Randomized controlled trial and economic evaluation of nurse-led group support for young mothers during pregnancy and the first year postpartum versus usual care

Table 5 Baseline cost-effectiveness based upon quality-adjusted life year (QALY) and primary outcomes: imputed data, NHS and PSS perspective^a

Outcome Measure	Mean costs (95% CI)			Mean effects (95% CI)				Probability that gFNP is
Outcome Measure	gFNP (£)	Usual care (£)	Difference (£)	gFNP	Usual care	Difference	ICER (£)	More effective^b (%)	Less costly^b (%)	Cost-effective^b (%)^#	Cost-effective^b (%)^±	Cost-effective^b (%)^∞
QALY [28]	N = 97	N = 67		N = 97	N = 67
QALY [28]	8179 (5397, 10961)	6107 (5029, 7184)	2072 (− 843, 4988)	0 · 92 (0 · 84, 1 · 00)	0 · 93 (0 · 85, 1 · 00)	− 0 · 01 (− 0 · 05, 0 · 03)	− 247,485 (NW)	19 · 2	2 · 8	2 · 0	2 · 3	3 · 0
AAPI-2 [22]	N = 97	N = 67		N = 97	N = 67
AAPI-2 [22]	8179 (5903, 10455)	6107 (5160, 7054)	2072 (− 392, 4537)	0 · 27 (0 · 14, 0 · 40)	0 · 25 (0 · 12, 0 · 38)	0 · 02 (− 0 · 17, 0 · 21)	111,334 (NE)	58 · 4	1 · 9	19 · 1	25 · 1	32 · 9
CARE Index maternal sensitivity [23]	N = 97	N = 67		N = 97	N = 67
CARE Index maternal sensitivity [23]	8179 (5903, 10455)	6107 (5160, 7054)	2072 (− 392, 4537)	3 · 97 (3 · 54, 4 · 39)	4 · 84 (4 · 30, 5 · 38)	− 0 · 87 (− 1 · 55, − 0 · 19)	− 2382 (NW)	1 · 2	1 · 4	< 1	< 1	< 1

^a(£, 2014–2015 prices), ^bBased on 10,000 bootstrap replicates of the dataset
The gFNP intervention was considered to be “cost-effective” if it had positive net benefit at a: ^#GBP £15,000 cost-effectiveness threshold, ^±GBP £20,000 cost-effectiveness threshold, ^∞GBP £30,000 cost-effectiveness threshold
gFNP Group Family Nurse Partnership, GBP, pounds sterling, NHS National Health Service, PSS personal social services, CI confidence interval, ICER incremental cost-effectiveness ratio, NW north-west quadrant of cost-effectiveness plane, NE north-east quadrant of the cost-effectiveness plane, QALY quality-adjusted life years, AAPI-2 Adult-Adolescent Parenting Inventory

ISSN: 1745-6215