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Psycho-educational CBT-Insomnia workshops in the community. A cost-effectiveness analysis alongside a randomised controlled trial

Bonin, Eva-Maria, Beecham, Jennifer, Swift, Naomi, Raikundalia, Shriti and Brown, June S.L. (2014) Psycho-educational CBT-Insomnia workshops in the community. A cost-effectiveness analysis alongside a randomised controlled trial. Behaviour Research and Therapy, 55. pp. 40-47. ISSN 0005-7967

Full text not available from this repository.
Identification Number: 10.1016/j.brat.2014.01.005

Abstract

Around one in three of the UK population suffer from sleep problems, resulting in high costs to society. Cognitive behaviour therapy for insomnia (CBT-I) has been shown to be effective. Community-based workshops may be a cost-effective way to provide CBT-I to groups that are usually hard to reach or reluctant to seek treatment. A sample of 151 participants aged 18 or over from five London boroughs who self-referred were randomised into a group receiving workshops and a waiting list control group. 111 provided complete data on service use and outcome measures. Results from the cost-effectiveness and cost-utility analyses are presented using cost-effectiveness acceptability curves. At a maximum willingness to pay per quality-adjusted life-year (QALY) of £30,000, the probability of the intervention being cost-effective is 80%. If commissioners are willing to pay £150 per point improvement on the Insomnia Severity Index, which is approximately the cost of the intervention, there is a 97% probability of cost-effectiveness. Community-based CBT-I workshops are likely to be a cost-effective intervention to improve insomnia symptoms and are a promising low-level option to include within the panoply of interventions that are encouraged within the UK policy of increasing access to psychological therapies.

Item Type: Article
Official URL: http://www.sciencedirect.com/
Additional Information: © 2014 Elsevier Ltd.
Divisions: LSE
Subjects: B Philosophy. Psychology. Religion > BF Psychology
H Social Sciences > HC Economic History and Conditions
JEL classification: I - Health, Education, and Welfare > I2 - Education > I21 - Analysis of Education
Date Deposited: 18 Jul 2014 09:52
Last Modified: 20 Mar 2019 02:27
Funders: NIHR Specialist Biomedical Research Centre (BRC) for Mental Health at the South London, Maudsley NHS Foundation Trust and Institute of Psychiatry, King's College London
URI: http://eprints.lse.ac.uk/id/eprint/57738

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