Cost-Effectiveness and Cost-Utility of Internet-Delivered Exposure Therapy for Fibromyalgia: Results From a Randomized, Controlled Trial

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Hedman-Lagerlöf, MariaKarolinska Institutet (author)

Cost-Effectiveness and Cost-Utility of Internet-Delivered Exposure Therapy for Fibromyalgia : Results From a Randomized, Controlled Trial

Article/chapterEnglish2019

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Elsevier,2019
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LIBRIS-ID:oai:DiVA.org:oru-71213
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-71213URI
https://doi.org/10.1016/j.jpain.2018.07.012DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:139959995URI

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Language:English
Summary in:English

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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Funding Agencies:Söderström König Foundation Fredrik and Ingrid Thuring Foundation Stockholm County Council Karolinska Institutet
Fibromyalgia (FM) is a prevalent and debilitating chronic pain disorder associated with a substantial economic burden. Although there are several studies investigating the effectiveness of psychological treatments such as cognitive-behavioral therapy for FM, studies on cost-effectiveness are scarce. The aim of the present study was to investigate the cost-effectiveness of Internet-delivered exposure therapy (iExp) for FM. We used health economic data from a recently conducted randomized, controlled trial, where 140 participants were randomized to either iExp or a waitlist control (WLC) condition. Economic data were collected at pre-treatment, post-treatment, and at the 1-year follow-up. Treatment effectiveness in relation to costs were analyzed using both a societal perspective (including all direct and indirect costs) and a health care unit perspective (including only the direct treatment costs). Bootstrapped net benefit regression analyses were also conducted, comparing the difference in costs and effects between iExp and WLC, within different willingness-to-pay scenarios. Results showed that the incremental cost-effectiveness ratio was -$15,295, indicating that iExp was highly cost-effective as each successfully treated case (treatment responder) was associated with a substantial net reduction in costs. The robustness of the results was tested in 2 different sensitivity analyses, where iExp remained cost-effective, even in a willingness-to-pay-scenario of $0. We conclude that iExp is a cost-effective treatment that generates large societal cost savings.PERSPECTIVE: Health-economic evaluations of psychological interventions for FM are scarce. This study is a cost-effectiveness analysis of Internet-delivered exposure therapy for patients with FM. Results showed that iExp was highly cost-effective compared with no treatment, where each successfully treated case generated a substantial societal cost saving.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Health Care Service and Management, Health Policy and Services and Health Economy hsv//eng
SAMHÄLLSVETENSKAP Psykologi Tillämpad psykologi hsv//swe
SOCIAL SCIENCES Psychology Applied Psychology hsv//eng
Fibromyalgia
cognitive-behavioral therapy
cost-effectiveness
health economic analysis

Added entries (persons, corporate bodies, meetings, titles ...)

Hedman-Lagerlöf, ErikKarolinska Institutet (author)
Ljótsson, BrjánnKarolinska Institutet (author)
Wicksell, Rikard K.Karolinska Institutet (author)
Flink, Ida,1980-Örebro universitet,Institutionen för juridik, psykologi och socialt arbete,Center for Health and Medical Psychology (CHAMP)(Swepub:oru)ifk (author)
Andersson, ErikKarolinska Institutet (author)
Karolinska InstitutetInstitutionen för juridik, psykologi och socialt arbete (creator_code:org_t)

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In:Journal of Pain: Elsevier20:1, s. 47-591526-59001528-8447

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Health Care Serv ...

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