@article{ref1,
title="The cost-effectiveness of the Kiva Antibullying Program: results from a decision-analytic model",
journal="Prevention science",
year="2018",
author="Persson, Mattias and Wennberg, Linn and Beckman, Linda and Salmivalli, Christina and Svensson, Mikael",
volume="19",
number="6",
pages="728-737",
abstract="Bullying causes substantial suffering for children and adolescents. A number of bullying prevention programs have been advocated as effective methods for counteracting school bullying. However, there is a lack of economic evaluations of bullying prevention programs assessing the &quot;value for money.&quot; The aim of this study was to assess the cost-effectiveness of the Finnish bullying prevention program KiVa in comparison to &quot;status quo&quot; (treatment as usual) in a Swedish elementary school setting (grades 1 to 9). The cost-effectiveness analysis was carried out using a payer perspective based on a Markov cohort model. The costs of the program were measured in Swedish kronor and Euros, and the benefits were measured using two different metrics: (1) the number of victim-free years and (2) the number of quality adjusted life years (QALYs). Data on costs, probability transitions, and health-related quality of life measures were retrieved from published literature. Deterministic and probabilistic sensitivity analyses were carried out to establish the uncertainty of the cost-effectiveness results. The base-case analysis indicated that KiVa leads to an increased cost of €829 for a gain of 0.47 victim-free years per student. In terms of the cost per gained QALY, the results indicated a base-case estimate of €13,823, which may be seen as cost-effective given that it is lower than the typically accepted threshold value in Swedish health policy of around €50,000. Further research is needed to confirm the conclusions of this study, especially regarding the treatment effects of KiVa in different school contexts.<p /> <p>Language: en</p>",
language="en",
issn="1389-4986",
doi="10.1007/s11121-018-0893-6",
url="http://dx.doi.org/10.1007/s11121-018-0893-6"
}