title: Cost-effectiveness analysis of current practice and parent intervention for children under 3 years presenting with expressive language delay.
abstract: BACKGROUND
  Parents and professionals can both play a role in improving children's expressive language development and a number of alternative models of delivery exist that involve different levels of input by these two groups. However, these alternative treatments have not been subject to rigorous comparative analysis in terms of both cost and clinical effectiveness.
  
  
  OBJECTIVE
  To compare, from the viewpoint of the healthcare provider, parent-based intervention (PBI) for preschool children presenting with expressive language delay with current practice observed in an actual healthcare setting where parents of the child follow a professional's advice on a review basis.
  
  
  METHODS
  Two groups of children were compared on a variety of expressive and receptive language assessment measures. One group (n=10) received standard individual general care. The comparison group (n=12) received PBI.
  
  
  RESULTS
  After the 6-month study, the results indicated that children who received PBI made significantly greater language gains that children who received current practice. In addition, a cost-effective analysis was conducted. This showed that although the language gains delivered by PBI did incur some additional costs for the healthcare provider, there was no significant increase in cost per outcome gain over general care.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Speech and Language Therapy Department, Battenburg Avenue Clinic, Portsmouth, UK. deborah.gibbard@ports.nhs.uk
authors.forename: Deborah
authors.initials: D
authors.lastname: Gibbard
authors.forename: Louisa
authors.initials: L
authors.lastname: Coglan
authors.forename: John
authors.initials: J
authors.lastname: MacDonald
mesh_terms: D000328:Adult; D002675:Child, Preschool; D003362:Cost-Benefit Analysis; D003695:Delivery of Health Care / Q000191:economics*; D004739:England; D005260:Female; D017048:Health Care Costs; D006701:Home Nursing / Q000191:economics; D006801:Humans; D007223:Infant; D007805:Language Development Disorders / Q000191:economics* / Q000534:rehabilitation*; D008297:Male; D008875:Middle Aged; D010290:Parents; D016896:Treatment Outcome