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05-05-2015 | Original Paper | Uitgave 9/2015

Journal of Autism and Developmental Disorders 9/2015

Cost-Effectiveness Analysis Comparing Pre-diagnosis Autism Spectrum Disorder (ASD)-Targeted Intervention with Ontario’s Autism Intervention Program

Tijdschrift:
Journal of Autism and Developmental Disorders > Uitgave 9/2015
Auteurs:
Melanie Penner, Meera Rayar, Naazish Bashir, S. Wendy Roberts, Rebecca L. Hancock-Howard, Peter C. Coyte
Belangrijke opmerkingen

Electronic supplementary material

The online version of this article (doi:10.​1007/​s10803-015-2447-0) contains supplementary material, which is available to authorized users.

Abstract

Novel management strategies for autism spectrum disorder (ASD) propose providing interventions before diagnosis. We performed a cost-effectiveness analysis comparing the costs and dependency-free life years (DFLYs) generated by pre-diagnosis intensive Early Start Denver Model (ESDM-I); pre-diagnosis parent-delivered ESDM (ESDM-PD); and the Ontario Status Quo (SQ). The analyses took government and societal perspectives to age 65. We assigned probabilities of Independent, Semi-dependent or Dependent living based on projected IQ. Costs per person (in Canadian dollars) were ascribed to each living setting. From a government perspective, the ESDM-PD produced an additional 0.17 DFLYs for $8600 less than SQ. From a societal perspective, the ESDM-I produced an additional 0.53 DFLYs for $45,000 less than SQ. Pre-diagnosis interventions targeting ASD symptoms warrant further investigation.

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Extra materiaal
Supplementary material 1 (DOC 37 kb)
10803_2015_2447_MOESM1_ESM.doc
Supplementary material 2 (DOC 35 kb)
10803_2015_2447_MOESM2_ESM.doc
Supplementary material 3 (DOC 89 kb)
10803_2015_2447_MOESM3_ESM.doc
Supplementary material 4 (DOC 93 kb)
10803_2015_2447_MOESM4_ESM.doc
Supplementary material 5 (DOC 55 kb)
10803_2015_2447_MOESM5_ESM.doc
Supplementary material 6 (DOC 283 kb)
10803_2015_2447_MOESM6_ESM.doc
Supplementary material 7 (DOC 88 kb)
10803_2015_2447_MOESM7_ESM.doc
Supplementary material 8 (DOC 87 kb)
10803_2015_2447_MOESM8_ESM.doc
Supplementary material 9 (DOC 85 kb)
10803_2015_2447_MOESM9_ESM.doc
Supplementary material 10 (DOC 63 kb)
10803_2015_2447_MOESM10_ESM.doc
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