Economic evaluations of interventions focusing on child abuse and neglect in high-income countries: a systematic review

IntroductionChild abuse and neglect are together considered to be an important public health problem with a high individual and societal burden. Different interventions have been developed to prevent, diagnose, or treat maltreatment. While their effectiveness has been synthesized in prior reviews, t...

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Main Authors: Tom Kugener, Isabell Wiethoff, Ghislaine van Mastrigt, Bram van den Berg, Silvia M. A. A. Evers
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-06-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1031037/full
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author Tom Kugener
Isabell Wiethoff
Ghislaine van Mastrigt
Bram van den Berg
Silvia M. A. A. Evers
Silvia M. A. A. Evers
author_facet Tom Kugener
Isabell Wiethoff
Ghislaine van Mastrigt
Bram van den Berg
Silvia M. A. A. Evers
Silvia M. A. A. Evers
author_sort Tom Kugener
collection DOAJ
description IntroductionChild abuse and neglect are together considered to be an important public health problem with a high individual and societal burden. Different interventions have been developed to prevent, diagnose, or treat maltreatment. While their effectiveness has been synthesized in prior reviews, the analysis of their cost-effectiveness is less common. The aim of this study is to synthesize and analyse economic evaluations of interventions focusing on child abuse and neglect in high-income countries.MethodsA systematic literature review was performed using MEDLINE, EMBASE, EconLit, PsycInfo and NHS EED. This study follows the PRISMA guidelines and double scoring was performed. The review includes trial- and model-based economic evaluations of preventive, diagnostic, and treatment related interventions in children up to 18 years or their caregivers. Risk of bias was assessed using the CHEC-extended checklist. The results are presented in a cost-effectiveness plane.ResultsOf 5,865 search results, the full texts of 81 were analyzed, resulting in the inclusion of 11 economic evaluations. Eight of the included studies focus on prevention of child abuse and neglect, one study on diagnosis, and two on treatment. The heterogeneity between studies did not allow for the quantitative pooling of results. Most interventions were cost-effective, with the exception of one preventive and one diagnostic intervention.ConclusionThis study was subject to some limitations, as no gray literature was included, and the selection of studies may have been arbitrary due to varying terminologies and methodologies in the field. However, the quality of studies was high, and several interventions showed promising results.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021248485, identifier: CRD42021248485.
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spelling doaj.art-36f66fd87aad4623a04589055bf00aeb2023-06-21T07:49:33ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-06-011410.3389/fpsyt.2023.10310371031037Economic evaluations of interventions focusing on child abuse and neglect in high-income countries: a systematic reviewTom Kugener0Isabell Wiethoff1Ghislaine van Mastrigt2Bram van den Berg3Silvia M. A. A. Evers4Silvia M. A. A. Evers5Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, NetherlandsDepartment of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, NetherlandsDepartment of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, NetherlandsDepartment of Quality, Policy and Monitoring, Nederlands Jeugdinstituut, Utrecht, NetherlandsDepartment of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, NetherlandsCentre for Economic Evaluation and Machine Learning, Trimbos Institute, Netherlands Institute of Mental Health and Addiction, Utrecht, NetherlandsIntroductionChild abuse and neglect are together considered to be an important public health problem with a high individual and societal burden. Different interventions have been developed to prevent, diagnose, or treat maltreatment. While their effectiveness has been synthesized in prior reviews, the analysis of their cost-effectiveness is less common. The aim of this study is to synthesize and analyse economic evaluations of interventions focusing on child abuse and neglect in high-income countries.MethodsA systematic literature review was performed using MEDLINE, EMBASE, EconLit, PsycInfo and NHS EED. This study follows the PRISMA guidelines and double scoring was performed. The review includes trial- and model-based economic evaluations of preventive, diagnostic, and treatment related interventions in children up to 18 years or their caregivers. Risk of bias was assessed using the CHEC-extended checklist. The results are presented in a cost-effectiveness plane.ResultsOf 5,865 search results, the full texts of 81 were analyzed, resulting in the inclusion of 11 economic evaluations. Eight of the included studies focus on prevention of child abuse and neglect, one study on diagnosis, and two on treatment. The heterogeneity between studies did not allow for the quantitative pooling of results. Most interventions were cost-effective, with the exception of one preventive and one diagnostic intervention.ConclusionThis study was subject to some limitations, as no gray literature was included, and the selection of studies may have been arbitrary due to varying terminologies and methodologies in the field. However, the quality of studies was high, and several interventions showed promising results.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021248485, identifier: CRD42021248485.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1031037/fullchild abuse and neglectmaltreatmenteconomic evaluationcost-effectivenessreview-systematic
spellingShingle Tom Kugener
Isabell Wiethoff
Ghislaine van Mastrigt
Bram van den Berg
Silvia M. A. A. Evers
Silvia M. A. A. Evers
Economic evaluations of interventions focusing on child abuse and neglect in high-income countries: a systematic review
Frontiers in Psychiatry
child abuse and neglect
maltreatment
economic evaluation
cost-effectiveness
review-systematic
title Economic evaluations of interventions focusing on child abuse and neglect in high-income countries: a systematic review
title_full Economic evaluations of interventions focusing on child abuse and neglect in high-income countries: a systematic review
title_fullStr Economic evaluations of interventions focusing on child abuse and neglect in high-income countries: a systematic review
title_full_unstemmed Economic evaluations of interventions focusing on child abuse and neglect in high-income countries: a systematic review
title_short Economic evaluations of interventions focusing on child abuse and neglect in high-income countries: a systematic review
title_sort economic evaluations of interventions focusing on child abuse and neglect in high income countries a systematic review
topic child abuse and neglect
maltreatment
economic evaluation
cost-effectiveness
review-systematic
url https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1031037/full
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