Parental competence and child functioning may be enhanced through behavioral parent training (BPT). However,conducting BPT is associated with substantial costs, and availability is often limited. This study assesses the cost-effectiveness of a BPT program in Denmark,Caring in Chaos(CiC), delivered by skilled volunteers (CiC trainers). Parentsof three-nine-year-old children with ADHD or similar difficulties were recruited and randomized into treatment (n=80children,N=160 parents) or waitlist control (n=81 children,N=162 parents). Parenting competence and childfunctioning were assessed using the Parenting Sense of Competence Scale (PSOC) and the Home Situations Questionnaire(HSQ) at baseline and four-month follow-up. Costs for providers included non-recurrent costs, set-up costs, and runningcosts, and costs for participants were assessed by time use. The total recurrent cost per family is $1,178 (PPP adjusted, 2015)(8,601 DKK, 2015), and the average time use by families is 34.96 h (SD=11.55). From a provider perspective, CiC is costeffective with a 90% probability, if providers are willing to pay $2,230 (16,287 DKK) or $5,579 (40,744 DKK) per SD gainin PSOC or HSQ, respectively. From a participant perspective, CiC is time effective with a 90% probability, if participantsare willing to spend 67 or 165 h per SD gain in PSOC or HSQ, respectively. Overall, ourfindings suggest that the cost-effectiveness of volunteer-delivered BPT, such as CiC, compares favorably with the cost-effectiveness of BPT programsdelivered by professionals.
A Cost-effectiveness Analysis of Caring in Chaos
A Volunteer-delivered Parent Training Program in Denmark