Skip to main content
Top
Gepubliceerd in: Journal of Autism and Developmental Disorders 5/2024

13-03-2023 | Original Paper

Economic Evaluation of Early Interventions for Autistic Children: A Scoping Review

Auteurs: Katherine Pye, Hannah Jackson, Teresa Iacono, Alan Shiell

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 5/2024

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Many autistic children access some form of early intervention, but little is known about the value for money of different programs. We completed a scoping review of full economic evaluations of early interventions for autistic children and/or their families. We identified nine studies and reviewed their methods and quality. Most studies involved behavioral interventions. Two were trial-based, and the others used various modelling methods. Clinical measures were often used to infer dependency levels and quality-adjusted life-years. No family-based or negative outcomes were included. Authors acknowledged uncertain treatment effects. We conclude that economic evaluations in this field are sparse, methods vary, and quality is sometimes poor. Economic research is needed alongside longer-term clinical trials, and outcome measurement in this population requires further exploration.
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Literatuur
go back to reference Aromataris, E., & Munn, Z. (2020). JBI Manual for Evidence Synthesis. JBI. Aromataris, E., & Munn, Z. (2020). JBI Manual for Evidence Synthesis. JBI.
go back to reference Byford, S., Cary, M., Barrett, B., Aldred, C. R., Charman, T., Howlin, P., Hudry, K., Leadbitter, K., Le Couteur, A., McConachie, H., Pickles, A., Slonims, V., Temple, K. J., Green, J., & Consortium, P. (2015). Cost-effectiveness analysis of a communication-focused therapy for pre-school children with autism: results from a randomised controlled trial. BMC Psychiatry, 15, 316. https://doi.org/10.1186/s12888-015-0700-x Byford, S., Cary, M., Barrett, B., Aldred, C. R., Charman, T., Howlin, P., Hudry, K., Leadbitter, K., Le Couteur, A., McConachie, H., Pickles, A., Slonims, V., Temple, K. J., Green, J., & Consortium, P. (2015). Cost-effectiveness analysis of a communication-focused therapy for pre-school children with autism: results from a randomised controlled trial. BMC Psychiatry, 15, 316. https://​doi.​org/​10.​1186/​s12888-015-0700-x
go back to reference Drummond, M. F., Sculpher, M. J., Claxton, K., Stoddart, G. L., & Torrance, G. W. (2015). Methods for the economic evaluation of health care programmes. Oxford University Press. Drummond, M. F., Sculpher, M. J., Claxton, K., Stoddart, G. L., & Torrance, G. W. (2015). Methods for the economic evaluation of health care programmes. Oxford University Press.
go back to reference Leadbitter, K., Aldred, C., McConachie, H., Le Couteur, A., Kapadia, D., Charman, T., Macdonald, W., Salomone, E., Emsley, R., & Green, J. (2018). The autism family experience questionnaire (AFEQ): An ecologically-valid, parent-nominated measure of family experience, quality of life and prioritised outcomes for early intervention. Journal of Autism and Developmental Disorders, 48(4), 1052–1062. https://doi.org/10.1007/s10803-017-3350-7CrossRefPubMed Leadbitter, K., Aldred, C., McConachie, H., Le Couteur, A., Kapadia, D., Charman, T., Macdonald, W., Salomone, E., Emsley, R., & Green, J. (2018). The autism family experience questionnaire (AFEQ): An ecologically-valid, parent-nominated measure of family experience, quality of life and prioritised outcomes for early intervention. Journal of Autism and Developmental Disorders, 48(4), 1052–1062. https://​doi.​org/​10.​1007/​s10803-017-3350-7CrossRefPubMed
