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The Cost-Effectiveness of the Kiva Antibullying Program: Results from a Decision-Analytic Model
Örebro University, Örebro University School of Business.ORCID iD: 0000-0001-6108-8227
Department of Public Health & Community Medicine, University of Gothenburg, Gothenburg, Sweden.
Department of Public Health, Karlstad University, Karlstad, Sweden.
Department of Psychology, University of Turku, Turku, Finland.
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2018 (English)In: Prevention Science, ISSN 1389-4986, E-ISSN 1573-6695, Vol. 19, no 6, p. 728-737Article in journal (Refereed) Published
Abstract [en]

Bullying causes substantial suffering for children and adolescents. A number of bullying prevention programs have been advocated as effective methods for counteracting school bullying. However, there is a lack of economic evaluations of bullying prevention programs assessing the "value for money." The aim of this study was to assess the cost-effectiveness of the Finnish bullying prevention program KiVa in comparison to "status quo" (treatment as usual) in a Swedish elementary school setting (grades 1 to 9). The cost-effectiveness analysis was carried out using a payer perspective based on a Markov cohort model. The costs of the program were measured in Swedish kronor and Euros, and the benefits were measured using two different metrics: (1) the number of victim-free years and (2) the number of quality adjusted life years (QALYs). Data on costs, probability transitions, and health-related quality of life measures were retrieved from published literature. Deterministic and probabilistic sensitivity analyses were carried out to establish the uncertainty of the cost-effectiveness results. The base-case analysis indicated that KiVa leads to an increased cost of €829 for a gain of 0.47 victim-free years per student. In terms of the cost per gained QALY, the results indicated a base-case estimate of €13,823, which may be seen as cost-effective given that it is lower than the typically accepted threshold value in Swedish health policy of around €50,000. Further research is needed to confirm the conclusions of this study, especially regarding the treatment effects of KiVa in different school contexts.

Place, publisher, year, edition, pages
Springer, 2018. Vol. 19, no 6, p. 728-737
Keywords [en]
Cost-effectiveness, KiVa, Bullying prevention program, Decision modeling
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:oru:diva-67017DOI: 10.1007/s11121-018-0893-6ISI: 000438983300004PubMedID: 29728796Scopus ID: 2-s2.0-85046448211OAI: oai:DiVA.org:oru-67017DiVA, id: diva2:1213282
Available from: 2018-06-04 Created: 2018-06-04 Last updated: 2018-08-02Bibliographically approved

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