Highlights
The Department of Health (DOH) is considering funding a new intervention to reduce loneliness in community-dwelling older adultsaged 65 years and above. To evaluate the effectiveness of the new intervention,called “Friends next door”, arandomised control trial will be conducted.Friends next doorhas been designed to improve older adults’ wellbeing and alleviate loneliness by enhancing current friendships or developing new friendships.The intervention consists of 12 weekly lessons that focus on topics related to friendship (e.g., expectations of friendship, making new friends, improving existing friendships). Each lesson is supplementedby practicing skills, role playing, and a homework assignment. The lessons are delivered to a group of 8-12 older adultsby a trained psychologistin education or community centres. The trial will recruit community-dwelling older adults aged 65 years and overwho experience loneliness. Participants will be randomized to the intervention group or the control group and followed-up for six months.The DoH wants to know whether the new intervention,Friends next door,represents good“value for money”. The DoHis also considering investing in a new depression prevention intervention for older adults, which has a cost effectiveness ratio of $30,000/QALY. Unfortunately the DoHdoes not have the resources to invest in both interventions. You are part of a research team that has been asked to design a protocol for an economic evaluation alongside the clinical trial. Y
our role in the team is to answer the following:
Question 1
Justify why you believe that an economic evaluation is needed and which control group you think is best to use to help inform the economic evaluation.
Question 2
Form a well-defined study question to help guide your economic evaluation.Make sure you include all the elements of a good study question, includinghow health outcomes will be measured.Include a comment on whether you think the time horizon of the RCT is appropriate.
Question 3
What type of economic evaluation do you think will be the most appropriate for answering your study question? Justifywhy you have chosen this method for your economic evaluationexplaining its strengths over other methods.NB: Don’t forget to include justification based on your chosen health outcomes in your answer.
Question 4
Identify the resources that you will collect under the cost categoriesfrom Neumann et al (2017)pages 205-212, 217 (section 8.2 (not including section 8.2.4) and 8.3).
Question 5
Outline the information and data sources that you would use for collecting the resource and cost informationfor your economic evaluation(focus on the measurement task of costing here).
Question 6
Explain how you will value each of your resource inputsin your economic evaluation.
Question 7
Explain and justify how you will collect and value the health outcomesy ou have chosen for your economic evaluation
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