TY - JOUR
KW - Adolescent
KW - Adult
KW - Aged
KW - Cognitive Therapy/economics/methods
KW - Cost of Illness
KW - Cost-Benefit Analysis
KW - Depressive Disorder/economics/therapy
KW - Health Care Costs/statistics & numerical data
KW - Humans
KW - Middle Aged
KW - Netherlands
KW - Primary Health Care/economics/methods
KW - Psychiatric Status Rating Scales
KW - Quality of Life
KW - Sensitivity and Specificity
KW - Therapy, Computer-Assisted/economics/methods
KW - Treatment Outcome
KW - Young Adult
AU - S. A. Gerhards
AU - L. E. de Graaf
AU - L. E. Jacobs
AU - J. L. Severens
AU - M. J. Huibers
AU - A. Arntz
AU - H. Riper
AU - G. Widdershoven
AU - J. F. Metsemakers
AU - S. M. Evers
A1 - 
AB - BACKGROUND: Evidence about the cost-effectiveness and cost utility of computerised cognitive-behavioural therapy (CCBT) is still limited. Recently, we compared the clinical effectiveness of unsupported, online CCBT with treatment as usual (TAU) and a combination of CCBT and TAU (CCBT plus TAU) for depression. The study is registered at the Netherlands Trial Register, part of the Dutch Cochrane Centre (ISRCTN47481236). AIMS: To assess the cost-effectiveness of CCBT compared with TAU and CCBT plus TAU. METHOD: Costs, depression severity and quality of life were measured for 12 months. Cost-effectiveness and cost-utility analyses were performed from a societal perspective. Uncertainty was dealt with by bootstrap replications and sensitivity analyses. RESULTS: Costs were lowest for the CCBT group. There are no significant group differences in effectiveness or quality of life. Cost-utility and cost-effectiveness analyses tend to be in favour of CCBT. CONCLUSIONS: On balance, CCBT constitutes the most efficient treatment strategy, although all treatments showed low adherence rates and modest improvements in depression and quality of life.
BT - The British journal of psychiatry : the journal of mental science
C5 - Financing & Sustainability; HIT & Telehealth
CY - England
DO - 10.1192/bjp.bp.109.065748
JF - The British journal of psychiatry : the journal of mental science
N2 - BACKGROUND: Evidence about the cost-effectiveness and cost utility of computerised cognitive-behavioural therapy (CCBT) is still limited. Recently, we compared the clinical effectiveness of unsupported, online CCBT with treatment as usual (TAU) and a combination of CCBT and TAU (CCBT plus TAU) for depression. The study is registered at the Netherlands Trial Register, part of the Dutch Cochrane Centre (ISRCTN47481236). AIMS: To assess the cost-effectiveness of CCBT compared with TAU and CCBT plus TAU. METHOD: Costs, depression severity and quality of life were measured for 12 months. Cost-effectiveness and cost-utility analyses were performed from a societal perspective. Uncertainty was dealt with by bootstrap replications and sensitivity analyses. RESULTS: Costs were lowest for the CCBT group. There are no significant group differences in effectiveness or quality of life. Cost-utility and cost-effectiveness analyses tend to be in favour of CCBT. CONCLUSIONS: On balance, CCBT constitutes the most efficient treatment strategy, although all treatments showed low adherence rates and modest improvements in depression and quality of life.
PP - England
PY - 2010
SN - 1472-1465; 0007-1250
SP - 310
EP - 318
EP - 
T1 - Economic evaluation of online computerised cognitive-behavioural therapy without support for depression in primary care: Randomised trial
T2 - The British journal of psychiatry : the journal of mental science
TI - Economic evaluation of online computerised cognitive-behavioural therapy without support for depression in primary care: Randomised trial
U1 - Financing & Sustainability; HIT & Telehealth
U2 - 20357309
U3 - 10.1192/bjp.bp.109.065748
VL - 196
VO - 1472-1465; 0007-1250
Y1 - 2010
ER -