Cost-Effectiveness of Functional Family Therapy for Youth Probationers in Singapore: Findings From a Randomized Controlled Trial

IF 1.8 3区心理学 Q2 FAMILY STUDIES

Journal of marital and family therapy Pub Date : 2025-04-01 DOI:10.1111/jmft.70017

Lue Fang, Stefanie Yuxuan Cai, Mahirah Abdul Latiff, Chin Chieh Hoo, Yiwei Zhou, Wei Tshen Ho, Yuqi Zhou

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Abstract

This randomized controlled study evaluated the cost-effectiveness of Functional Family Therapy (FFT) compared to Treatment As Usual (TAU) among 120 youth probationers in Singapore. The Incremental Cost-Effectiveness Ratio (ICER) was calculated to determine the cost per unit of non-recidivism, covering the period from probation inception to 3 years post probation. Overall, FFT showed higher costs (S$1183 vs. S$1070) but better non-recidivism rates (79% vs. 65%) compared to TAU. The ICER was S$807 per youth probationer (95% CI: S$230–S$1,061). For high-risk youth, FFT was both less costly and more effective (ICER: −S$2396), while for moderate-risk youth, it was more costly but more effective (ICER: S$2809). Using willingness-to-pay benchmarks published by Cohen et al., FFT was considered more cost-effective than TAU. The study concluded that FFT is a cost-effective intervention for youth probationers in Singapore.

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新加坡青少年见习者功能性家庭治疗的成本效益：一项随机对照试验的结果

这项随机对照研究在新加坡120名青少年缓刑犯中评估了功能家庭治疗（FFT）与常规治疗（TAU）的成本效益。计算增量成本效益比（ICER）是为了确定从缓刑开始到缓刑后3年期间每单位非再犯的成本。总体而言，与TAU相比，FFT的成本更高（1183新元对1070新元），但非再犯率更高（79%对65%）。ICER为每位青少年缓刑犯807新元（95% CI: S$ 230-S $1,061）。对于高风险青年，FFT成本更低，效果更好（ICER: - 2396新元），而对于中等风险青年，FFT成本更高，但效果更好（ICER: 2809新元）。根据Cohen等人发布的支付意愿基准，FFT被认为比TAU更具成本效益。该研究得出结论，FFT是一种具有成本效益的干预措施在新加坡的青少年缓刑。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of marital and family therapy Multiple-

CiteScore

4.10

自引率

9.10%

发文量

期刊介绍： The Journal of Marital & Family Therapy (JMFT) is published quarterly by the American Association for Marriage and Family Therapy and is one of the best known and most influential family therapy journals in the world. JMFT is a peer-reviewed journal that advances the professional understanding of marital and family functioning and the most effective psychotherapeutic treatment of couple and family distress. Toward that end, the Journal publishes articles on research, theory, clinical practice, and training in marital and family therapy.