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Multiple effects health economic evaluation of the Ahead of The Game Study for mental health promotion in sporting club communities

BACKGROUND: This study evaluates the Ahead Of The Game (AOTG) mental health promotion strategy for adolescent males relative to usual practice in team based sporting club community settings, allowing for joint incremental effects across 13 dimensions and 5 domains alongside intervention implementati...

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Autores principales: Eckermann, Simon, McCaffrey, Nikki, Tonmukayakul, Utsana, Swann, Christian, Vella, Stewart
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8344206/
https://www.ncbi.nlm.nih.gov/pubmed/34351526
http://dx.doi.org/10.1186/s13561-021-00323-1
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author Eckermann, Simon
McCaffrey, Nikki
Tonmukayakul, Utsana
Swann, Christian
Vella, Stewart
author_facet Eckermann, Simon
McCaffrey, Nikki
Tonmukayakul, Utsana
Swann, Christian
Vella, Stewart
author_sort Eckermann, Simon
collection PubMed
description BACKGROUND: This study evaluates the Ahead Of The Game (AOTG) mental health promotion strategy for adolescent males relative to usual practice in team based sporting club community settings, allowing for joint incremental effects across 13 dimensions and 5 domains alongside intervention implementation costs. METHODS: Analysis is undertaken between matched communities with difference in differences analysis of joint multiple pre-post effect changes alongside implementation costs employing radar plots in cost-disutility space. A robust bootstrapping method allowed including all observed change in effect data from 343 AOTG and 273 control arm participants across 13 effect dimensions. RESULTS: Triangulation across joint evidence shows mean incremental effects favoured AOTG in all dimensions (10/13 significantly at 5% level) and in simple aggregation to each of five pre-specified 5 domains (each significant at < 1% level) and global measures (significant at 0.001% level), while mean AOTG implementation costs were conservatively estimated as $37.47 per participant. CONCLUSION: The AOTG strategy was found to represent an effective mental health promotion strategy across all domains and globally with associated significant potential for downstream health system cost savings to offset against modest implementation costs. Evaluation methods extend conventional cost-effectiveness analysis to enable robust joint presentation and triangulation under uncertainty of multiple effect dimensions alongside costs. TRIAL REGISTRATION: ANZCTR, ACTRN12617000709347. Registered 17th May 2017.
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spelling pubmed-83442062021-08-09 Multiple effects health economic evaluation of the Ahead of The Game Study for mental health promotion in sporting club communities Eckermann, Simon McCaffrey, Nikki Tonmukayakul, Utsana Swann, Christian Vella, Stewart Health Econ Rev Research BACKGROUND: This study evaluates the Ahead Of The Game (AOTG) mental health promotion strategy for adolescent males relative to usual practice in team based sporting club community settings, allowing for joint incremental effects across 13 dimensions and 5 domains alongside intervention implementation costs. METHODS: Analysis is undertaken between matched communities with difference in differences analysis of joint multiple pre-post effect changes alongside implementation costs employing radar plots in cost-disutility space. A robust bootstrapping method allowed including all observed change in effect data from 343 AOTG and 273 control arm participants across 13 effect dimensions. RESULTS: Triangulation across joint evidence shows mean incremental effects favoured AOTG in all dimensions (10/13 significantly at 5% level) and in simple aggregation to each of five pre-specified 5 domains (each significant at < 1% level) and global measures (significant at 0.001% level), while mean AOTG implementation costs were conservatively estimated as $37.47 per participant. CONCLUSION: The AOTG strategy was found to represent an effective mental health promotion strategy across all domains and globally with associated significant potential for downstream health system cost savings to offset against modest implementation costs. Evaluation methods extend conventional cost-effectiveness analysis to enable robust joint presentation and triangulation under uncertainty of multiple effect dimensions alongside costs. TRIAL REGISTRATION: ANZCTR, ACTRN12617000709347. Registered 17th May 2017. Springer Berlin Heidelberg 2021-08-05 /pmc/articles/PMC8344206/ /pubmed/34351526 http://dx.doi.org/10.1186/s13561-021-00323-1 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Eckermann, Simon
McCaffrey, Nikki
Tonmukayakul, Utsana
Swann, Christian
Vella, Stewart
Multiple effects health economic evaluation of the Ahead of The Game Study for mental health promotion in sporting club communities
title Multiple effects health economic evaluation of the Ahead of The Game Study for mental health promotion in sporting club communities
title_full Multiple effects health economic evaluation of the Ahead of The Game Study for mental health promotion in sporting club communities
title_fullStr Multiple effects health economic evaluation of the Ahead of The Game Study for mental health promotion in sporting club communities
title_full_unstemmed Multiple effects health economic evaluation of the Ahead of The Game Study for mental health promotion in sporting club communities
title_short Multiple effects health economic evaluation of the Ahead of The Game Study for mental health promotion in sporting club communities
title_sort multiple effects health economic evaluation of the ahead of the game study for mental health promotion in sporting club communities
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8344206/
https://www.ncbi.nlm.nih.gov/pubmed/34351526
http://dx.doi.org/10.1186/s13561-021-00323-1
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