A health economic outcome evaluation of an internet-based mobile-supported stress management
                    intervention for employees

Ebert, David Daniel; Kählke, Fanny; Buntrock, Claudia; Berking, Matthias; Smit, Filip; Heber, Elena; Baumeister, Harald; Funk, Burkhardt; Riper, Heleen; Lehr, Dirk

doi:10.5271/sjweh.3691

Cited by 47 publications

(57 citation statements)

References 57 publications

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“…As no previous health economic evaluations of ICBT for patients diagnosed with stress-related disorders have been conducted, to our knowledge, there are no available cost-effectiveness estimates of the target population with which we can directly compare our results. Nevertheless, 2 recently published studies evaluated cost-effectiveness of ICBT for employees with elevated levels of stress, 1 from an employer’s perspective (including only costs relevant for the employer, ie, presenteeism, absenteeism, and treatment costs) [24] and 1 adopting a full societal perspective [25]. Results of these studies were similar to those found in this study, with probabilities of treatment cost-effectiveness of approximately 70% compared with WLC at a WTP of US $0 [24,25].…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, 2 recently published studies evaluated cost-effectiveness of ICBT for employees with elevated levels of stress, 1 from an employer’s perspective (including only costs relevant for the employer, ie, presenteeism, absenteeism, and treatment costs) [24] and 1 adopting a full societal perspective [25]. Results of these studies were similar to those found in this study, with probabilities of treatment cost-effectiveness of approximately 70% compared with WLC at a WTP of US $0 [24,25]. In these studies, as in ours, costs because of presenteeism were large and constituted central cost drivers in the cost-effectiveness analyses.…”

Section: Discussionmentioning

confidence: 99%

“…Regarding interventions to reduce stress, however, health economic evaluations are scarce and generally suffer from low methodological quality [23]. A total of 2 recent studies have conducted health economic evaluations of internet-based stress-management interventions aimed at reducing stress in employees with elevated work-related stress [24,25]. Both the studies indicated that the interventions were cost-effective compared with waitlist control (WLC) conditions, from an employer’s [24] and a full societal perspective [25].…”

Section: Introductionmentioning

confidence: 99%

“…A total of 2 recent studies have conducted health economic evaluations of internet-based stress-management interventions aimed at reducing stress in employees with elevated work-related stress [24,25]. Both the studies indicated that the interventions were cost-effective compared with waitlist control (WLC) conditions, from an employer’s [24] and a full societal perspective [25]. Although these results are promising, to the best of our knowledge, no study to date has investigated the cost-effectiveness of ICBT for patients actually diagnosed with stress-related disorders.…”

Section: Introductionmentioning

confidence: 99%

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Cost-Effectiveness of Therapist-Guided Internet-Based Cognitive Behavioral Therapy for Stress-Related Disorders: Secondary Analysis of a Randomized Controlled Trial

Lindsäter¹,

Axelsson²,

Salomonsson³

et al. 2019

J Med Internet Res

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BackgroundStress-related disorders are associated with significant suffering, functional impairment, and high societal costs. Internet-based cognitive behavioral therapy (ICBT) is a promising treatment for stress-related disorders but has so far not been subjected to health economic evaluation.ObjectiveThe objective of this study was to evaluate the cost-effectiveness and cost-utility of ICBT for patients with stress-related disorders in the form of adjustment disorder (AD) or exhaustion disorder (ED). We hypothesized that ICBT, compared with a waitlist control (WLC) group, would generate improvements at low net costs, thereby making it cost-effective.MethodsHealth economic data were obtained in tandem with a randomized controlled trial of a 12-week ICBT in which patients (N=100) were randomized to an ICBT (n=50) or a WLC (n=50) group. Health outcomes and costs were surveyed pre- and posttreatment. We calculated incremental cost-effectiveness ratios (ICERs) based on remission rates and incremental cost-utility ratios (ICURs) based on health-related quality of life. Bootstrap sampling was used to assess the uncertainty of our results.ResultsThe ICER indicated that the most likely scenario was that ICBT led to higher remission rates compared with the WLC and was associated with slightly larger reductions in costs from pre- to posttreatment. ICBT had a 60% probability of being cost-effective at a willingness to pay (WTP) of US $0 and a 96% probability of being cost-effective at a WTP of US $1000. The ICUR indicated that ICBT also led to improvements in quality of life at no net societal cost. Sensitivity analyses supported the robustness of our results.ConclusionsThe results suggest that ICBT is a cost-effective treatment for patients suffering from AD or ED. Compared with no treatment, ICBT for these patients yields large effects at no or minimal societal net costs.Trial RegistrationClinicalTrials.gov NCT02540317; https://clinicaltrials.gov/ct2/show/NCT02540317

