Is proactive telephone-based breastfeeding peer support a cost-effective intervention? A within-trial cost-effectiveness analysis of the 'Ringing Up about Breastfeeding earlY' (RUBY) randomised controlled trial.
BMJ Open
; 13(6): e067049, 2023 06 08.
Article
em En
| MEDLINE
| ID: mdl-37290948
ABSTRACT
OBJECTIVE:
The 'Ringing Up about Breastfeeding earlY' (RUBY) randomised controlled trial showed increased breastfeeding at 6 months in participants who received the proactive telephone-based peer support breastfeeding intervention compared with participants allocated to receive standard care and supports. The present study aimed to evaluate if the intervention was cost-effective.DESIGN:
A within-trial cost-effectiveness analysis.SETTING:
Three metropolitan maternity services in Melbourne, Victoria, Australia.PARTICIPANTS:
First time mothers intending to breastfeed their infant (1152) and peer volunteers (246). INTERVENTION The intervention comprised proactive telephone-based support from a peer volunteer from early postpartum up to 6 months. Participants were allocated to usual care (n=578) or the intervention (n=574). MAIN OUTCOMEMEASURES:
Costs during a 6-month follow-up period including individual healthcare, breastfeeding support and intervention costs in all participants, and an incremental cost-effectiveness ratio.RESULTS:
Costs per mother supported were valued at $263.75 (or $90.33 excluding costs of donated volunteer time). There was no difference between the two arms in costs for infant and mothers in healthcare and breastfeeding support costs. These figures result in an incremental cost-effectiveness ratio of $4146 ($1393 if volunteer time excluded) per additional mother breast feeding at 6 months.CONCLUSION:
Considering the significant improvement in breastfeeding outcomes, this intervention is potentially cost-effective. These findings, along with the high value placed on the intervention by women and peer volunteers provides robust evidence to upscale the implementation of this intervention. TRIAL REGISTRATION NUMBER ACTRN12612001024831.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
1_ASSA2030
Base de dados:
MEDLINE
Assunto principal:
Aleitamento Materno
/
Análise de Custo-Efetividade
Tipo de estudo:
Clinical_trials
/
Health_economic_evaluation
Limite:
Female
/
Humans
/
Infant
/
Pregnancy
País/Região como assunto:
Oceania
Idioma:
En
Revista:
BMJ Open
Ano de publicação:
2023
Tipo de documento:
Article