Economic Evaluations of Internet-Based Psychological Interventions for Anxiety Disorders and Depression: A Systematic Review.
Economic Evaluations of Internet-Based Psychological Interventions for Anxiety Disorders and Depression: A Systematic Review.
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DOI：
10.1016/j.jad.2021.01.092
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发表时间：
2021-04-01
影响因子：
6.6
通讯作者：
Naslund JA
中科院分区：
文献类型：
--
作者：
Mitchell LM;Joshi U;Patel V;Lu C;Naslund JA
基于互联网的干预措施显示出治疗焦虑症和抑郁症的临床有效性，并可能使精神保健更加负担得起。我们检索了2000年1月1日至2020年8月21日期间的数据库，包括PubMed、EMBASE、科克伦中心、PsychINFO、CINAHL、EconLit和Web of Science。入选标准为：1）与焦虑症或抑郁症的治疗或预防有关; 2）评估互联网提供的心理干预的使用; 3）招募参与者; 4）报告成本或成本效益。在识别的6，069篇文章中，33篇针对焦虑（N=13）和抑郁（n=20），并符合最终纳入标准。所有研究均来自高收入国家。控制条件和成本组成部分包括异质性。只有8项研究报告了开发干预措施的成本。在27项得出成本效益结论的研究中，81%的干预措施具有成本效益。根据经济评价的质量评估清单，纳入的研究质量较高，尽管许多研究没有包括成本组成的定义或区分患者方和系统级成本。研究方法各不相同，因此很难就成本效益得出结论。这些结果的普遍性尚不清楚，因为研究集中在少数高收入国家，成本随时间和地区而变化。虽然控制条件和费用构成报告各不相同，但通过互联网提供的干预措施似乎具有成本效益。我们提出了一个清单的成本组成部分，未来的成本分析，以更好地比较干预成本。需要进行更多的研究，以说明开发成本、低资源环境下的成本效益以及新技术的成本效益。
Internet-based interventions show clinical effectiveness for treating anxiety disorders and depression and could make mental healthcare more affordable. We searched databases including PubMed; EMBASE; Cochrane Central; PsychINFO; CINAHL; EconLit; and Web of Science from January 1, 2000 to August 21, 2020. Inclusion criteria were: 1) pertained to the treatment or prevention of anxiety disorders or depression; 2) evaluated the use of an internet-delivered psychological intervention; 3) recruited participants; and 4) reported costs or cost-effectiveness. Of the 6,069 articles identified, 33 targeted anxiety (N=13) and depression (n=20) and met final inclusion criteria. All studies were from high-income countries. The control conditions and cost components included were heterogeneous. Only eight studies reported costs of developing the intervention. Of 27 studies that made a conclusion about cost-effectiveness, 81% of interventions were cost-effective. The quality of studies included was high based on a quality assessment checklist of economic evaluations, although many studies did not include definitions of cost components or differentiate between patient-side and system-level costs. Studies varied in methodology, making conclusions about cost-effectiveness difficult. The generalizability of these results is unclear as studies were clustered in a small number of high-income countries and costs vary over time and between regions. Internet-delivered interventions appeared to be cost-effective although control conditions and cost component reporting were variable. We propose a checklist of cost components for future cost analyses to better compare intervention costs. More research is needed to describe development costs, cost-effectiveness in low-resource settings, and cost-effectiveness of newer technologies.
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预防阈下抑郁症成人的抑郁症：健康经济学评估以及基于网络干预的务实随机对照试验。
影响因子：
7.4
作者：
Buntrock C;Berking M;Smit F;Lehr D;Nobis S;Riper H;Cuijpers P;Ebert D
通讯作者：
Ebert D
影响因子：
4.1
作者：
Fairburn, Christopher G.;Patel, Vikram
通讯作者：
Patel, Vikram
影响因子：
4.4
作者：
Bergstrom, Jan;Andersson, Gerhard;Lindefors, Nils
通讯作者：
Lindefors, Nils
DOI：
10.1016/j.jocrd.2014.10.002
发表时间：
2015-01-01
影响因子：
1.8
作者：
Andersson, Erik;Ljotsson, Brjann;Ruck, Christian
通讯作者：
Ruck, Christian
影响因子：
7.4
作者：
Erbe D;Eichert HC;Riper H;Ebert DD
通讯作者：
Ebert DD