Cost effectiveness of dietary interventions for individuals with mental disorders : A scoping review of experimental studies

Journal article

Burrows, Tracy, Teasdale, Scott, Rocks, Tetyana, Whatnall, Megan, Schindlmayr, Julia, Plain, Janice, Roberton, Michelle, Latimer, Georgina, Harris, Deanne and Forsyth, Adrienne. (2022). Cost effectiveness of dietary interventions for individuals with mental disorders : A scoping review of experimental studies. Nutrition and Dietetics. 79(3), pp. 291-302. https://doi.org/10.1111/1747-0080.12703
AuthorsBurrows, Tracy, Teasdale, Scott, Rocks, Tetyana, Whatnall, Megan, Schindlmayr, Julia, Plain, Janice, Roberton, Michelle, Latimer, Georgina, Harris, Deanne and Forsyth, Adrienne
Abstract

Aim
This scoping review aimed to explore the extent of the evidence of experimental studies evaluating the cost effectiveness of dietary interventions in individuals with mental disorders.

Methods
Five databases (CINAHL, EMBASE, MEDLINE, PsycINFO and Scopus) were searched to October 2020 for cost-analysis studies of interventions aiming to improve dietary intake in people with mental disorders. No restriction was placed on participant age, mental disorder type or intervention design. Results are presented narratively.

Results
Of 2753 articles identified, 13 articles reporting on eight studies were included. Studies were RCTs (n = 5), cluster RCT (n = 1), cluster preference RCT (n = 1), and pre-post test (n = 1). Seven studies were in community settings (eg, outpatient clinics), and one study in the community housing setting. All studies were in adults, seven included male and female participants, and one included only females. Defined mental disorder diagnoses included serious/severe mental disorders (n = 3), major depression (n = 2), schizophrenia, schizoaffective disorder or first-episode psychosis (n = 1), any mental disorder (n = 1), and bulimia nervosa (n = 1). Five interventions were multi-behaviour, two were diet only and one was eating disorder treatment. Cost analyses included cost-utility (n = 3), cost-effectiveness (n = 1), cost-utility and cost-effectiveness (n = 3), and a costing study (n = 1). Two studies (25%) reported positive results in favour of cost effectiveness, and four studies reported a mix of positive and neutral results.

Conclusions
There is limited evidence evaluating the cost effectiveness of dietary interventions in individuals with mental disorders. Additional studies in various settings are needed to confirm cost effectiveness of different interventions.

Keywordscost effectiveness; diet intervention; dietary modification; mental health; scoping review
Year2022
JournalNutrition and Dietetics
Journal citation79 (3), pp. 291-302
PublisherWiley
ISSN1446-6368
Digital Object Identifier (DOI)https://doi.org/10.1111/1747-0080.12703
PubMed ID34510689
Scopus EID2-s2.0-85114694787
Page range291-302
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online12 Sep 2021
Publication process dates
Accepted17 Aug 2021
Deposited25 Feb 2022
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