Evidence map›Paper›PMID 38826027›Full record

ArticleBJPsych open2024

Cost-utility analysis of Social Stories™ for children with autism spectrum disorder in mainstream primary schools: results from a randomised controlled trial.

Han-I Wang, Kerry Bell, Jane Blackwell, Charlie Welch, Laura Mandefield, Judith Watson, Emma Standley, Dean McMillan, Simon Gilbody, Barry Wright and 2 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BJPsych open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Trial
  2. Article
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

12 authors.

Han-I WangDepartment of Health Sciences, University of York, UK; and York Trial Unit, Department of Health Sciences, University of York, UK.ORCID https://orcid.org/0000-0002-3521-993X
Kerry BellDepartment of Health Sciences, University of York, UK; and York Trial Unit, Department of Health Sciences, University of York, UK.
Jane BlackwellDepartment of Health Sciences, University of York, UK; and York Trial Unit, Department of Health Sciences, University of York, UK.
Charlie WelchDepartment of Health Sciences, University of York, UK; and York Trial Unit, Department of Health Sciences, University of York, UK.ORCID https://orcid.org/0000-0002-2421-5538
Laura MandefieldDepartment of Health Sciences, University of York, UK; and York Trial Unit, Department of Health Sciences, University of York, UK.
Judith WatsonDepartment of Health Sciences, University of York, UK; and York Trial Unit, Department of Health Sciences, University of York, UK.
Emma StandleyDepartment of Health Sciences, University of York, UK; and York Trial Unit, Department of Health Sciences, University of York, UK.
Dean McMillanDepartment of Health Sciences, University of York, UK; and Hull York Medical School, University of York, UK.
Simon GilbodyDepartment of Health Sciences, University of York, UK; and Hull York Medical School, University of York, UK.ORCID https://orcid.org/0000-0002-8236-6983
Barry WrightDepartment of Health Sciences, University of York, UK; Hull York Medical School, University of York, UK; and Child Oriented Mental Health Intervention Centre (COMIC), Leeds and York Partnership NHS Foundation Trust, York, UK.
Catherine HewittDepartment of Health Sciences, University of York, UK; and York Trial Unit, Department of Health Sciences, University of York, UK.
Steve ParrottDepartment of Health Sciences, University of York, UK; and York Trial Unit, Department of Health Sciences, University of York, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOne in 57 children are diagnosed with autism in the UK, and the estimated cost for supporting these children in education is substantial. Social Stories™ is a promising and widely used intervention for supporting children with autism in schools and families. It is believed that Social Stories™ can provide meaningful social information to children that can improve social understanding and may reduce anxiety. However, no economic evaluation of Social Stories has been conducted.

aimsTo assess the cost-effectiveness of Social Stories through Autism Spectrum Social Stories in Schools Trial 2, a multi-site, pragmatic, cluster-randomised controlled trial.

methodChildren with autism who were aged 4-11 years were recruited and randomised (

resultsSocial Stories is likely to result in a small cost savings (-£191 per child, 95% CI -767.7 to 337.7) and maintain similar QALY improvements compared with usual care. The probability of Social Stories being a preferred option is 75% if society is willing to pay £20 000 per QALY gained. The sensitivity analysis results aligned with the main study outcomes.

conclusionsCompared with usual care, Social Stories did not lead to an increase in costs and maintained similar QALY improvements for primary-aged children with autism.

Indexed as

Autism spectrum disorderschild and adolescentcost-effectivenessquality-adjusted life-yearsSocial Stories

Identifiers

PMID38826027
PMCPMC11363088

What OpenQuestion holds

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LicenceCC BY
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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.