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Cost-effectiveness ...
Cost-effectiveness of an internet-based booster program for patients with obsessive-compulsive disorder : Results from a randomized controlled trial
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- Andersson, Erik (author)
- Karolinska Institutet
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- Ljotsson, Brjann (author)
- Karolinska Institutet
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- Hedman, Erik (author)
- Karolinska Institutet
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- Mattson, Simon (author)
- Karolinska Institute, Sweden
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- Enander, Jesper (author)
- Karolinska Institutet
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- Andersson, Gerhard (author)
- Karolinska Institutet,Linköpings universitet,Psykologi,Filosofiska fakulteten,Karolinska Institute, Sweden
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- Kaldo, Viktor (author)
- Karolinska Institutet
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- Lindefors, Nils (author)
- Karolinska Institutet
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- Rück, Christian (author)
- Karolinska Institutet
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(creator_code:org_t)
- Elsevier, 2015
- 2015
- English.
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In: Journal of Obsessive-Compulsive and Related Disorders. - : Elsevier. - 2211-3649 .- 2211-3657. ; 4, s. 14-19
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Subject headings
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- Cognitive behavior therapy (CBT) is an effective treatment for OCD when delivered face-to-face, in group-format and also via the internet. However, despite overall large effect sizes, a considerable amount of the patients relapse. One intervention that has the potential to reduce these relapse rates is booster programs, but if booster program is a cost-effective method of preventing relapse is still unknown. We used health economical data from a recent randomized controlled trial, where patients who had undergone an internet-based CBT were randomly allocated to receive an additional booster program. Assessment points were 4-, 7-, 12- and 24-month. Health economical data were primarily analyzed using a societal perspective. Results showed that the booster program was effective in preventing relapse, and the cost of one avoided relapse was estimated to $1066-1489. Cost-effectiveness acceptability curves showed that the booster program had a 90% probability of being cost-effective given a willingness to pay of $1000-1050 the first year, but this figure grew considerably after two years ($2500-5500). We conclude that internet-based booster programs are probably a cost-effective alternative within one-year time frame and that more treatment may be needed to maintain adequate cost-effectiveness up to two years. (C) 2014 Elsevier Inc. All rights reserved.
Subject headings
- SAMHÄLLSVETENSKAP -- Psykologi -- Tillämpad psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology -- Applied Psychology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Medicinska och farmaceutiska grundvetenskaper (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Basic Medicine (hsv//eng)
Keyword
- Cognitive behavior therapy
- Obsessive-compulsive disorder
- Internet
- Relapse prevention
- Booster
- Cost-effectiveness
- Psychology
- Psykologi
Publication and Content Type
- ref (subject category)
- art (subject category)
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