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

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dc.contributor.authorFrizelle, Pauline
dc.contributor.authorMckean, Christina
dc.contributor.authorO'Shea, Aoife
dc.contributor.authorHorgan, Anne
dc.contributor.authorMurphy, Aileen
dc.contributor.funderIrish Research Councilen
dc.date.accessioned2021-12-22T12:19:29Z
dc.date.available2021-12-22T12:19:29Z
dc.date.issued2021-09-20
dc.date.updated2021-12-22T12:10:43Z
dc.description.abstractPurpose: 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.sponsorshipIrish Research Council (Happy Talk trial was carried out with the support of the (IRC) Employment based programme [EBPPG/2018/196])en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationFrizelle, 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 10.1080/17549507.2021.1975815en
dc.identifier.doi10.1080/17549507.2021.1975815en
dc.identifier.endpage13en
dc.identifier.issn1754-9515
dc.identifier.journaltitleInternational Journal of Speech-Language Pathologyen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/12367
dc.language.isoenen
dc.publisherTaylor & Francisen
dc.relation.urihttps://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 wayen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/en
dc.subjectEconomic evaluationen
dc.subjectLanguage interventionen
dc.subjectChildrenen
dc.titleEconomic 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.typeArticle (peer-reviewed)en
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