| Title: |
Estimating the lifetime costs and benefits of the incredible years teacher classroom management intervention using data from 30 months follow-up of the supporting teachers and children in schools trial |
| Authors: |
Bates, S.; Saidi, Y.; Cookson, R.; Skarda, I.; Ford, T.; Hayes, R.; Ganguli, P.; Byford, S.; Brennan, A. |
| Publisher Information: |
Elsevier BV |
| Publication Year: |
2025 |
| Collection: |
White Rose Research Online (Universities of Leeds, Sheffield & York) |
| Description: |
Objectives: The Incredible Years Teacher® Classroom Management (IY-TCM) intervention is associated with short-term improvements in mental health difficulties in young people. The aim was to estimate the long-term impact and cost-effectiveness of the IY-TCM intervention compared with no intervention. Methods: An existing health economic model (LifeSim 1.0) was used to translate short-term changes in the Strength and Difficulties Questionnaire (SDQ), based on the Supporting Teachers and childRen in Schools cluster randomized controlled trial of the IY-TCM intervention in schools, into estimated medium- and long-term effects using multiple longitudinal data sets. LifeSim 1.0 was adapted to incorporate teacher-reported SDQ and account for individual heterogeneity. Cost-effectiveness analyses were conducted using the trial-based intervention cost with subgroup analyses on deprivation, conduct scores and parental depression in the simulated baseline population. Results: Regression analyses show significant predictor variables for intervention effectiveness, including deprivation and baseline SDQ. LifeSim results indicate small gains in long-term outcomes, and cost-effective analyses estimated that the IY-TCM intervention could be cost-effective, but there was a large amount of uncertainty (net monetary benefit = £10, Estimated CI = −£134, £156). Benefits and certainty of cost-effectiveness were greater for some subgroups, such as those with high conduct scores at baseline (net monetary benefit = £206, Estimated CI = £26, £318). Conclusions: IY-TCM could be cost-effective, but there was a large amount of uncertainty around costs and benefits. Greater benefits for pupils with difficulties at baseline suggest that the intervention may be more cost-effective for schools in more deprived areas with high levels of conduct problems. |
| Document Type: |
article in journal/newspaper |
| File Description: |
text |
| Language: |
English |
| ISSN: |
1098-3015 |
| Relation: |
https://eprints.whiterose.ac.uk/id/eprint/233363/1/PIIS1098301524023623.pdf; Bates, S. orcid.org/0000-0002-6358-0060 , Saidi, Y. orcid.org/0009-0006-1005-7002 , Cookson, R. et al. (6 more authors) (2025) Estimating the lifetime costs and benefits of the incredible years teacher classroom management intervention using data from 30 months follow-up of the supporting teachers and children in schools trial. Value in Health, 28 (3). pp. 326-335. ISSN: 1098-3015 |
| Availability: |
https://eprints.whiterose.ac.uk/id/eprint/233363/; https://eprints.whiterose.ac.uk/id/eprint/233363/1/PIIS1098301524023623.pdf |
| Rights: |
cc_by_4 |
| Accession Number: |
edsbas.3AF67D19 |
| Database: |
BASE |