Children’s behavioral problems have high prevalence among families in the child welfare system, raising the need for cost-effective ways to diminish the problems. We evaluated the cost-effectiveness of the Incredible Years® (IY) Parenting Program for children’s behavioral problems compared with a treatment-as-usual (TAU) in families receiving child protection services (CPS) and other family support services in Finland, from the health and social care payer’s perspective at the intervention end (post-assessment) and with a 12-month follow-up. The randomized controlled trial included 102 families of 3–7-year-olds with behavioral problems. Families were recruited from CPS and other family support services in Finland. Incremental net monetary benefit analysis combined the costs and effects of IY intervention and TAU groups. Costs included intervention costs and register-based children’s and mothers’ health and social care costs. Effectiveness measures were the Eyberg Child Behavior Inventory and the Child Behavior Checklist. In the post-assessment, the cost-effectiveness results varied according to the effectiveness measures. Compared to TAU, the IY intervention was either not cost-effective or the cost-effectiveness depended on the decision-makers’ willingness to pay. In the 12-month follow-up, IY and TAU did not differ in costs or effects. The cost-effectiveness estimates from previously studied populations may not generalize to families receiving CPS. Families receiving CPS are in urgent need of cost-effective support to reduce the high prevalence of children’s behavioral problems. cost-effectiveness, parenting program, behavioral problems, child protection services, social services.

中文翻译：

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在接受儿童保护服务和其他家庭支持服务的家庭中，减少儿童行为问题的育儿计划的成本效益——一项随机对照试验

儿童行为问题在儿童福利系统的家庭中普遍存在，因此需要采用具有成本效益的方法来减少这些问题。我们在芬兰接受儿童保护服务 (CPS) 和其他家庭支持服务的家庭中，评估了针对儿童行为问题的 Incredible Years® (IY) 育儿计划与常规治疗 (TAU) 的成本效益。健康和社会护理支付者在干预结束（评估后）和 12 个月随访时的观点。这项随机对照试验纳入了 102 个有行为问题的 3-7 岁儿童家庭。家庭是从芬兰的 CPS 和其他家庭支持服务机构招募的。增量净货币效益分析结合了 IY 干预和 TAU 组的成本和效果。成本包括干预成本以及基于登记的儿童和母亲的健康和社会护理成本。有效性衡量标准是艾伯格儿童行为量表和儿童行为检查表。在事后评估中，成本效益结果根据有效性措施的不同而有所不同。与TAU相比，IY干预要么不具有成本效益，要么成本效益取决于决策者的支付意愿。在 12 个月的随访中，IY 和 TAU 在成本或效果上没有差异。先前研究人群的成本效益估计可能无法推广到接受 CPS 的家庭。接受 CPS 的家庭迫切需要具有成本效益的支持，以减少儿童行为问题的高发率。成本效益、育儿计划、行为问题、儿童保护服务、社会服务。