Background
Economic evidence of psychological treatments
Objective
Methods
Brief description of the intervention and comparators
Setting and sample
Decision problem
Outcome | Assessment | Measurement | Economic evaluation framework |
---|---|---|---|
Edinburgh Postnatal Depression Scale (EPDS) | baseline, session-wise, 3-, 6-, 12-months post-randomization | perinatal depressive symptoms | cost-effectiveness analysis |
EuroQol 5 Dimension 5 Level (EQ-5D-5L) | baseline, 3-, 6-, 12-months post-randomization | quality of life | cost-utility analysis |
Time horizon and discounting
Measurement and evaluation of health
Resource use and costs
Intervention resource use and costs
Category | Cost Item | Non-Specialist Provider (NSP) | Specialist Provider (SP) | COVID-19 Precautions | Online/Virtual | In-Person | Notes | |
---|---|---|---|---|---|---|---|---|
Training Costs | Personnel training workshop | General staff | ☒ | ☒ | ☐ | ☒ | ☒ | |
NSP Time | ☒ | ☐ | ☐ | ☒ | ☒ | |||
SP Time | ☐ | ☒ | ☐ | ☒ | ☒ | |||
Clinical Lead time | ☒ | ☒ | ☐ | ☒ | ☒ | |||
Competency assessment | General staff | ☒ | ☒ | ☐ | ☒ | ☒ | ||
Clinical Lead time | ☒ | ☒ | ☐ | ☒ | ☒ | |||
Equipment for training | ☒ | ☒ | ☐ | ☐ | ☒ | Flip boards, markers, pens | ||
Standardized Patient (contracted from outside organizations) | ☒ | ☐ | ☐ | ☒ | ☒ | Hired actors for therapy role-plays with new providers to assess therapeutic skills and competence | ||
Room rental for training | ☒ | ☒ | ☐ | ☐ | ☒ | |||
Printing BA Manual, workbook, and value cards per provider | ☒ | ☒ | ☐ | ☒ | ☒ | |||
Meals/refreshments | ☒ | ☒ | ☐ | ☒ | ☒ | |||
Office Equipment | Audio recorder | ☒ | ☒ | ☐ | ☒ | ☒ | ||
Office supplies | ☒ | ☒ | ☐ | ☐ | ☒ | |||
Session & Delivery Costs | Provider Insurance | ☒ | ☒ | ☐ | ☒ | ☒ | ||
Commute and parking compensation for NSPs | ☒ | ☐ | ☐ | ☐ | ☒ | |||
Session safety-associated costs, e.g. Call with Psychiatrist/ER visit/Security | ☒ | ☒ | ☒ | ☒ | ☒ | |||
Supervision attendance – Clinical Lead | ☒ | ☒ | ☐ | ☒ | ☒ | |||
Supervision attendance – SPs | ☐ | ☒ | ☐ | ☒ | ☒ | |||
Supervision attendance – NSPs (QSUMMIT – compensation for audio review) | ☒ | ☐ | ☐ | ☒ | ☒ | |||
Personnel costs (salaries) | Compensation for Clinical Lead | ☐ | ☒ | ☐ | ☒ | ☒ | Hired/billing for the intervention | |
Compensation for Psychiatrists | ☒ | ☒ | ☐ | ☒ | ☒ | Hired/billing for the intervention | ||
Compensation for NSPs for session delivery; cost to trial/program | ☒ | ☐ | ☐ | ☒ | ☒ | Breakdown: • Salary cost to NSP and SP • Employer costs (contributions to pensions/national insurance etc.) • Plus overheads (fringe) • Time spent on face to face and non-face to face contact | ||
Compensation for SPs; cost to OHIP | ☐ | ☒ | ☐ | ☒ | ☒ | |||
Sensitivity analysis | Laptops (bought specifically for study) | ☒ | ☒ | ☐ | ☒ | ☒ | May not be used; depends if participants have their own already | |
Webcams | ☒ | ☒ | ☐ | ☒ | ☐ | |||
Headsets | ☒ | ☒ | ☐ | ☒ | ☐ | |||
"Loaner" tablets for participants (total of 5 tablets) | ☒ | ☒ | ☐ | ☒ | ☐ | |||
Overhead costs | Management/admin | ☒ | ☒ | ☐ | ☒ | ☒ | ||
Internet | ☐ | ☒ | ☐ | ☒ | ☒ | |||
Office space for intervention support staff | ☒ | ☒ | ☐ | ☐ | ☒ | |||
Clinic rooms for sessions | ☐ | ☒ | ☐ | ☐ | ☒ | |||
Fax service (initial and end of treatment) | ☒ | ☒ | ☐ | ☒ | ☒ | |||
Utilities | ☐ | ☒ | ☐ | ☐ | ☒ | |||
PHIPPA/HIPPA compliant Zoom – Training | ☒ | ☐ | ☒ | ☒ | ☒ | Paid for by the hospital | ||
PHIPPA/HIPPA compliant Zoom – Session Delivery | ☒ | ☐ | ☒ | ☒ | ☒ | |||
Masks, face shield, sanitizing equipment | ☒ | ☒ | ☒ | ☐ | ☐ | Paid for by the hospital | ||
Maintenance of office equipment | ☒ | ☒ | ☐ | ☒ | ☒ | |||
Landlines | ☒ | ☒ | ☐ | ☒ | ☒ |