TY - JOUR
KW - Adult
KW - Aged
KW - Anxiety Disorders/economics/therapy
KW - Anxiety/economics/therapy
KW - Cognitive Therapy/economics/methods
KW - Computer-Assisted Instruction/economics
KW - Cost of Illness
KW - Cost-Benefit Analysis
KW - Depression/economics/therapy
KW - Female
KW - Health Care Costs
KW - Humans
KW - Male
KW - Middle Aged
KW - Primary Health Care/economics/methods
KW - Treatment Outcome
AU - P. McCrone
AU - M. Knapp
AU - J. Proudfoot
AU - C. Ryden
AU - K. Cavanagh
AU - D. A. Shapiro
AU - S. Ilson
AU - J. A. Gray
AU - D. Goldberg
AU - A. Mann
AU - I. Marks
AU - B. Everitt
AU - A. Tylee
A1 - 
AB - BACKGROUND: Cognitive-behavioural therapy (CBT) is effective for treating anxiety and depression in primary care, but there is a shortage of therapists. Computer-delivered treatment may be a viable alternative. AIMS: To assess the cost-effectiveness of computer-delivered CBT. METHOD: A sample of people with depression or anxiety were randomised to usual care (n=128) or computer-delivered CBT (n=146). Costs were available for 123 and 138 participants, respectively. Costs and depression scores were combined using the net benefit approach. RESULTS: Service costs were 40 British pounds (90% CI - 28 British pounds to 148 British pounds) higher over 8 months for computer-delivered CBT. Lost-employment costs were 407 British pounds (90% CI 196 British pounds to 586 British pounds) less for this group. Valuing a 1-unit improvement on the Beck Depression Inventory at 40 British pounds, there is an 81% chance that computer-delivered CBT is cost-effective, and it revealed a highly competitive cost per quality-adjusted life year. CONCLUSIONS: Computer-delivered CBT has a high probability of being cost-effective, even if a modest value is placed on unit improvements in depression.
BT - The British journal of psychiatry : the journal of mental science
C5 - Financing & Sustainability; HIT & Telehealth
CY - England
JF - The British journal of psychiatry : the journal of mental science
N2 - BACKGROUND: Cognitive-behavioural therapy (CBT) is effective for treating anxiety and depression in primary care, but there is a shortage of therapists. Computer-delivered treatment may be a viable alternative. AIMS: To assess the cost-effectiveness of computer-delivered CBT. METHOD: A sample of people with depression or anxiety were randomised to usual care (n=128) or computer-delivered CBT (n=146). Costs were available for 123 and 138 participants, respectively. Costs and depression scores were combined using the net benefit approach. RESULTS: Service costs were 40 British pounds (90% CI - 28 British pounds to 148 British pounds) higher over 8 months for computer-delivered CBT. Lost-employment costs were 407 British pounds (90% CI 196 British pounds to 586 British pounds) less for this group. Valuing a 1-unit improvement on the Beck Depression Inventory at 40 British pounds, there is an 81% chance that computer-delivered CBT is cost-effective, and it revealed a highly competitive cost per quality-adjusted life year. CONCLUSIONS: Computer-delivered CBT has a high probability of being cost-effective, even if a modest value is placed on unit improvements in depression.
PP - England
PY - 2004
SN - 0007-1250; 0007-1250
SP - 55
EP - 62
EP - 
T1 - Cost-effectiveness of computerised cognitive-behavioural therapy for anxiety and depression in primary care: Randomised controlled trial
T2 - The British journal of psychiatry : the journal of mental science
TI - Cost-effectiveness of computerised cognitive-behavioural therapy for anxiety and depression in primary care: Randomised controlled trial
U1 - Financing & Sustainability; HIT & Telehealth
U2 - 15231556
VL - 185
VO - 0007-1250; 0007-1250
Y1 - 2004
ER -