Cost-utility of a visiting service for older widowed individuals: Randomised trial

Onrust, Simone; Smit, Filip; Willemse, Godelief; Bout, Jan van den; Cuijpers, Pim

doi:10.1186/1472-6963-8-128

Cited by 20 publications

(27 citation statements)

References 12 publications

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“…Net significant QALY gains of 0.011 in the intervention group ( p < 0.05)Health-care payer perspectiveIncremental cost per QALY gained of €17 174C: No invitation to participate24 monthsCUAThe incremental annual cost of the programme was €253 700 per 10 000 participants2004. Euros, €s(Onrust et al , 2008), NetherlandsI: Visiting service for older widow/ers bereaved for 6–9 months consisting of 10–12 home visits by a trained volunteer. Based on the Widow to Widow Programme138 widows/78 widowers; 110 in the intervention group; 106 in the control group; Mean age of participants 68.8 (range 50–92)RCTAnnual costs of intervention €553 per participant.Quality of life measured using EQ-5D.…”

Section: Resultsmentioning

confidence: 99%

Investing in mental health and well-being: findings from the DataPrev project

McDaid

Park

2011

Health Promotion International

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A systematic review was conducted to determine the extent to which an economic case has been made in high-income countries for investment in interventions to promote mental health and well-being. We focused on areas of interest to the DataPrev project: early years and parenting interventions, actions set in schools and workplaces and measures targeted at older people. Economic evaluations had to have some focus on promotion of mental health and well-being and/or primary prevention of poor mental health through health-related means. Studies preventing exacerbations in existing mental health problems were excluded, with the exception of support for parents with mental health problems, which might indirectly affect the mental health of their children. Overall 47 studies were identified. There was considerable variability in their quality, with a variety of outcome measures and different perspectives: societal, public purse, employer or health system used, making policy comparisons difficult. Caution must therefore be exercised in interpreting results, but the case for investment in parenting and health visitor-related programmes appears most strong, especially when impacts beyond the health sector are taken into account. In the workplace an economic return on investment in a number of comprehensive workplace health promotion programmes and stress management projects (largely in the USA) was reported, while group-based exercise and psychosocial interventions are of potential benefit to older people. Many gaps remain; a key first step would be to make more use of the existence evidence base on effectiveness and model mid- to long-term costs and benefits of action in different contexts and settings.

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Section: Resultsmentioning

confidence: 99%

Investing in mental health and well-being: findings from the DataPrev project

McDaid

Park

2011

Health Promotion International

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“…() identified a small short‐term effect on depression symptoms, which is also consistent with the finding of this study. However, previous studies with carers and those recently bereaved did not find befriending or social support reduced anxiety symptoms as this study found (Charlesworth et al ., ; Onrust, Smit, Willemse, van den Bout, & Cuijpers, ). It may be that for those with COPD, social support works differently than in other populations.…”

Section: Discussionmentioning

confidence: 99%

The impact of telephone‐delivered cognitive behaviour therapy and befriending on mood disorders in people with chronic obstructive pulmonary disease: A randomized controlled trial

Doyle

Bhar

Fearn

et al. 2017

British J Health Psychol

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Cognitive behaviour therapy reduced depression symptoms but not anxiety. Befriending reduced depression symptoms in the short term and anxiety symptoms in both the short term and long term. Further research is needed to demonstrate non-inferiority of telephone delivery compared with other formats, and to understand the impact of befriending which has the potential to be a cost-effective support for people with COPD. Statement of contribution What is already known on this subject? Depression and anxiety are common comorbidities in people with chronic obstructive pulmonary disease. Mood disorders are not commonly routinely treated in people with chronic obstructive pulmonary disease. Telephone-administered CBT has been shown to be as effective as face-to-face CBT in reducing depression and anxiety. What does this study add? Telephone-administered CBT can reduce depression symptoms in people with COPD. Telephone-administered befriending can reduce anxiety and depression symptoms in people with COPD. People with COPD who have mood disorders would prefer to have CBT than befriending.

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“…7 In another trial based on peer support among widows, the experimental group slightly improved against slightly higher costs. 15 Therefore, the service would be acceptable depending on the willingness to pay per QALY gained. Further research should help to distinguish which specific subgroups could benefit the most considering the diversity of interventions and contexts.…”

Section: Costsmentioning

confidence: 99%