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. 2017 Sep 19;15(1):179.
doi: 10.1186/s12955-017-0722-9.

The search for relevant outcome measures for cost-utility analysis of systemic family interventions in adolescents with substance use disorder and delinquent behavior: a systematic literature review

S Schawo  1 , C Bouwmans  2 , E van der Schee  3 , V Hendriks  3   4 , W Brouwer  2 , L Hakkaart  2
Affiliations

The search for relevant outcome measures for cost-utility analysis of systemic family interventions in adolescents with substance use disorder and delinquent behavior: a systematic literature review

S Schawo et al. Health Qual Life Outcomes. .

Abstract

Purpose: Systemic family interventions have shown to be effective in adolescents with substance use disorder and delinquent behavior. The interventions target interactions between the adolescent and involved systems (i.e. youth, family, peers, neighbors, school, work, and society). Next to effectiveness considerations, economic aspects have gained attention. However, conventional generic quality of life measures used in health economic evaluations may not be able to capture the broad effects of systemic interventions. This study aims to identify existing outcome measures, which capture the broad effects of systemic family interventions, and allow use in a health economic framework.

Methods: We based our systematic review on clinical studies in the field. Our goal was to identify effectiveness studies of psychosocial interventions for adolescents with substance use disorder and delinquent behavior and to distill the instruments used in these studies to measure effects. Searched databases were PubMed, Education Resource Information Center (ERIC), Cochrane and Psychnet (PsycBOOKSc, PsycCRITIQUES, print). Identified instruments were ranked according to the number of systems covered (comprehensiveness). In addition, their use for health economic analyses was evaluated according to suitability characteristics such as brevity, accessibility, psychometric properties, etc.

Results: One thousand three hundred seventy-eight articles were found and screened for eligibility. Eighty articles were selected, 8 instruments were identified covering 5 or more systems.

Conclusions: The systematic review identified instruments from the clinical field suitable to evaluate systemic family interventions in a health economic framework. None of them had preference-weights available. Hence, a next step could be to attach preference-weights to one of the identified instruments to allow health economic evaluations of systemic family interventions.

Keywords: Economic evaluation; Externalizing; Instrument; Mental health; Youth.

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Conflict of interest statement

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Not applicable.

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Not applicable.

Competing interests

Clazien Bouwmans (CB), Werner Brouwer (WB) and Leona Hakkaart (LH) declare to have no competing interests. Saskia Schawo (SS), Evelien van der Schee (ES) and Vincent Hendriks (VH) are employees of Parnassia Groep, a Dutch mental health institution, which among others offers systemic interventions to its clients.

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Figures

Fig. 1
Fig. 1
Systems involved in systemic family interventions for treatment of delinquency and substance-abuse in adolescents
Fig. 2
Fig. 2
Phases of the systematic review adapted from Moher et al. [27]
See this image and copyright information in PMC

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