Systematic review on the cost and cost-effectiveness of mHealth interventions supporting women during pregnancy.

Carrandi, A; Hu, Y; Karger, S; Eddy, KE; Vogel, JP; Harrison, CL; Callander, E

Systematic review on the cost and cost-effectiveness of mHealth interventions supporting women during pregnancy.

Carrandi, A Hu, Y Karger, S Eddy, KE Vogel, JP Harrison, CL Callander, E

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Publisher:: Elsevier
Publication Type:: Journal Article
Citation:: Women Birth, 2023, 36, (1), pp. 3-10
Issue Date:: 2023-02

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Field	Value	Language
dc.contributor.author	Carrandi, A
dc.contributor.author	Hu, Y
dc.contributor.author	Karger, S
dc.contributor.author	Eddy, KE
dc.contributor.author	Vogel, JP
dc.contributor.author	Harrison, CL
dc.contributor.author	Callander, E https://orcid.org/0000-0001-7233-6804
dc.date.accessioned	2023-09-15T03:52:42Z
dc.date.available	2022-03-16
dc.date.available	2023-09-15T03:52:42Z
dc.date.issued	2023-02
dc.identifier.citation	Women Birth, 2023, 36, (1), pp. 3-10
dc.identifier.issn	1871-5192
dc.identifier.issn	1878-1799
dc.identifier.uri	http://hdl.handle.net/10453/172115
dc.description.abstract	OBJECTIVES: The increased integration of digital health into maternity care-alongside growing use of, and access to, personal digital technology among pregnant women-warrants an investigation of the cost-effectiveness of mHealth interventions used by women during pregnancy and the methodological quality of the cost-effectiveness studies. METHODS: A systematic search was conducted to identify peer-reviewed studies published in the last ten years (2011-2021) reporting on the costs or cost-effectiveness of mHealth interventions used by women during pregnancy. Available data related to program costs, total incremental costs and incremental cost-effectiveness ratios (ICERs) were reported in 2020 United States Dollars. The quality of cost-effectiveness studies was assessed using the Consolidated Health Economic Evaluation Reporting Standards (CHEERS). FINDINGS: Nine articles reporting on eight studies met the inclusion criteria. Direct intervention costs ranged from $7.04 to $86 per woman, total program costs ranged from $241,341 to $331,136 and total incremental costs ranged from -$21.16 to $1.12 million per woman. The following ICERs were reported: $2168 per DALY averted, $203.44 per woman ceasing smoking, and $3475 per QALY gained. The full economic evaluation studies (n = 4) were moderate to high in quality and all reported the mHealth intervention as cost-effective. Other studies (n = 4) were low to moderate in quality and reported low costs or cost savings associated with the implementation of the mHealth intervention. CONCLUSIONS FOR PRACTICE: Preliminary evidence suggests mHealth interventions may be cost-effective and "low-cost" but more evidence is needed to ascertain the cost-effectiveness of mHealth interventions regarding positive maternal and child health outcomes and longer-term health service utilisation.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Elsevier
dc.relation.ispartof	Women Birth
dc.relation.isbasedon	10.1016/j.wombi.2022.03.007
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	11 Medical and Health Sciences
dc.subject.classification	Obstetrics & Reproductive Medicine
dc.subject.classification	3215 Reproductive medicine
dc.subject.classification	4204 Midwifery
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Pregnancy
dc.subject.mesh	Cost-Benefit Analysis
dc.subject.mesh	Maternal Health Services
dc.subject.mesh	Telemedicine
dc.subject.mesh	Humans
dc.subject.mesh	Telemedicine
dc.subject.mesh	Pregnancy
dc.subject.mesh	Maternal Health Services
dc.subject.mesh	Cost-Benefit Analysis
dc.subject.mesh	Female
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Pregnancy
dc.subject.mesh	Cost-Benefit Analysis
dc.subject.mesh	Maternal Health Services
dc.subject.mesh	Telemedicine
dc.title	Systematic review on the cost and cost-effectiveness of mHealth interventions supporting women during pregnancy.
dc.type	Journal Article
utslib.citation.volume	36
utslib.location.activity	Netherlands
utslib.for	11 Medical and Health Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access	*
dc.date.updated	2023-09-15T03:52:41Z
pubs.issue	1
pubs.publication-status	Published
pubs.volume	36
utslib.citation.issue	1

Abstract:

OBJECTIVES: The increased integration of digital health into maternity care-alongside growing use of, and access to, personal digital technology among pregnant women-warrants an investigation of the cost-effectiveness of mHealth interventions used by women during pregnancy and the methodological quality of the cost-effectiveness studies. METHODS: A systematic search was conducted to identify peer-reviewed studies published in the last ten years (2011-2021) reporting on the costs or cost-effectiveness of mHealth interventions used by women during pregnancy. Available data related to program costs, total incremental costs and incremental cost-effectiveness ratios (ICERs) were reported in 2020 United States Dollars. The quality of cost-effectiveness studies was assessed using the Consolidated Health Economic Evaluation Reporting Standards (CHEERS). FINDINGS: Nine articles reporting on eight studies met the inclusion criteria. Direct intervention costs ranged from $7.04 to $86 per woman, total program costs ranged from $241,341 to $331,136 and total incremental costs ranged from -$21.16 to $1.12 million per woman. The following ICERs were reported: $2168 per DALY averted, $203.44 per woman ceasing smoking, and $3475 per QALY gained. The full economic evaluation studies (n = 4) were moderate to high in quality and all reported the mHealth intervention as cost-effective. Other studies (n = 4) were low to moderate in quality and reported low costs or cost savings associated with the implementation of the mHealth intervention. CONCLUSIONS FOR PRACTICE: Preliminary evidence suggests mHealth interventions may be cost-effective and "low-cost" but more evidence is needed to ascertain the cost-effectiveness of mHealth interventions regarding positive maternal and child health outcomes and longer-term health service utilisation.

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http://hdl.handle.net/10453/172115