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

Simon Eckermann; Nikki McCaffrey; Utsana Tonmukayakul; Christian Swann; Stewart Vella

doi:10.1186/s13561-021-00323-1

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

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

Simon Eckermann, Nikki McCaffrey, Utsana Tonmukayakul, Christian Swann and Stewart Vella

Health Economics Review, Vol.11(1), pp.1-15

2021

DOI: https://doi.org/10.1186/s13561-021-00323-1

PMID: 34351526

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Abstract

Health promotion evaluation

Mental health strategies

Multiple effect domains and dimensions

Multiple outcomes cost effectiveness analysis

Net benefit correspondence theorem

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.

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Title: Multiple effects health economic evaluation of the Ahead of The Game Study for mental health promotion in sporting club communities
Creators: Simon Eckermann - University of Wollongong
Nikki McCaffrey - Deakin University
Utsana Tonmukayakul - Deakin University
Christian Swann - Southern Cross University
Stewart Vella - University of Wollongong
Publication Details: Health Economics Review, Vol.11(1), pp.1-15
Publisher: BioMed Central Ltd.
Grant note: The Ahead of the Game study was funded by the Movember Foundation through an Australian Mental Health Initiative grant. The project also received funding from the University of Wollongong Global Challenges Program. The findings and views reported in this paper are those of the authors and independent of funding organisations. SV is supported by a National Heart Foundation of Australia Postdoctoral Fellowship (100974).
Identifiers: 991012968341302368
Copyright: © The Author(s). 2021 Open Access This 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/. The Creative Commons Public Domain Dedication waiver (http://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.
Academic Unit: Human Sciences; Faculty of Health
Language: English
Resource Type: Journal article

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

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