Cost-effectiveness of internet-based cognitive-behavioural therapy and physical exercise for depression
(2018) In BJ Psych Open 4(4). p.265-273- Abstract
Background Both internet-based cognitive-behavioural therapy (ICBT) and physical exercise are alternatives to treatment as usual (TAU) in managing mild to moderate depression in primary care.Aims To determine the cost-effectiveness of ICBT and physical exercise compared with TAU in primary care.Method Economic evaluation of a randomised controlled trial (N = 945) in Sweden. Costs were estimated by a service use questionnaire and used together with the effects on quality-adjusted life-years (QALYs). The primary 3-month healthcare provider perspective in primary care was complemented by a 1-year societal perspective.Results The primary analysis showed that incremental cost per QALY gain was €8817 for ICBT and €14 571 for physical exercise... (More)
Background Both internet-based cognitive-behavioural therapy (ICBT) and physical exercise are alternatives to treatment as usual (TAU) in managing mild to moderate depression in primary care.Aims To determine the cost-effectiveness of ICBT and physical exercise compared with TAU in primary care.Method Economic evaluation of a randomised controlled trial (N = 945) in Sweden. Costs were estimated by a service use questionnaire and used together with the effects on quality-adjusted life-years (QALYs). The primary 3-month healthcare provider perspective in primary care was complemented by a 1-year societal perspective.Results The primary analysis showed that incremental cost per QALY gain was €8817 for ICBT and €14 571 for physical exercise compared with TAU. At the established willingness-to-pay threshold of €21 536 (£20 000) per QALY, the probability of ICBT being cost-effective is 90%, and for physical exercise is 76%, compared with TAU.Conclusions From a primary care perspective, both ICBT and physical exercise for depression are likely to be cost-effective compared with TAU.Declaration of interest None.
(Less)
- author
- Kraepelien, Martin ; Mattsson, Simon ; Hedman-Lagerlöf, Erik ; Petersson, Ingemar F. LU ; Forsell, Yvonne ; Lindefors, Nils and Kaldo, Viktor
- organization
- publishing date
- 2018
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Cognitive-behavioural therapies, cost-effectiveness, depressive disorders, exercise, randomised controlled trial
- in
- BJ Psych Open
- volume
- 4
- issue
- 4
- pages
- 9 pages
- publisher
- Cambridge University Press
- external identifiers
-
- scopus:85061516472
- pmid:30057780
- ISSN
- 2056-4724
- DOI
- 10.1192/bjo.2018.38
- language
- English
- LU publication?
- yes
- id
- e5af3494-47c5-49f2-9039-ac19ff41c784
- date added to LUP
- 2019-02-25 08:21:33
- date last changed
- 2024-02-14 18:24:41
@article{e5af3494-47c5-49f2-9039-ac19ff41c784,
abstract = {{<p>Background Both internet-based cognitive-behavioural therapy (ICBT) and physical exercise are alternatives to treatment as usual (TAU) in managing mild to moderate depression in primary care.Aims To determine the cost-effectiveness of ICBT and physical exercise compared with TAU in primary care.Method Economic evaluation of a randomised controlled trial (N = 945) in Sweden. Costs were estimated by a service use questionnaire and used together with the effects on quality-adjusted life-years (QALYs). The primary 3-month healthcare provider perspective in primary care was complemented by a 1-year societal perspective.Results The primary analysis showed that incremental cost per QALY gain was €8817 for ICBT and €14 571 for physical exercise compared with TAU. At the established willingness-to-pay threshold of €21 536 (£20 000) per QALY, the probability of ICBT being cost-effective is 90%, and for physical exercise is 76%, compared with TAU.Conclusions From a primary care perspective, both ICBT and physical exercise for depression are likely to be cost-effective compared with TAU.Declaration of interest None.</p>}},
author = {{Kraepelien, Martin and Mattsson, Simon and Hedman-Lagerlöf, Erik and Petersson, Ingemar F. and Forsell, Yvonne and Lindefors, Nils and Kaldo, Viktor}},
issn = {{2056-4724}},
keywords = {{Cognitive-behavioural therapies; cost-effectiveness; depressive disorders; exercise; randomised controlled trial}},
language = {{eng}},
number = {{4}},
pages = {{265--273}},
publisher = {{Cambridge University Press}},
series = {{BJ Psych Open}},
title = {{Cost-effectiveness of internet-based cognitive-behavioural therapy and physical exercise for depression}},
url = {{http://dx.doi.org/10.1192/bjo.2018.38}},
doi = {{10.1192/bjo.2018.38}},
volume = {{4}},
year = {{2018}},
}