Abstract:
BACKGROUND:Stress-related disorders are associated with significant suffering, functional impairment, and high societal costs. Internet-based cognitive behavioral therapy (ICBT) is a promising treatment for stress-related disorders but has so far not been subjected to health economic evaluation. OBJECTIVE:The objective of this study was to evaluate the cost-effectiveness and cost-utility of ICBT for patients with stress-related disorders in the form of adjustment disorder (AD) or exhaustion disorder (ED). We hypothesized that ICBT, compared with a waitlist control (WLC) group, would generate improvements at low net costs, thereby making it cost-effective. METHODS:Health economic data were obtained in tandem with a randomized controlled trial of a 12-week ICBT in which patients (N=100) were randomized to an ICBT (n=50) or a WLC (n=50) group. Health outcomes and costs were surveyed pre- and posttreatment. We calculated incremental cost-effectiveness ratios (ICERs) based on remission rates and incremental cost-utility ratios (ICURs) based on health-related quality of life. Bootstrap sampling was used to assess the uncertainty of our results. RESULTS:The ICER indicated that the most likely scenario was that ICBT led to higher remission rates compared with the WLC and was associated with slightly larger reductions in costs from pre- to posttreatment. ICBT had a 60% probability of being cost-effective at a willingness to pay (WTP) of US $0 and a 96% probability of being cost-effective at a WTP of US $1000. The ICUR indicated that ICBT also led to improvements in quality of life at no net societal cost. Sensitivity analyses supported the robustness of our results. CONCLUSIONS:The results suggest that ICBT is a cost-effective treatment for patients suffering from AD or ED. Compared with no treatment, ICBT for these patients yields large effects at no or minimal societal net costs. TRIAL REGISTRATION:ClinicalTrials.gov NCT02540317; https://clinicaltrials.gov/ct2/show/NCT02540317.
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Lindsäter E,Axelsson E,Salomonsson S,Santoft F,Ljótsson B,Åkerstedt T,Lekander M,Hedman-Lagerlöf Edoi
10.2196/14675subject
Has Abstractpub_date
2019-09-13 00:00:00pages
e14675issue
9eissn
1439-4456issn
1438-8871pii
v21i9e14675journal_volume
21pub_type
杂志文章,随机对照试验abstract:BACKGROUND:Videoconferencing-based treatments have shown great potential in increasing engagement and compliance by decreasing the barriers of time and distance. In general, employees tend to experience a lot of stress, but find it difficult to visit a clinic during office hours. OBJECTIVE:The purpose of this study wa...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
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abstract:BACKGROUND:Social media is frequently used by consumers and health care professionals; however, our knowledge about its use in a professional capacity by pharmacists is limited. OBJECTIVE:Our aim was to investigate the professional use of social media by pharmacists. METHODS:In-depth semistructured interviews were co...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
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abstract:BACKGROUND:Although vaccination rates are above the threshold for herd immunity in South Korea, a growing number of parents have expressed concerns about the safety of vaccines. It is important to understand these concerns so that we can maintain high vaccination rates. OBJECTIVE:The aim of this study was to develop a...
journal_title:Journal of medical Internet research
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journal_title:Journal of medical Internet research
pub_type: 杂志文章
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journal_title:Journal of medical Internet research
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更新日期:2018-09-04 00:00:00
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journal_title:Journal of medical Internet research
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更新日期:2018-05-17 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
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journal_title:Journal of medical Internet research
pub_type: 杂志文章
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journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
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更新日期:2015-03-03 00:00:00
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journal_title:Journal of medical Internet research
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journal_title:Journal of medical Internet research
pub_type: 杂志文章
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journal_title:Journal of medical Internet research
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journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
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更新日期:2014-04-01 00:00:00
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journal_title:Journal of medical Internet research
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journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
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更新日期:2015-01-20 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
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更新日期:2015-08-17 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章
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journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1081
更新日期:2008-06-30 00:00:00
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journal_title:Journal of medical Internet research
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pub_type: 杂志文章,随机对照试验
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journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2020-11-10 00:00:00
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journal_title:Journal of medical Internet research
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journal_title:Journal of medical Internet research
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更新日期:2009-08-06 00:00:00
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journal_title:Journal of medical Internet research
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journal_title:Journal of medical Internet research
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