Cost-effectiveness analysis of smoking cessation interventions using cell phones in a low-income population

Daly, Allan T.; Deshmukh, Ashish A.; Vidrine, Damon J.; Prokhorov, Alexander V.; Frank, Summer; Tahay, Patricia D.; Houchen, Maggie E; Cantor, Scott B.

doi:10.1136/tobaccocontrol-2017-054229

“…Fourth, due to the lack of valid data on incidence of smoking related diseases (SRD) for Spanish smoker population, data on incidence of SRD come from different countries, but at least, all data on Incidence come from European Community Countries. Despite these limitations, results from the present study come along with those reported by others: 0.5 QALYs for former smokers [18], 0.069 QALYs for former smokers [55] and 0.10 QALYs for former smokers [56]. These results are also consistent with previous economic assessments showing that smoking cessation interventions using mobile phones are cost saving [18,57] and cost effective [58].…”

Section: Discussionsupporting

confidence: 92%

Cost-effectiveness Analysis of Text Messaging to Support Health Advice for Smoking Cessation

Cobos‐Campos¹,

Mar²,

Apiñaniz³

et al. 2020

Preprint

0

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Background: Smoking in one of the most serious public health problems. It is well known that it constitutes a major risk factor for chronic diseases and the leading cause of preventable death worldwide. Due to high prevalence of smokers, new cost-effective strategies seeking to increase smoking cessation rates are needed.Methods: We performed a Markov model-based cost-effectiveness analysis comparing two treatments: health advice provided by general practitioners and nurses in primary care, and health advice reinforced by sending motivational text messages to smokers’ mobile phones. A Markov model was used in which smokers transitioned between three mutually exclusive health states (smoker, former smoker and dead) after 6-month cycles. We calculated the cost-effectiveness ratio associated with the sending of motivational messages. Health care and society perspectives (separately) was adopted. Costs taken into account were direct health care costs and direct health care cost and costs for lost productivity, respectively. Additionally, deterministic sensitivity analysis was performed modifying the probability of smoking cessation with each option.Results: Sending of text messages as a tool to support health advice was found to be cost-effective as it was associated with increases in costs of €7.4 and €1,327 per QALY gained (ICER) for men and women respectively from a healthcare perspective, significantly far from the published cost-effectiveness threshold. From a societal perspective, the combined programmed was dominant.Conclusions: Sending text messages is a cost-effective approach. These findings support the implantation of the combined program across primary care health centres.

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“…Fourth, due to the lack of valid data on incidence of smoking related diseases (SRD) for Spanish smoker population, data on incidence of SRD come from different countries, but at least, all data on Incidence come from European Community Countries. Despite these limitations, results from the present study come along with those reported by others: 0.5 QALYs for former smokers [18], 0.069 QALYs for former smokers [56] and 0.10 QALYs for former smokers [57]. These results are also consistent with previous economic assessments showing that smoking cessation interventions using mobile phones are cost saving [18,58] and cost effective [59].…”

Section: Discussionsupporting

confidence: 91%

Cost-Effectiveness Analysis Of Text Messaging To Support Health Advice For Smoking Cessation 

Cobos‐Campos¹,

Mar²,

Apiñaniz³

et al. 2020

Preprint

0

View full text Add to dashboard Cite

Background: Smoking in one of the most serious public health problems. It is well known that it constitutes a major risk factor for chronic diseases and the leading cause of preventable death worldwide.Due to high prevalence of smokers, new cost-effective strategies seeking to increase smoking cessation rates are needed. Methods: We performed a Markov model-based cost-effectiveness analysiscomparing two treatments: health advice provided by general practitioners and nurses in primary care, and health advice reinforced by sending motivational text messages to smokers’mobile phones. A Markov model was used in which smokerstransitioned between three mutually exclusive health states (smoker, former smoker and dead) after 6-month cycles. We calculated the cost-effectiveness ratio associated with the sending of motivational messages. Health care and society perspectives (separately) was adopted. Costs taken into account were direct health care costs and direct health care cost and costsfor lost productivity, respectively.Additionally, deterministic sensitivity analysis was performed modifying the probability of smoking cessation with each option. Results: Sending of text messages as a tool to support health advice was found to be cost-effective as it was associated with increases in costs of €7.4 and €1,327 per QALY gained (ICER)for men and women respectively from a healthcare perspective, significantly far from the published cost-effectiveness threshold. From a societal perspective, the combined programmed was dominant. Conclusions: Sending text messages is a cost-effective approach. These findings support the implantation of the combined program across primary care health centres.

