Cost-utility analysis of telephone-based cognitive behavior therapy in chronic obstructive pulmonary disease (COPD) patients with anxiety and depression comorbidities: an application for willingness to accept concept
Journal article
Moayeri, Foruhar, Dunt, David, Hsueh, Ya-Seng Arthur and Doyle, Colleen. (2019). Cost-utility analysis of telephone-based cognitive behavior therapy in chronic obstructive pulmonary disease (COPD) patients with anxiety and depression comorbidities: an application for willingness to accept concept. Expert Review of Pharmacoeconomics and Outcomes Research: informing decision-making in the delivery of cost-effective healthcare. 19(3), pp. 331 - 340. https://doi.org/10.1080/14737167.2019.1536550
Authors | Moayeri, Foruhar, Dunt, David, Hsueh, Ya-Seng Arthur and Doyle, Colleen |
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Abstract | Background: This study evaluated the cost-utility of telephone-based cognitive behavioral therapy (TB-CBT) (experimental arm) in comparison with a placebo-befriending (control arm) program in COPD participants with mild to severe depression and/or anxiety. Methods: The decision rule was based on willingness-to-pay if there is an increased unit of effectiveness (a quality-adjusted life year [QALY] gain) and an increase in cost, and willingness-to-accept (WTA) if there is a reduced unit of effectiveness (a QALY loss) and decrease in cost (a cost-saving). Results: TB-CBT group was associated with a reduction in the incremental cost of AUS−$407.3 (p < 0.001, SE:34.1) plus a negative, nonsignificant incremental QALY gain of −0.008 (SE:0.011) per patient compared to control group. The point estimate of the mean incremental cost-utility ratio was AUS$50,284.0 cost saving per QALY sacrificed (the high value associated with small QALY value in the denominator). Ninety-five percent CI was AUS$13,426 cost sacrificed to AUS$32,018 cost gain (lower values associated with larger QALY values in the denominator). If the societal’s minimum (flooring threshold) WTA is AUS$64,000 per QALY forgone, the probability of TB-CBT being cost-effective was 42% Conclusions: This study showed that TB-CBT can be recommended as a cost-saving and preventive approach over usual care plus befriending program. |
Keywords | Economic evaluation; willingness to accept (WTA); utility; AQoL; chronic obstructive pulmonary disease (COPD); cognitive behavior therapy (CBT) |
Year | 2019 |
Journal | Expert Review of Pharmacoeconomics and Outcomes Research: informing decision-making in the delivery of cost-effective healthcare |
Journal citation | 19 (3), pp. 331 - 340 |
Publisher | Taylor & Francis |
ISSN | 1473-7167 |
Digital Object Identifier (DOI) | https://doi.org/10.1080/14737167.2019.1536550 |
Scopus EID | 2-s2.0-85055486967 |
Page range | 331 - 340 |
Research Group | School of Nursing, Midwifery and Paramedicine |
Publisher's version | File Access Level Controlled |
Place of publication | United Kingdom |
https://acuresearchbank.acu.edu.au/item/896w5/cost-utility-analysis-of-telephone-based-cognitive-behavior-therapy-in-chronic-obstructive-pulmonary-disease-copd-patients-with-anxiety-and-depression-comorbidities-an-application-for-willingness-to
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