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Economic Evaluation...
Economic Evaluation of Videoconference Group Acceptance and Commitment Therapy and Behavioral Activation Therapy for Depression Versus Usual Care Among Adults With Chronic Low Back Pain Plus Comorbid Depressive Symptoms
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- Sanabria-Mazo, Juan P. (författare)
- Parc Sanitari St Joan Deu, Teaching Res & Innovat Unit, St Boi De Llobregat, Spain.;Ctr Biomed Res Epidemiol & Publ Hlth CIBERESP, Madrid, Spain.;Autonomous Univ Barcelona, Dept Basic Dev & Educ Psychol, Cerdanyola Del Valles, Spain.
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- D'Amico, Francesco (författare)
- London Sch Econ & Polit Sci, Care Policy & Evaluat Ctr, London, England.
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- Cardenosa, Eugenia (författare)
- Ctr Biomed Res Epidemiol & Publ Hlth CIBERESP, Madrid, Spain.;Inst Catala Salut, Basic Hlth Area ABS Maria Bernades, Direccio Atencio Primaria Metropolitana Sud, Viladecans, Spain.
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- Ferrer, Montse (författare)
- Ctr Biomed Res Epidemiol & Publ Hlth CIBERESP, Madrid, Spain.;Inst Recerca Hosp Mar, Barcelona, Spain.
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- Edo, Silvia (författare)
- Autonomous Univ Barcelona, Dept Basic Dev & Educ Psychol, Cerdanyola Del Valles, Spain.
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- Borras, Xavier (författare)
- Ctr Biomed Res Epidemiol & Publ Hlth CIBERESP, Madrid, Spain.;Autonomous Univ Barcelona, Dept Basic Dev & Educ Psychol, Cerdanyola Del Valles, Spain.
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- McCracken, Lance, 1962- (författare)
- Uppsala universitet,Institutionen för psykologi
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- Feliu-Soler, Albert (författare)
- Ctr Biomed Res Epidemiol & Publ Hlth CIBERESP, Madrid, Spain.;Autonomous Univ Barcelona, Dept Clin & Hlth Psychol, Cerdanyola Del Valles, Spain.
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- Sanz, Antoni (författare)
- Autonomous Univ Barcelona, Dept Basic Dev & Educ Psychol, Cerdanyola Del Valles, Spain.
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- Luciano, Juan, V (författare)
- Parc Sanitari St Joan Deu, Teaching Res & Innovat Unit, St Boi De Llobregat, Spain.;Ctr Biomed Res Epidemiol & Publ Hlth CIBERESP, Madrid, Spain.;Autonomous Univ Barcelona, Dept Clin & Hlth Psychol, Cerdanyola Del Valles, Spain.
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Parc Sanitari St Joan Deu, Teaching Res & Innovat Unit, St Boi De Llobregat, Spain;Ctr Biomed Res Epidemiol & Publ Hlth CIBERESP, Madrid, Spain.;Autonomous Univ Barcelona, Dept Basic Dev & Educ Psychol, Cerdanyola Del Valles, Spain. London Sch Econ & Polit Sci, Care Policy & Evaluat Ctr, London, England. (creator_code:org_t)
- Elsevier, 2024
- 2024
- Engelska.
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Ingår i: Journal of Pain. - : Elsevier. - 1526-5900 .- 1528-8447. ; 25:7
- Relaterad länk:
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Chronic pain and depression are frequently comorbid conditions associated with significant health care and social costs. This study examined the cost-utility and cost-effectiveness of videoconference-based group forms of Acceptance and Commitment Therapy (ACT) and Behavioral Activation Therapy for Depression (BATD), as a complement to treatment-as-usual (TAU), for patients with chronic low back pain (CLBP) plus depressive symptoms, compared to TAU alone. A trial-based economic evaluation (n = 234) was conducted from a governmental and health care perspective with a time horizon of 12 months. Primary outcomes were the Brief Pain Inventory-Interference Scale (BPIIS) and Quality Adjusted Life Year. Compared to TAU, ACT achieved a significant reduction in total costs (d = .47), and BATD achieved significant reductions in indirect (d = .61) and total costs (d = .63). Significant improvements in BPI-IS (d = .73 and d = .66, respectively) and Quality Adjusted Life Year scores (d = .46 and d = .28, respectively) were found in ACT and BATD compared to TAU. No significant differences in costs and outcomes were found between ACT and BATD. In the intention-totreat analyses, from the governmental and health care perspective, no significant differences in cost reduction and incremental effects were identified in the comparison between ACT, BATD, and TAU. However, in the complete case analysis, significant incremental effects of ACT (ΔBPI-IS = -1.57 and -1.39, respectively) and BATD (ΔBPI-IS = -1.08 and -1.04, respectively) compared with TAU were observed. In the per-protocol analysis, only the significant incremental effects of ACT (ΔBPI-IS = -1.68 and -1.43, respectively) compared to TAU were detected. In conclusion, ACT and BATD might be efficient options in the management of CLBP plus comorbid depression symptoms as compared to usual care. However, no clear difference was found in the comparison between the 2 active therapies regarding cost-effectiveness or cost-utility.
Ämnesord
- SAMHÄLLSVETENSKAP -- Psykologi -- Tillämpad psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology -- Applied Psychology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Allmänmedicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- General Practice (hsv//eng)
Nyckelord
- Chronic low back pain
- Acceptance and Commitment Therapy
- Behavioral Activation Therapy
- Cost-utility
- Cost-effectiveness
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
Hitta via bibliotek
Till lärosätets databas
- Av författaren/redakt...
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Sanabria-Mazo, J ...
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D'Amico, Frances ...
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Cardenosa, Eugen ...
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Ferrer, Montse
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Edo, Silvia
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Borras, Xavier
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visa fler...
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McCracken, Lance ...
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Feliu-Soler, Alb ...
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Sanz, Antoni
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Luciano, Juan, V
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visa färre...
- Om ämnet
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- SAMHÄLLSVETENSKAP
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SAMHÄLLSVETENSKA ...
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och Psykologi
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och Tillämpad psykol ...
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Allmänmedicin
- Artiklar i publikationen
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Journal of Pain
- Av lärosätet
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Uppsala universitet