The cost-effectiveness of a dance and yoga intervention for girls with functional abdominal pain disorders

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Philipson, Anna,1978-Örebro universitet,Institutionen för hälsovetenskaper,Region Örebro län,Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Universitetssjukhuset Örebro, S-huset, vån 2, Örebro, Sweden (author)

The cost-effectiveness of a dance and yoga intervention for girls with functional abdominal pain disorders

Article/chapterEnglish2023

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2023-01-16
Springer Nature,2023
electronicrdacarrier

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LIBRIS-ID:oai:DiVA.org:umu-204066
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-204066URI
https://doi.org/10.1007/s41669-022-00384-wDOI
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-103308URI

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Language:English
Summary in:English

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Background: Functional abdominal pain disorders (FAPDs) affect children worldwide, being more prevalent among girls. The individual and societal burdens of the disease are substantial, and evidence-based interventions are needed. Non-pharmacological treatments have generally produced promising results, with dance and yoga specifically having potential as an effective treatment option. Beside efficacy, the cost-effectiveness of interventions is important when prioritizing and allocating public resources.Objective: This study evaluated the cost-effectiveness of an 8-month dance and yoga intervention for girls with functional abdominal pain or irritable bowel syndrome, based on a randomized control trial called ‘Just in TIME’.Methods: The intervention, performed in Sweden, was studied using a decision analysis tool, i.e., a decision tree within the trial followed by a Markov model with a time horizon of 10 years. The base case considered healthcare costs as well as productivity losses, measuring the effects in gained quality-adjusted life-years (QALYs) and presenting an incremental cost-effectiveness ratio (ICER).Results: The base case results show that the intervention, compared with current practice, was the dominant strategy from both the 12-month and long-term perspectives. The sensitivity analyses indicated that the long-term, but not the short-term, findings were robust for different assumptions and changes in parameter estimates, resulting in ICERs similar to those of the base case scenario.Conclusions: Offering dance and yoga to young girls with FAPDs generates small QALY gains and monetary savings compared with standard healthcare and is likely cost-effective. These findings make a valuable contribution to an area where evidence-based and cost-effective treatment interventions are needed.Clinical Trials Registration Number: ClinicalTrials.gov identifier: NCT02920268; Name: Just in TIME—Intervention With Dance and Yoga for Girls With Recurrent Abdominal Pain

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Duberg, Anna,1976-Örebro universitet,Institutionen för hälsovetenskaper,Region Örebro län,Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Universitetssjukhuset Örebro, S-huset, vån 2, Örebro, Sweden(Swepub:oru)andg (author)
Hagberg, Lars,1956-Örebro universitet,Institutionen för hälsovetenskaper,Region Örebro län,Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Universitetssjukhuset Örebro, S-huset, vån 2, Örebro, Sweden(Swepub:oru)lrhg (author)
Högström, SofieÖrebro universitet,Institutionen för hälsovetenskaper,Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Universitetssjukhuset Örebro, S-huset, vån 2, Örebro, Sweden(Swepub:oru)sehm (author)
Lindholm, LarsUmeå universitet,Institutionen för epidemiologi och global hälsa,Institutionen för folkhälsa och klinisk medicin,Epidemiology and Global Health, Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden(Swepub:umu)lali0001 (author)
Möller, Margareta,1951-Örebro universitet,Institutionen för hälsovetenskaper,Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Universitetssjukhuset Örebro, S-huset, vån 2, Örebro, Sweden(Swepub:oru)mmr (author)
Ryen, Linda,1974-Örebro universitet,Institutionen för hälsovetenskaper,Region Örebro län,Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Universitetssjukhuset Örebro, S-huset, vån 2, Örebro, Sweden(Swepub:oru)ldrn (author)
Örebro universitetInstitutionen för hälsovetenskaper (creator_code:org_t)

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