Economic evaluation of online computerised cognitive-behavioural therapy without support for depression in primary care: randomised trial.
Br J Psychiatry
; 196(4): 310-8, 2010 Apr.
Article
en En
| MEDLINE
| ID: mdl-20357309
ABSTRACT
BACKGROUND:
Evidence about the cost-effectiveness and cost utility of computerised cognitive-behavioural therapy (CCBT) is still limited. Recently, we compared the clinical effectiveness of unsupported, online CCBT with treatment as usual (TAU) and a combination of CCBT and TAU (CCBT plus TAU) for depression. The study is registered at the Netherlands Trial Register, part of the Dutch Cochrane Centre (ISRCTN47481236).AIMS:
To assess the cost-effectiveness of CCBT compared with TAU and CCBT plus TAU.METHOD:
Costs, depression severity and quality of life were measured for 12 months. Cost-effectiveness and cost-utility analyses were performed from a societal perspective. Uncertainty was dealt with by bootstrap replications and sensitivity analyses.RESULTS:
Costs were lowest for the CCBT group. There are no significant group differences in effectiveness or quality of life. Cost-utility and cost-effectiveness analyses tend to be in favour of CCBT.CONCLUSIONS:
On balance, CCBT constitutes the most efficient treatment strategy, although all treatments showed low adherence rates and modest improvements in depression and quality of life.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
11_ODS3_cobertura_universal
/
1_ASSA2030
/
5_ODS3_mortalidade_materna
Problema de salud:
11_delivery_arrangements
/
11_financial_arrangements
/
1_financiamento_saude
/
5_maternal_care
Asunto principal:
Atención Primaria de Salud
/
Terapia Asistida por Computador
/
Terapia Cognitivo-Conductual
/
Trastorno Depresivo
Tipo de estudio:
Clinical_trials
/
Diagnostic_studies
/
Health_economic_evaluation
Aspecto:
Patient_preference
Límite:
Adolescent
/
Adult
/
Aged
/
Humans
/
Middle aged
País/Región como asunto:
Europa
Idioma:
En
Revista:
Br J Psychiatry
Año:
2010
Tipo del documento:
Article
País de afiliación:
Países Bajos