BACKGROUND:Therapist-delivered online cognitive-behavioural therapy (CBT) has been found to be effective for depression in primary care. AIMS: To determine the cost-effectiveness of online CBT compared with usual care. METHOD: Economic evaluation at 8 months alongside a randomised controlled trial. Cost to the National Health Service (NHS), personal costs, and the value of lost productivity, each compared with outcomes based on the Beck Depression Inventory and quality-adjusted life-years (QALYs). Incremental analysis indicated the NHS cost per QALY gain. RESULTS:Online CBT was more expensive than usual care, although the outcomes for the CBT group were better. Cost per QALY gain based on complete case data was £17,173, and £10,083 when missing data were imputed. CONCLUSIONS:Online CBT delivered by a therapist in real time is likely to be cost-effective compared with usual care if society is willing to pay at least £20,000 per QALY; it could be a useful alternative to face-to-face CBT.
RCT Entities:
BACKGROUND: Therapist-delivered online cognitive-behavioural therapy (CBT) has been found to be effective for depression in primary care. AIMS: To determine the cost-effectiveness of online CBT compared with usual care. METHOD: Economic evaluation at 8 months alongside a randomised controlled trial. Cost to the National Health Service (NHS), personal costs, and the value of lost productivity, each compared with outcomes based on the Beck Depression Inventory and quality-adjusted life-years (QALYs). Incremental analysis indicated the NHS cost per QALY gain. RESULTS: Online CBT was more expensive than usual care, although the outcomes for the CBT group were better. Cost per QALY gain based on complete case data was £17,173, and £10,083 when missing data were imputed. CONCLUSIONS: Online CBT delivered by a therapist in real time is likely to be cost-effective compared with usual care if society is willing to pay at least £20,000 per QALY; it could be a useful alternative to face-to-face CBT.
Authors: Michael E Thase; Paul McCrone; Marna S Barrett; Tracy D Eells; Stephen R Wisniewski; G K Balasubramani; Gregory K Brown; Jesse H Wright Journal: Psychother Psychosom Date: 2020-05-12 Impact factor: 17.659
Authors: Freda Mold; Simon de Lusignan; Aziz Sheikh; Azeem Majeed; Jeremy C Wyatt; Tom Quinn; Mary Cavill; Christina Franco; Umesh Chauhan; Hannah Blakey; Neha Kataria; Theodoros N Arvanitis; Beverley Ellis Journal: Br J Gen Pract Date: 2015-03 Impact factor: 5.386