Cost-Utility and Cost-Effectiveness of Internet-Based Treatment for Depression
Author Information
Author(s): Andersson Gerhard, Paxling Björn, Andersson Erik, Warmerdam Lisanne, Smit Filip, van Straten Annemieke, Riper Heleen, Cuijpers Pim
Primary Institution: VU University Medical Centre
Hypothesis
What is the cost-utility and cost-effectiveness of Internet-based cognitive behavioral therapy and problem-solving therapy for adults with depressive symptoms compared to a waiting list?
Conclusion
Both Internet-based treatments are likely to be cost-effective in reducing depressive symptoms.
Supporting Evidence
- Internet-based cognitive behavioral therapy and problem-solving therapy showed superior effectiveness compared to a waiting list.
- Both treatments had a high probability of being cost-effective when society is willing to pay €10,000 for a clinically significant change.
- Participants receiving either treatment reported higher quality of life scores after 12 weeks.
Takeaway
This study found that online therapies for depression can help people feel better and are worth the money spent on them.
Methodology
Participants were randomized to receive either cognitive behavioral therapy, problem-solving therapy, or be placed on a waiting list, with outcomes measured at 12 weeks.
Potential Biases
Potential bias due to self-reporting and high dropout rates.
Limitations
High attrition rate and reliance on self-reported measures may introduce bias.
Participant Demographics
Average age 45 years, 71% female, mostly Dutch with higher vocational education.
Statistical Information
P-Value
0.08
Confidence Interval
95% CI 0.152 – 0.169
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
Want to read the original?
Access the complete publication on the publisher's website