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

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-deliv...

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Bibliographic Details
Published in:Psychological medicine 2019-06, Vol.49 (8), p.1324-1334
Main Authors: Henderson, Catherine, Dixon, Simon, Bauer, Annette, Knapp, Martin, Morrell, C. Jane, Slade, Pauline, Walters, Stephen J., Brugha, Traolach
Format: Article
Language:English
Subjects:
At risk populations
Behavior
Cluster Analysis
Cognitive ability
Cognitive aspects
Cognitive Behavioral Therapy
Cost analysis
Cost-Benefit Analysis
Depression, Postpartum - diagnosis
Depression, Postpartum - epidemiology
Depression, Postpartum - prevention & control
England
Evaluation
Female
Health status
Health visiting
Humans
Intervention
Mental depression
Mental disorders
Mothers
Nurses, Community Health - economics
Nurses, Community Health - education
Original
Original Articles
Postpartum depression
Prevention
Professional Role
Psychiatric Status Rating Scales
Psychological support
Quality adjusted life years
Quality of Life
Women
Womens health
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Summary: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
ISSN:0033-2917
1469-8978
DOI:10.1017/S0033291718001940