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Cost-Effectiveness of Therapist-Guided Internet-Based Cognitive Behavioral Therapy for Stress-Related Disorders: Secondary Analysis of a Randomized Controlled Trial

Lindsäter¹,

Axelsson²,

Salomonsson³

et al. 2019

J Med Internet Res

View full text Add to dashboard Cite

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“…The TiC-P has been proven to be a feasible and reliable instrument for measuring healthcare utilization and productivity loss (55). The German adaption has been utilized in a substantial number of randomized controlled trials as a basis for health economic outcome evaluations (56)(57)(58)(59)(60)(61)(62)(63)(64)(65)(66)(67).…”

Section: Costs Associated With Psychiatric Illnessmentioning

confidence: 99%

Design of a Guided Internet- and Mobile-Based Intervention for Internet Use Disorder—Study Protocol for a Two-Armed Randomized Controlled Trial

et al. 2020

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Context: Internet Use Disorder (IUD), characterized as the inability to control one's internet use, is emerging as an increasing societal concern as it is associated with reduced quality of life and mental health comorbidities. Evidence-based treatment options are, however, scarce due to the novelty of the diagnosis. Internet-and mobile-based interventions may be an effective means to deliver psychological treatment to individuals with IUD as they address individuals affected in their online setting. The aim of the study is to evaluate the efficacy of a newly developed, guided internet-and mobile-based intervention for IUD. Methods: In a two-armed randomized controlled trial (N = 130), individuals showing problematic internet use patterns (Internet Addiction Test ≥ 49) will be randomly allocated to the internet-and mobile-based intervention or a waiting control group. Assessments will take place at baseline, 7 weeks, 6-and 12 months after randomization. The primary outcome is internet addiction symptom severity (IAT) at 7 weeks. Secondary outcomes include quality of life, depressive symptoms, anxiety, and other psychosocial variables associated with IUD. Intervention: The intervention consists of seven sessions: Goal setting and motivational interviewing, impulse control, problem solving, cognitive restructuring, self-worth, relapse prevention, and a booster session. Participants are supported by an eCoach who provides individual feedback after completion of each session. Participants can choose between several elective sessions based on individual need. Conclusions: This is the first study to evaluate an internet-and mobile-based intervention for IUD, which could be a promising first step to reduce individuals' disease burden. Trial Registration: DRKS00015314. The study is currently ongoing. First participants were enrolled in the study on September 14th 2018. Recruitment will continue approximately through March 2020.

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Digitale Interventionen in der betrieblichen Gesundheitsförderung

Hoppe

Roswag

Lehr

2022

Handbuch Gesundheitsförderung Bei Der Arbeit

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A health economic outcome evaluation of an internet-based mobile-supported stress management intervention for employees

Abstract: A health economic outcome evaluation of an internet-based mobile-supported stress management intervention for employees.

Cited by 47 publications

References 57 publications

Cost-Effectiveness of Therapist-Guided Internet-Based Cognitive Behavioral Therapy for Stress-Related Disorders: Secondary Analysis of a Randomized Controlled Trial

Cost-Effectiveness of Therapist-Guided Internet-Based Cognitive Behavioral Therapy for Stress-Related Disorders: Secondary Analysis of a Randomized Controlled Trial

Design of a Guided Internet- and Mobile-Based Intervention for Internet Use Disorder—Study Protocol for a Two-Armed Randomized Controlled Trial

Digitale Interventionen in der betrieblichen Gesundheitsförderung

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