Cost-effectiveness of computerised cognitive-behavioural therapy for anxiety and depression in primary care: randomised controlled trial
Cost-effectiveness of computerised cognitive-behavioural therapy for anxiety and depression in primary care: randomised controlled trial
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DOI：
10.1192/bjp.185.1.55
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发表时间：
2004-07-01
影响因子：
10.5
通讯作者：
Tylee, A
中科院分区：
文献类型：
--
作者：
McCrone, P;Knapp, M;Tylee, A
背景认知行为疗法（CBT）是治疗焦虑和抑郁症的有效方法，但缺乏治疗师。计算机提供的治疗可能是一个可行的alternatives.Aims评估的成本效益的计算机提供的CBT.Method抑郁症或焦虑症的人的样本被随机分配到常规护理（n=128）或计算机提供的CBT（n=146）。成本分别为123和138参与者，成本和抑郁症分数结合使用净效益approach.Results服务成本为pound 40（90%CI-pound 28至pound 148）高出8个月的计算机提供的CBT。这一群体的失业费用少407人（90% CI 196至586英镑）。在40的贝克抑郁症量表的I-单位的改善价值，有81%的机会，计算机提供的CBT是具有成本效益的，它揭示了每质量调整生命year.Conclusions具有很强的竞争力的成本，计算机提供的，CBT具有成本效益的可能性很高，即使一个适度的价值是放在单位的改善抑郁症。在这项研究中使用的计算机化治疗程序“击败蓝调”的商业开发中，和地方检察官是Ultrasis plc; K.C.的临时顾问。为Ultrasis PLC工作。
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 pound40 (90% CI - pound28 to pound148) higher over 8 months for computer-delivered CBT. Lost-employment costs were 407 (90% Cl pound196 to pound586) less for this group. Valuing a I-unit improvement on the Beck Depression Inventory at 40, 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.Declaration of interest J.P. and JAG. are minority partners in the commercial exploitation of Beating the Blues, the computerised therapy program used in the study, and D.G. and D.A.S. are occasional consultants to Ultrasis plc; K.C. works for Ultrasis plc.