Economic evaluation of the Happy Talk pilot effectiveness trial: A targeted selective speech, language and communication intervention for children from areas of social disadvantage.

Show simple item record

dc.contributor.author Frizelle, Pauline
dc.contributor.author Mckean, Christina
dc.contributor.author O'Shea, Aoife
dc.contributor.author Horgan, Anne
dc.contributor.author Murphy, Aileen
dc.date.accessioned 2021-12-22T12:19:29Z
dc.date.available 2021-12-22T12:19:29Z
dc.date.issued 2021-09-20
dc.identifier.citation Frizelle, P., Mckean, C., O’Shea, A., Horgan, A. and Murphy, A. (2021) ‘Economic evaluation of the Happy Talk pilot effectiveness trial: A targeted selective speech, language and communication intervention for children from areas of social disadvantage’, International Journal of Speech-Language Pathology, (13 pp). doi 10.1080/17549507.2021.1975815 en
dc.identifier.startpage 1 en
dc.identifier.endpage 13 en
dc.identifier.issn 1754-9515
dc.identifier.uri http://hdl.handle.net/10468/12367
dc.identifier.doi 10.1080/17549507.2021.1975815 en
dc.description.abstract Purpose: This study presents a cost-effectiveness analysis of a targeted selective pre-school intervention programme, “Happy Talk”, which focuses on language development, by simultaneously enhancing parental interaction and the pre-school environment. Method: Happy Talk (delivered to 77 children) is an add on intervention, and is compared to usual care, adopting a healthcare perspective. Cost-effectiveness analyses were carried out using the Pre-school Language Scale 5- Total (PLS-5) for baseline analysis and the Child Health Utility Instrument (CHU9D) in a secondary analysis. Result: Baseline cost-effectiveness analysis showed Happy Talk was more effective (6.3 point change in total PLS-5 standard score – effect size 0.463SD and more expensive (€82.06) than usual care (cost-effectiveness ratio is €13.02 per unit change). Employing a proxy to estimate monetary net benefit, the benefits outweigh the costs, showing that it is cost-effective. However, results do not persist when health-related quality of life outcome measures are considered. Conclusion: Findings suggest a targeted selective public health approach, could be considered value for money to reduce the societal burden of children with low levels of speech, language and communication. However, measurement of longer term outcomes and a larger trial are required, to definitively inform policy changes. en
dc.description.sponsorship Irish Research Council (Happy Talk trial was carried out with the support of the (IRC) Employment based programme [EBPPG/2018/196]) en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Taylor & Francis en
dc.relation.uri https://www.tandfonline.com/doi/full/10.1080/17549507.2021.1975815
dc.rights © 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way en
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/ en
dc.subject Economic evaluation en
dc.subject Language intervention en
dc.subject Children en
dc.title Economic evaluation of the Happy Talk pilot effectiveness trial: A targeted selective speech, language and communication intervention for children from areas of social disadvantage. en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Pauline Frizelle, Speech And Hearing Sciences, University College Cork, Cork, Ireland. +353-21-490-3000 Email: p.frizelle@ucc.ie en
dc.internal.availability Full text available en
dc.date.updated 2021-12-22T12:10:43Z
dc.description.version Published Version en
dc.internal.rssid 594300481
dc.internal.pmid 34543137
dc.contributor.funder Irish Research Council en
dc.description.status Peer reviewed en
dc.identifier.journaltitle International Journal of Speech-Language Pathology en
dc.internal.copyrightchecked Yes
dc.internal.licenseacceptance Yes en
dc.internal.IRISemailaddress p.frizelle@ucc.ie en


Files in this item

This item appears in the following Collection(s)

Show simple item record

© 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way Except where otherwise noted, this item's license is described as © 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way
This website uses cookies. By using this website, you consent to the use of cookies in accordance with the UCC Privacy and Cookies Statement. For more information about cookies and how you can disable them, visit our Privacy and Cookies statement