A pilot economic evaluation of a feasibility trial for SUpporting wellbeing through PEeR Befriending (SUPERB) for post stroke aphasi

Journal article


Flood, C., Behn, N., Marshall, J., Simpson, A., Northcott, S., Thomas, S., Goldsmith, K., McVicker, S., Jofre-Bonet, M. and Hilari, K. (2022). A pilot economic evaluation of a feasibility trial for SUpporting wellbeing through PEeR Befriending (SUPERB) for post stroke aphasi. Clinical Rehabilitation. https://doi.org/10.1177/02692155211063554
AuthorsFlood, C., Behn, N., Marshall, J., Simpson, A., Northcott, S., Thomas, S., Goldsmith, K., McVicker, S., Jofre-Bonet, M. and Hilari, K.
Abstract

Objectives: To explore the feasibility of a full economic evaluation of usual care plus peer-befriending
versus usual care control, and potential cost-effectiveness of peer-befriending for people with
aphasia. To report initial costs, ease of instruments’ completion and overall data completeness.
Design: Pilot economic evaluation within a feasibility randomised controlled trial
Setting: Community, England
Participants: People with post-stroke aphasia and low levels of psychological distress
Intervention: All participants received usual care; intervention participants received six peerbefriending visits between randomisation and four months
Main measures: Costs were collected on the stroke-adapted Client Service Receipt Inventory (CSRI)
for health, social care and personal out-of-pocket expenditure arising from care for participants and
carers at 4- and 10-months post-randomisation. Health gains and costs were reported using the
General Health Questionnaire-12 and the EQ-5D-5L. Mean (CI) differences for costs and health gains
were reported and uncertainty represented using non-parametric bootstrapping and costeffectiveness acceptability curves.
Results: 56 participants were randomised. Mean age was 70.1 (SD 13.4). Most (n=37, 66%) had mild
and many (n=14; 25%) severe aphasia. There was ≥94% completion of CSRI questions. Peerbefriending was higher in intervention arm (p<0.01) but there were no significant differences in total
costs between trial arms. Peer-befriending visits costed on average £57.24 (including training and
supervision costs). The probability of peer-befriending being cost-effective ranged 39% to 66%.
Conclusions: Economic data can be collected from participants with post-stroke aphasia, indicating a
full economic evaluation within a definitive trial is feasible. A larger study is needed to demonstrate
further cost-effectiveness of peer-befriending.

KeywordsEconomic evaluation Stroke Aphasia Depression
Year2022
JournalClinical Rehabilitation
PublisherSAGE Publications
ISSN1477-0873
Digital Object Identifier (DOI)https://doi.org/10.1177/02692155211063554
Publication dates
Print02 Feb 2022
Publication process dates
Accepted08 Nov 2021
Deposited13 Jan 2022
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