Please use this identifier to cite or link to this item: http://hdl.handle.net/10668/2677
Título : Economic evaluation of a guided and unguided internet-based CBT intervention for major depression: Results from a multi-center, three-armed randomized controlled trial conducted in primary care.
Autor : Romero-Sanchiz, Pablo
Nogueira-Arjona, Raquel
García-Ruiz, Antonio
Luciano, Juan V
García Campayo, Javier
Gili, Margalida
Botella, Cristina
Baños, Rosa
Castro, Adoración
López-Del-Hoyo, Yolanda
Pérez Ara, Mª Ángeles
Modrego-Alarcón, Marta
Mayoral Cleríes, Fermín
Filiación: [Romero-Sanchiz,P; Mayoral Cleríes,F] Mental Health Clinical Management Unit, Institute of Biomedical Research of Malaga (IBIMA), Regional University Hospital Carlos Haya, Malaga, Spain. [Nogueira-Arjona,R] Department of Personality, Assessment and Psychological Treatments, Faculty of Psychology, University of Malaga, Malaga, Spain. [García-Ruiz,A] Chair of Health Economics and Rational Drug Use. Department of Pharmacology and Pediatrics, Faculty of Medicine, University of Malaga, Malaga, Spain. [Luciano,JV] Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain. [Luciano,JV; García Campayo,J; Gili,M; Castro,A, López-Del-Hoyo,Y; Pérez Ara,MA; Mayoral Cleríes,F] Primary Care Prevention and Health Promotion Research Network, RedIAPP, Madrid, Spain. [García Campayo,J; López-Del-Hoyo,Y] Aragon Institute for Health Research (IIS Aragon), Zaragoza, Spain. [García Campayo,J] University Hospital Miguel Servet, Zaragoza, Spain. [Gili,M; Castro,A; Pérez Ara,MA] IUNICS-IDISPA, University of Balearic Islands, Palma de Mallorca, Spain. [ Botella,C] University Jaume I, Castellon de la Plana, Spain. [Botella,C; Baños,R] CIBER Physiopathology Obesity and Nutrition (CB06/03) Carlos III Health Institute, Madrid, Spain. [Baños,R] University of Valencia, Valencia, Spain. [López-Del-Hoyo,Y; Modrego-Alarcón,M] University of Zaragoza, Zaragoza, Spain. [Modrego-Alarcón,M] Foundation Institute of Health Research of Aragon (IIS Aragon), Zaragoza, Spain.
Palabras clave : Adulto
Grupos control
Análisis costo-beneficio
Depresión
Trastorno depresivo
Femenino
Estudios de seguimiento
Hispanoamericanos
Humanos
Análisis de intención de tratar
Internet
Atención primaria de salud
Psicoterapia
Sonrisa
Sociedades científicas
MeSH: Medical Subject Headings::Persons::Persons::Age Groups::Adult
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Methods::Research Design::Control Groups
Medical Subject Headings::Health Care::Health Care Economics and Organizations::Economics::Costs and Cost Analysis::Cost-Benefit Analysis
Medical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Behavior::Behavioral Symptoms::Depression
Medical Subject Headings::Psychiatry and Psychology::Mental Disorders::Mood Disorders::Depressive Disorder
Medical Subject Headings::Check Tags::Female
Medical Subject Headings::Health Care::Health Care Quality, Access, and Evaluation::Quality of Health Care::Health Care Evaluation Mechanisms::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cohort Studies::Follow-Up Studies
Medical Subject Headings::Persons::Persons::Population Groups::Ethnic Groups::Hispanic Americans
Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
Medical Subject Headings::Health Care::Health Care Quality, Access, and Evaluation::Quality of Health Care::Health Care Evaluation Mechanisms::Epidemiologic Study Characteristics as Topic::Clinical Trials as Topic::Controlled Clinical Trials as Topic::Randomized Controlled Trials as Topic::Intention to Treat Analysis
Medical Subject Headings::Information Science::Information Science::Computing Methodologies::Computer Systems::Computer Communication Networks::Internet
Medical Subject Headings::Health Care::Health Services Administration::Patient Care Management::Comprehensive Health Care::Primary Health Care
Medical Subject Headings::Psychiatry and Psychology::Behavioral Disciplines and Activities::Psychotherapy
Medical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Behavior::Communication::Nonverbal Communication::Facial Expression::Smiling
Medical Subject Headings::Health Care::Health Care Economics and Organizations::Organizations::Societies::Societies, Scientific
Fecha de publicación : Feb-2017
Editorial : Public Libray of Science
Cita Bibliográfica: Romero-Sanchiz P, Nogueira-Arjona R, García-Ruiz A, Luciano JV, García Campayo J, Gili M, et al. Economic evaluation of a guided and unguided internet-based CBT intervention for major depression: Results from a multi-center, three-armed randomized controlled trial conducted in primary care. PLoS ONE. 2017; 12(2): e0172741.
Abstract: Depression is one of the most common mental disorders and will become one of the leading causes of disability in the world. Internet-based CBT programs for depression have been classified as "well established" following the American Psychological Association criteria for empirically supported treatments. The aim of this study is to analyze the cost effectiveness at 12-month follow-up of the Internet-based CBT program "Smiling is fun" with (LITG) and without psychotherapist support (TSG) compared to usual care. The perspective used in our analysis is societal. A sample of 296 depressed patients (mean age of 43.04 years; 76% female; BDI-II mean score = 22.37) from primary care services in four Spanish regions were randomized in the RCT. The complete case and intention-to-treat (ITT) perspectives were used for the analyses. The results demonstrated that both Internet-based CBT interventions exhibited cost utility and cost effectiveness compared with a control group. The complete case analyses revealed an incremental cost-effectiveness ratio (ICER) of €-169.50 and an incremental cost-utility ratio (ICUR) of €-11389.66 for the TSG group and an ICER of €-104.63 and an ICUR of €-6380.86 for the LITG group. The ITT analyses found an ICER of €-98.37 and an ICUR of €-5160.40 for the TSG group and an ICER of €-9.91 and an ICUR of €496.72 for the LITG group. In summary, the results of this study indicate that the two Internet-based CBT interventions are appropriate from both economic and clinical perspectives for depressed patients in the Spanish primary care system. These interventions not only help patients to improve clinically but also generate societal savings.
Descripción : TRIAL REGISTRATION: clinicaltrials.gov NCT01611818.
URI: http://hdl.handle.net/10668/2677
Versión del editor : http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0172741
DOI: 10.1371/journal.pone.0172741
ISSN : 1932-6203 (Online)
Appears in Collections:01- Artículos - IBIMA. Instituto de Investigación Biomédica de Málaga
01- Artículos - Hospital Regional de Málaga

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