show abstract

“…Fourth, due to the lack of valid data on incidence of smoking related diseases (SRD) for Spanish smoker population, data on incidence of SRD come from different countries, but at least, all data on Incidence come from European Community Countries. Despite these limitations, results from the present study come along with those reported by others: 0.3 LYG and 0.5 QALYs for former smokers (15), 0.069 QALYs for former smokers (51) and 0.10 QALYs for former smokers(52). These results are also consistent with previous economic assessments showing that smoking cessation interventions using mobile phones are cost saving(15,53) and cost effective(54).Interestingly, the program studied herein becomes more cost effective as we increase the age at initiation of the intervention, given that it increases the probability of developing a smoking-related disease and the benefit of smoking cessation is greater, as found byGuerriero et al (15) with larger savings the older the age of the study subgroup.…”

supporting

confidence: 83%

Cost-Effectiveness Analysis Of Text Messaging To Support Health Advice For Smoking Cessation

Cobos‐Campos¹,

Mar²,

Apiñaniz³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Smoking in one of the most serious public health problems. It is well known that it constitutes a major risk factor for chronic diseases and the leading cause of preventable death worldwide.Due to high prevalence of smokers, new cost-effective strategies seeking to increase smoking cessation rates are needed. Methods:We performed a cost-effectiveness analysis comparing two treatments: health advice provided by general practitioners and nurses in primary care, and health advice reinforced by sending motivational text messages to patients’ mobile phones. A Markov model was used in which patients transitioned between three mutually exclusive health states (smoker, former smoker and dead) after 6-month cycles. We calculated the cost-effectiveness ratio associated with the sending of motivational messages throughout a patient’s life. Health care and society perspectives (separately) was adopted. Costs taken into account were direct health care costs and direct health care cost and costsfor lost productivity, respectively.Additionally, deterministic sensitivity analysis was performed modifying the probability of smoking cessation with each option. Results:Sending of text messages as a tool to support health advice was found to be cost-effective as it was associated with increases in costs of €7.4 and €1,327 per QALY gained for men and women respectively from a healthcare perspective, significantly far from the published cost-effectiveness threshold. From a societal perspective, the combined programmed was dominant. Conclusions: Sending text messages is a cost-effective approach. These findings support the implantation of the combined program across primary care health centres.

show abstract

Cost-effectiveness analysis of smoking cessation interventions using cell phones in a low-income population

Abstract: NCT00948129; Results.

Cited by 19 publications

References 21 publications

Cost-effectiveness Analysis of Text Messaging to Support Health Advice for Smoking Cessation

Cost-effectiveness Analysis of Text Messaging to Support Health Advice for Smoking Cessation

Cost-Effectiveness Analysis Of Text Messaging To Support Health Advice For Smoking Cessation

Cost-Effectiveness Analysis Of Text Messaging To Support Health Advice For Smoking Cessation

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Cost-effectiveness analysis of smoking cessation interventions using cell phones in a low-income population

Abstract: NCT00948129; Results.

Cited by 19 publications

References 21 publications

Cost-effectiveness Analysis of Text Messaging to Support Health Advice for Smoking Cessation

Cost-effectiveness Analysis of Text Messaging to Support Health Advice for Smoking Cessation

Cost-Effectiveness Analysis Of Text Messaging To Support Health Advice For Smoking Cessation&nbsp;

Cost-Effectiveness Analysis Of Text Messaging To Support Health Advice For Smoking Cessation

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Cost-Effectiveness Analysis Of Text Messaging To Support Health Advice For Smoking Cessation