Decision-Analytic ModelVisa övriga samt affilieringar
2018 (Engelska)Ingår i: Prevention Science, ISSN 1389-4986, E-ISSN 1573-6695, Vol. 19, nr 6, s. 728-737Artikel i tidskrift (Refereegranskat) Published
Abstract [en]
Bullying causes substantial suffering for children and adolescents. A number of bullying prevention programs have been advocated as effective methods for counteracting school bullying. However, there is a lack of economic evaluations of bullying prevention programs assessing the “value for money.” The aim of this study was to assess the cost-effectiveness of the Finnish bullying prevention program KiVa in comparison to “status quo” (treatment as usual) in a Swedish elementary school setting (grades 1 to 9). The cost-effectiveness analysis was carried out using a payer perspective based on a Markov cohort model. The costs of the program were measured in Swedish kronor and Euros, and the benefits were measured using two different metrics: (1) the number of victim-free years and (2) the number of quality adjusted life years (QALYs). Data on costs, probability transitions, and health-related quality of life measures were retrieved from published literature. Deterministic and probabilistic sensitivity analyses were carried out to establish the uncertainty of the cost-effectiveness results. The base-case analysis indicated that KiVa leads to an increased cost of €829 for a gain of 0.47 victim-free years per student. In terms of the cost per gained QALY, the results indicated a base-case estimate of €13,823, which may be seen as cost-effective given that it is lower than the typically accepted threshold value in Swedish health policy of around €50,000. Further research is needed to confirm the conclusions of this study, especially regarding the treatment effects of KiVa in different school contexts
Ort, förlag, år, upplaga, sidor
Springer, 2018. Vol. 19, nr 6, s. 728-737
Nyckelord [en]
Bullying prevention program, Cost-effectiveness, Decision modeling, KiVa, adolescent, article, bullying, case study, cost effectiveness analysis, health care policy, human, money, prevention, primary school, probability, quality adjusted life year, sensitivity analysis, student, uncertainty, victim
Nationell ämneskategori
Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi Annan hälsovetenskap
Forskningsämne
Folkhälsovetenskap
Identifikatorer
URN: urn:nbn:se:kau:diva-67364DOI: 10.1007/s11121-018-0893-6ISI: 000438983300004Scopus ID: 2-s2.0-85046448211OAI: oai:DiVA.org:kau-67364DiVA, id: diva2:1209818
2018-05-242018-05-242018-08-29Bibliografiskt granskad