McCrone, Paul, Knapp, Martin 
ORCID: 0000-0003-1427-0215, Proudfoot, Judith, Ryden, Clash, Cavanagh, Kate, Shapiro, David A., Ilson, Sophie, Gray, Jeffrey A., Goldberg, David, Mann, Anthony, Marks, Isaac, Everitt, Brian and Tylee, Andre
(2004)
Cost-effectiveness of computerised cognitive–behavioural therapy for anxiety and depression in primary care: randomised controlled trial.
British Journal of Psychiatry, 185 (1).
pp. 55-62.
ISSN 0007-1250
Abstract
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 (90% CI – £28 to £ 148) higher over 8 months for computer-delivered CBT. Lost-employment costs were £407 (90% CI £196 to £586) less for this group. Valuing a 1-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.
| Item Type: | Article |
|---|---|
| Official URL: | http://bjp.rcpsych.org |
| Additional Information: | © 2004 Royal College of Psychiatrists |
| Divisions: | Social Policy Care Policy and Evaluation Centre LSE Health |
| Subjects: | B Philosophy. Psychology. Religion > BF Psychology |
| Date Deposited: | 05 Sep 2008 14:33 |
| Last Modified: | 11 Dec 2024 22:43 |
| URI: | http://eprints.lse.ac.uk/id/eprint/15086 |
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