go back to reference Maenner, M. J., Shaw, K. A., Baio, J., Washington, A., Patrick, M., DiRienzo, M., Christensen, D. L., Wiggins, L. D., Pettygrove, S., Andrews, J. G., Lopez, M., Hudson, A., Baroud, T., Schwenk, Y., White, E., Rosenberg, C. R., Lee, L.-C., Harrington, R. A., Huston, M., . . . Dietz, P. M. (2020). Prevalence of Autism Spectrum Disorder Among Children Aged 8 Years — Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2016. Atlanta: Centers for Disease Control and Prevention (CDC) Maenner, M. J., Shaw, K. A., Baio, J., Washington, A., Patrick, M., DiRienzo, M., Christensen, D. L., Wiggins, L. D., Pettygrove, S., Andrews, J. G., Lopez, M., Hudson, A., Baroud, T., Schwenk, Y., White, E., Rosenberg, C. R., Lee, L.-C., Harrington, R. A., Huston, M., . . . Dietz, P. M. (2020). Prevalence of Autism Spectrum Disorder Among Children Aged 8 Years — Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2016. Atlanta: Centers for Disease Control and Prevention (CDC)
go back to reference Motiwala, S. S., Gupta, S., Lilly, M. B., Ungar, W. J., & Coyte, P. C. (2006). The cost-effectiveness of expanding intensive behavioural intervention to all autistic children in Ontario. Healthcare Policy, 1, 135–151.PubMedPubMedCentral Motiwala, S. S., Gupta, S., Lilly, M. B., Ungar, W. J., & Coyte, P. C. (2006). The cost-effectiveness of expanding intensive behavioural intervention to all autistic children in Ontario. Healthcare Policy, 1, 135–151.PubMedPubMedCentral
go back to reference National Institute for Health and Care Excellence. (2021). Developing NICE guidelines: the manual (PMG20) National Institute for Health and Care Excellence. (2021). Developing NICE guidelines: the manual (PMG20)
go back to reference Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., & Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ. https://doi.org/10.1136/bmj.n71CrossRefPubMedPubMedCentral Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., & Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ. https://​doi.​org/​10.​1136/​bmj.​n71CrossRefPubMedPubMedCentral
go back to reference Penner, M., Rayar, M., Bashir, N., Roberts, S. W., Hancock-Howard, R. L., & Coyte, P. C. (2015). Cost-effectiveness analysis comparing pre-diagnosis autism spectrum disorder (ASD)-targeted intervention with ontario’s autism intervention program. Journal of Autism and Developmental Disorders, 45(9), 2833–2847. https://doi.org/10.1007/s10803-015-2447-0CrossRefPubMed Penner, M., Rayar, M., Bashir, N., Roberts, S. W., Hancock-Howard, R. L., & Coyte, P. C. (2015). Cost-effectiveness analysis comparing pre-diagnosis autism spectrum disorder (ASD)-targeted intervention with ontario’s autism intervention program. Journal of Autism and Developmental Disorders, 45(9), 2833–2847. https://​doi.​org/​10.​1007/​s10803-015-2447-0CrossRefPubMed
go back to reference Philips, Z., Bojke, L., Sculpher, M., Claxton, K., & Golder, S. (2006). Good practice guidelines for decision-analytic modelling in health technology assessment: A review and consolidation of quality assessment. PharmacoEconomics, 24, 355–371.CrossRefPubMed Philips, Z., Bojke, L., Sculpher, M., Claxton, K., & Golder, S. (2006). Good practice guidelines for decision-analytic modelling in health technology assessment: A review and consolidation of quality assessment. PharmacoEconomics, 24, 355–371.CrossRefPubMed
go back to reference Prior, M., & Roberts, J. (2006). Early Intervention for Children with Autism Spectrum Disorders: Guidelines for Best Practice. Prior, M., & Roberts, J. (2006). Early Intervention for Children with Autism Spectrum Disorders: Guidelines for Best Practice.
go back to reference Rodgers, M., Marshall, D., Simmonds, M., Le Couteur, A., Biswas, M., Wright, K., Rai, D., Palmer, S., Stewart, L., & Hodgson, R. (2020). Interventions based on early intensive applied behaviour analysis for autistic children: A systematic review and cost-effectiveness analysis. Health Technology Assessment, 24(35), 1–306. https://doi.org/10.3310/hta24350CrossRefPubMed Rodgers, M., Marshall, D., Simmonds, M., Le Couteur, A., Biswas, M., Wright, K., Rai, D., Palmer, S., Stewart, L., & Hodgson, R. (2020). Interventions based on early intensive applied behaviour analysis for autistic children: A systematic review and cost-effectiveness analysis. Health Technology Assessment, 24(35), 1–306. https://​doi.​org/​10.​3310/​hta24350CrossRefPubMed
