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Cost-effectiveness of internet-based cognitive-behavioural therapy and physical exercise for depression

Kraepelien, Martin; Mattsson, Simon; Hedman-Lagerlöf, Erik; Petersson, Ingemar F. LU ; Forsell, Yvonne; Lindefors, Nils and Kaldo, Viktor (2018) In BJPsych 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.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Cognitive-behavioural therapies, cost-effectiveness, depressive disorders, exercise, randomised controlled trial
in
BJPsych Open
volume
4
issue
4
pages
9 pages
publisher
Cambridge University Press
external identifiers
  • scopus:85061516472
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
2019-10-23 06:09:31
@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},
  keyword      = {Cognitive-behavioural therapies,cost-effectiveness,depressive disorders,exercise,randomised controlled trial},
  language     = {eng},
  number       = {4},
  pages        = {265--273},
  publisher    = {Cambridge University Press},
  series       = {BJPsych 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},
  volume       = {4},
  year         = {2018},
}