OBJECTIVE: A previous multisite, randomized, controlled trial of peer support compared with usual care for prevention of postpartum depression demonstrated a reduction in depression symptoms at 12 weeks postbirth. Our objective was to determine the cost-effectiveness of this intervention. STUDY DESIGN: Prospectively planned economic evaluation alongside the clinical trial to determine the cost per case of postpartum depression averted, using individual patient data (n = 610) and societal perspective. All costs were expressed in 2011 Canadian dollars. RESULTS: The mean cost per woman was $4,497 in the peer support group and $3,380 in the usual care group (difference of $1,117, p < 0.0001). There was a 95% probability that the program would cost less than $20,196 per case of postpartum depression averted. CONCLUSIONS: Although this is a volunteer-based program, it results in a net cost to the health care system and society. However, this cost is within the range for other accepted interventions for this population. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
RCT Entities:
OBJECTIVE: A previous multisite, randomized, controlled trial of peer support compared with usual care for prevention of postpartum depression demonstrated a reduction in depression symptoms at 12 weeks postbirth. Our objective was to determine the cost-effectiveness of this intervention. STUDY DESIGN: Prospectively planned economic evaluation alongside the clinical trial to determine the cost per case of postpartum depression averted, using individual patient data (n = 610) and societal perspective. All costs were expressed in 2011 Canadian dollars. RESULTS: The mean cost per woman was $4,497 in the peer support group and $3,380 in the usual care group (difference of $1,117, p < 0.0001). There was a 95% probability that the program would cost less than $20,196 per case of postpartum depression averted. CONCLUSIONS: Although this is a volunteer-based program, it results in a net cost to the health care system and society. However, this cost is within the range for other accepted interventions for this population. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
Authors: M E Mowitz; J A F Zupancic; D Millar; H Kirpalani; J S Gaulton; R S Roberts; W Mao; D Dukhovny Journal: J Perinatol Date: 2016-09-29 Impact factor: 2.521
Authors: Kurt D Christensen; Jason L Vassy; Kathryn A Phillips; Carrie L Blout; Danielle R Azzariti; Christine Y Lu; Jill O Robinson; Kaitlyn Lee; Michael P Douglas; Jennifer M Yeh; Kalotina Machini; Natasha K Stout; Heidi L Rehm; Amy L McGuire; Robert C Green; Dmitry Dukhovny Journal: Genet Med Date: 2018-03-22 Impact factor: 8.822