Cost‐effectiveness analysis of current practice and parent intervention for children under 3 years presenting with expressive language delay

Gibbard, Deborah; Coglan, Louisa; Macdonald, James B.

doi:10.1080/13682820310001618839

Cited by 74 publications

(101 citation statements)

References 15 publications

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“…Some studies about DD in loweconomic family, cerebral palsy and language disorders revealed that parental involvement helps children to achieve their goals. 14,38,39 However, one study claimed that HAPs are not an effective tool for improving treatment programs. 40 This controversy maybe owing to the different education levels and socioeconomic statuses of the participants in different studies.…”

Section: Discussionmentioning

confidence: 99%

The effect of adding a home program to weekly institutional-based therapy for children with undefined developmental delay: A pilot randomized clinical trial

Tang

Lin

et al. 2011

Journal of the Chinese Medical Association

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Section: Discussionmentioning

confidence: 99%

The effect of adding a home program to weekly institutional-based therapy for children with undefined developmental delay: A pilot randomized clinical trial

Tang

Lin

et al. 2011

Journal of the Chinese Medical Association

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“…In a study of medium strength, Gibbard et al (2004) investigated the cost-effectiveness of parent-based intervention (PBI) compared with the current practice of professional advice and review, with children with expressive language delay referred to the speech and language department of a hospital. The average cost per child was £96 for the PBI and £80.83 for general care.…”

Section: Cost-effectivenessmentioning

confidence: 99%

Hindrances for Parents in Enhancing Child Language

2011

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This review explores challenges and barriers to parent-child interaction which leads to language development in the first 3 years of the child's life. Seven databases yielded 1,750 hits, reduced to 49 evidence-based studies, many of which still had methodological imperfections. Evidence was quite strong in relation to socio-economic status, ethnicity and mental health, but weaker in relation to parental age and bilingualism. These factors pertain to the general demographic characteristics of parents, rather than their behavior. If parental behavior can be enhanced, better child language should follow, irrespective of these characteristics. This is an important lesson for professionals dealing with parents. Evidence was also weak in relation to television and the direction of baby buggies. These are areas where changes in parental behavior would make an immediate impact. Cost-effectiveness of interventions is extremely important and was reviewed. Recommendations for future research are followed by suggestions for parental action. Hindrances for Parents in Enhancing Child LanguageLearning to speak is one of the most remarkable and important accomplishments of early childhood. Children in most environments learn to talk by the age of three. Then, in the first 3 years of school, they start learning how to read and write; the language skills developed during infancy establishing the foundation for later literacy skills. When children experience difficulties in expressing themselves and understanding others, they are at increased risk of social, emotional and behavioral problems. Whilst most children's Educ Psychol Rev (2011) 23:413-455

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“…[29][30][31] Although emotional functioning continues to develop into adulthood, the preschool years may constitute a window of opportunity for effective mental health promotion in at risk children at the population level.…”

Section: Benefits Of Early Interventionmentioning

confidence: 99%

Translational research to prevent internalizing problems early in childhood

et al. 2010

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This article discusses the importance of and one approach to translational research to prevent internalizing problems very early in life. The World Health Organisation (WHO) predicts that by 2,030 internalizing problems will be second only to HIV/AIDS in the international burden of disease. Internalizing problems affect one in every seven school age children, with negative impacts on peer relations, school engagement, and later mental health, adult relationships, and employment. There is persuasive evidence that intervention in the preschool years can have a cost-effective impact on general developmental outcomes, compared to later school or adult intervention. However, the development of early childhood prevention for internalizing problems is in its infancy. Two significant risk factors for child internalizing problems are temperamental inhibition (characterized by fearfulness and withdrawal) and overinvolved/protective parenting practices. Rapee et al. have conducted two randomized "efficacy" trials with inhibited preschoolers in which a parenting group intervention reduced internalizing disorders up to 3 years later. Translational "effectiveness" research is now underway at the population level, to determine the balance of benefits and harms of systematically screening preschoolers for inhibition and subsequent intervention for all those affected. This rigorous public health research, followed by effective dissemination, addresses gaps identified in the WHO Prevention of Mental Disorders report.

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Cost‐effectiveness analysis of current practice and parent intervention for children under 3 years presenting with expressive language delay

Abstract: Options in the implementation of PBI are discussed that could potentially save costs for the healthcare providers and increase the value of a PBI-based approach.

Cited by 74 publications

References 15 publications

The effect of adding a home program to weekly institutional-based therapy for children with undefined developmental delay: A pilot randomized clinical trial

The effect of adding a home program to weekly institutional-based therapy for children with undefined developmental delay: A pilot randomized clinical trial

Hindrances for Parents in Enhancing Child Language

Translational research to prevent internalizing problems early in childhood

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