Evidence map›Paper›PMID 31270116›Full record

Trial reportBMJ open2019

Cost-effectiveness of a combined classroom curriculum and parental intervention: economic evaluation of data from the Steps Towards Alcohol Misuse Prevention Programme cluster randomised controlled trial.

Ashley Agus, Michael McKay, Jonathan Cole, Paul Doherty, David Foxcroft, Séamus Harvey, Lynn Murphy, Andrew Percy, Harry Sumnall

Open access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 1 country.

Ashley AgusNorthern Ireland Clinical Trials Unit, The Royal Hospitals, Belfast, UK.ORCID 0000-0001-9839-6282
Michael McKayDepartment of Psychological Sciences, University of Liverpool School of Life Sciences, Liverpool, UK.
Jonathan ColeDepartment of Psychological Sciences, University of Liverpool School of Life Sciences, Liverpool, UK.
Paul DohertyNorthern Ireland Clinical Trials Unit, The Royal Hospitals, Belfast, UK.
David FoxcroftPsychology and Public Health, Oxford Brookes University, Oxford, UK.ORCID 0000-0001-9752-7527
Séamus HarveySchool of Sport, Health and Exercise Sciences, University of Bangor, Bangor, UK.
Lynn MurphyNorthern Ireland Clinical Trials Unit, The Royal Hospitals, Belfast, UK.
Andrew PercySchool of Social Sciences, Education and Social Work, Queen's University Belfast, Belfast, UK.
Harry SumnallPublic Health Institute, Liverpool John Moores University, Liverpool, UK.
University of Ulster · GBUniversity of Liverpool · GBBangor University · GBLiverpool John Moores University · GBOxford Brookes University · GBQueen's University Belfast · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to assess the cost-effectiveness of the Steps Towards Alcohol Misuse Prevention Programme (STAMPP) compared with education as normal (EAN) in reducing self-reported heavy episodic drinking (HED) in adolescents.

designThis is a cost-effectiveness analysis from a public sector perspective conducted as part of a cluster randomised trial.

settingThis study was conducted in 105 high schools in Northern Ireland and in Scotland.

participantsStudents in school year 8/S1 (aged 11-12) at baseline were included in the study.

interventionsThis is a classroom-based alcohol education curricula, combined with a brief alcohol intervention for parents/carers. OUTCOME MEASURES: The outcome of this study is the cost per young person experiencing HED avoided due to STAMPP at 33 months from baseline.

resultsThe total cost of STAMPP was £85 900, equivalent to £818 per school and £15 per pupil. Due to very low uptake of the parental component, we calculated costs of £692 per school and £13 per pupil without this element. Costs per pupil were reduced further to £426 per school and £8 per pupil when it was assumed there were no additional costs of classroom delivery if STAMPP was delivered as part of activities such as personal, social, health and economic education. STAMPP was associated with a significantly greater proportion of pupils experiencing a heavy drinking episode avoided (0.08/8%) and slightly lower public sector costs (mean difference -£17.19). At a notional willingness-to-pay threshold of £15 (reflecting the cost of STAMPP), the probability of STAMPP being cost-effective was 56%. This level of uncertainty reflected the substantial variability in the cost differences between groups.

conclusionsSTAMPP was relatively low cost and reduced HED. STAMPP was not associated with any clear public sector cost savings, but neither did it increase them or lead to any cost-shifting within the public sector categories. Further research is required to establish if the cost-effectiveness of STAMPP is sustained in the long term. TRIAL REGISTRATION NUMBER: ISRCTN47028486; Results.

Indexed as

CurriculumAdolescentBinge DrinkingChildCost-Benefit AnalysisFemaleHealth PromotionHumansMaleNorthern IrelandParentsProgram EvaluationQuality-Adjusted Life YearsRisk-TakingSchool Health ServicesScotlandalcohol misusecommunity child healthhealth economicspublic healthschool-based

Identifiers

PMID31270116
PMCPMC6609141
OpenAlexW2956170069

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.