Tecirlia, G, Barsbay, MC, Ganho-Avila, A, Palau, R, Ribeiro, I, Sheaf, G, Öner, N, Ferreira, PL, Lassemo, E, Camacho, E and Bauer, Annette 
ORCID: 0000-0001-5156-1631
(2023)
Presentation 1: Scoping review of cost-effectiveness evidence for interventions in peripartum depression.
Journal of Psychosomatic Obstetrics & Gynecology, 44 (Sup 1).
ISSN 0167-482X
Abstract
Background Prevention, screening and treatment strategies for peripartum depression (PPD) include building blocks to develop mental health status lifelong. Increasingly, more emphasis is being placed on the results of economic analysis to support decision makers. Objectives In this study, we consider how economic evaluation, including cost-effectiveness analysis, cost-utility analysis and related techniques, can inform the development of mental health policy strategies and guidelines, and provide implications for preventive, screening and treatment strategies for PPD. Methods The Population-Intervention-Outcome-Study Design (PIOS) framework was used to guide study selection and align the eligibility criteria with the aims of this review. A comprehensive and systematic search strategy appropriate for a scoping review was constructed by adapting strategies from previous studies on PPD and/or economics coupled with input from the project team. Results A total of 5806 studies were screened for eligibility; after deduplication, 3351 were screened at title/abstract level. This led to 191 studies screened at full text level and, ultimately, 43 studies included for extraction and evaluation. Specific results will be presented regarding cost-effectiveness, prevention, screening and treatment. Discussion There is a growing literature on health economics in PPD. Psychoeducational interventions were found to be potentially cost effective as preventive strategies for PPD. Stand-alone universal screening of PPD seems to be not cost effective, but the literature is inconsistent. Treatment strategies such as in home-CBT and video conferencing (VC) added to usual care were cost effective or cost saving, guided self-help was potentially cost effective. When screening and treatment are applied consecutively, they are highly cost effective.
| Item Type: | Article |
|---|---|
| Official URL: | https://www.tandfonline.com/journals/ipob20 |
| Additional Information: | © 2023 The Author(s) |
| Divisions: | Care Policy and Evaluation Centre |
| Subjects: | R Medicine > RA Public aspects of medicine |
| Date Deposited: | 26 Jul 2024 08:27 |
| Last Modified: | 12 Dec 2024 04:23 |
| URI: | http://eprints.lse.ac.uk/id/eprint/124362 |
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