go back to reference Sandbank, M., Bottema-Beutel, K., Crowley, S., Cassidy, M., Dunham, K., Feldman, J. I., Crank, J., Albarran, S. A., Raj, S., Mahbub, P., & Woynaroski, T. G. (2020). Project AIM: Autism intervention meta-analysis for studies of young children. Psychological Bulletin, 146(1), 1–29. https://doi.org/10.1037/bul0000215CrossRefPubMed Sandbank, M., Bottema-Beutel, K., Crowley, S., Cassidy, M., Dunham, K., Feldman, J. I., Crank, J., Albarran, S. A., Raj, S., Mahbub, P., & Woynaroski, T. G. (2020). Project AIM: Autism intervention meta-analysis for studies of young children. Psychological Bulletin, 146(1), 1–29. https://​doi.​org/​10.​1037/​bul0000215CrossRefPubMed
go back to reference Tricco, A. C., Lillie, E., Zarin, W., O’Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Horsley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, C., & Straus, S. E. (2018). PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Annals of Internal Medicine, 169(7), 467–473. https://doi.org/10.7326/M18-0850CrossRefPubMed Tricco, A. C., Lillie, E., Zarin, W., O’Brien, K. K., Colquhoun, H., Levac, D., Moher, D., Peters, M. D. J., Horsley, T., Weeks, L., Hempel, S., Akl, E. A., Chang, C., McGowan, J., Stewart, L., Hartling, L., Aldcroft, A., Wilson, M. G., Garritty, C., & Straus, S. E. (2018). PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Annals of Internal Medicine, 169(7), 467–473. https://​doi.​org/​10.​7326/​M18-0850CrossRefPubMed
go back to reference van Mastrigt, G. A., Hiligsmann, M., Arts, J. J., Broos, P. H., Kleijnen, J., Evers, S. M., & Majoie, M. H. (2016). How to prepare a systematic review of economic evaluations for informing evidence-based healthcare decisions: A five-step approach (part 1/3). Expert Review of Pharmacoeconomics & Outcomes Research, 16(6), 689–704. https://doi.org/10.1080/14737167.2016.1246960CrossRef van Mastrigt, G. A., Hiligsmann, M., Arts, J. J., Broos, P. H., Kleijnen, J., Evers, S. M., & Majoie, M. H. (2016). How to prepare a systematic review of economic evaluations for informing evidence-based healthcare decisions: A five-step approach (part 1/3). Expert Review of Pharmacoeconomics & Outcomes Research, 16(6), 689–704. https://​doi.​org/​10.​1080/​14737167.​2016.​1246960CrossRef
go back to reference Whitehouse, A. J. O., Varcin, K., Waddington, H., Sulek, R., Bent, C., Ashburner, J., Eapen, V., Goodall, E., Hudry, K., Roberts, J., Silove, N., & Trembath, D. (2020). Interventions for children on the autism spectrum: A synthesis of research evidence. Brisbane: Autism CRC Whitehouse, A. J. O., Varcin, K., Waddington, H., Sulek, R., Bent, C., Ashburner, J., Eapen, V., Goodall, E., Hudry, K., Roberts, J., Silove, N., & Trembath, D. (2020). Interventions for children on the autism spectrum: A synthesis of research evidence. Brisbane: Autism CRC
go back to reference Wijnen, B., Van Mastrigt, G., Redekop, W. K., Majoie, H., De Kinderen, R., & Evers, S. (2016). How to prepare a systematic review of economic evaluations for informing evidence-based healthcare decisions: Data extraction, risk of bias, and transferability (part 3/3). Expert Review of Pharmacoeconomics & Outcomes Research, 16(6), 723–732. https://doi.org/10.1080/14737167.2016.1246961CrossRef Wijnen, B., Van Mastrigt, G., Redekop, W. K., Majoie, H., De Kinderen, R., & Evers, S. (2016). How to prepare a systematic review of economic evaluations for informing evidence-based healthcare decisions: Data extraction, risk of bias, and transferability (part 3/3). Expert Review of Pharmacoeconomics & Outcomes Research, 16(6), 723–732. https://​doi.​org/​10.​1080/​14737167.​2016.​1246961CrossRef
go back to reference World Health Organization. (2001). International classification of functioning, disability, and health : ICF. In. Geneva: World Health Organization. World Health Organization. (2001). International classification of functioning, disability, and health : ICF. In. Geneva: World Health Organization.
Metagegevens
Titel
Economic Evaluation of Early Interventions for Autistic Children: A Scoping Review
Auteurs
Katherine Pye
Hannah Jackson
Teresa Iacono
Alan Shiell
Publicatiedatum
13-03-2023
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 5/2024
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-023-05938-3

Andere artikelen Uitgave 5/2024

Journal of Autism and Developmental Disorders 5/2024 Naar de uitgave