Cost-effectiveness of school-based interventions for well-being and mental health literacy of pupils in year 9 in England: AWARE cluster randomised controlled trial
Kyann Zhang, Derek King, Jan Boehnke, Jessica Deighton, Abigail Thompson, Emma Thornton, Christopher Knowles, Daniel Hayes, Paul Stallard, Joao Santos, Emma Ashworth, Sara E. Evans-Lacko · 2026
Read Cost-effectiveness of school-based interventions for well-being and mental health literacy of pupils in year 9 in England: AWARE cluster randomised controlled trial by Kyann Zhang, Derek King, Jan Boehnke, Jessica Deighton, Abigail Thompson, Emma Thornton, Christopher Knowles, Daniel Hayes, Paul Stallard, Joao Santos, Emma Ashworth, Sara E. Evans-Lacko (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13247834.txt.
Description
Zhang, King, Boehnke, and co-authors priced two school mental-health programs in this 2026 BJPsych Open cost-effectiveness analysis. The AWARE trial randomized English schools for year 9 pupils to one of two programs, the Youth Aware of Mental Health course or a curriculum guide, or to usual practice. The economists combined delivery and service-use costs with pupils' quality-of-life scores over two follow-ups.
Differences were small on both sides of the ledger: tiny quality-of-life gains and tiny cost changes. At the first follow-up, neither program looked cost-effective. By the second, the Youth Aware program's gains had grown enough that its cost per quality-adjusted life-year sat within the range England's health technology assessor usually accepts. The authors present the timing lesson: school well-being programs may need a year before their value shows.
Catalog record
| CREATOR | Kyann Zhang, Derek King, Jan Boehnke, Jessica Deighton, Abigail Thompson, Emma Thornton, Christopher Knowles, Daniel Hayes, Paul Stallard, Joao Santos, Emma Ashworth, Sara E. Evans-Lacko |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 46 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |