Web-based intervention for depressive symptoms in adults with types 1 and 2 diabetes mellitus: a health economic evaluation

Stephanie Nobis; David Daniel Ebert; Dirk Lehr; Filip Smit; Claudia Buntrock; Matthias Berking; Harald Baumeister; Frank Snoek; Burkhardt Funk; Heleen Riper

doi:10.1192/bjp.2018.10

Web-based intervention for depressive symptoms in adults with types 1 and 2 diabetes mellitus: a health economic evaluation

Stephanie Nobis
, David Daniel Ebert
, Dirk Lehr
, Filip Smit
, Claudia Buntrock
, Matthias Berking
, Harald Baumeister
, Frank Snoek
, Burkhardt Funk
, Heleen Riper

Professorship of Information Systems, in particular Data Science

Research output: Journal contributions › Journal articles › Research › peer-review

37 Citations (Scopus)

Abstract

Background: Web-based interventions are effective in reducing depression. However, the evidence for the cost-effectiveness of these interventions is scarce.
Aims: The aim is to assess the cost-effectiveness of a web-based intervention (GET.ON M.E.D.) for individuals with diabetes and comorbid depression compared with an active control group receiving web-based psychoeducation.
Method: We conducted a cost-effectiveness analysis with treatment response as the outcome and a cost-utility analysis with quality-adjusted life-years (QALYs) alongside a randomised controlled trial with 260 participants.
Results: At a willingness-to-pay ceiling of €5000 for a treatment response, the intervention has a 97% probability of being regarded as cost-effective compared with the active control group. If society is willing to pay €14 000 for an additional QALY, the intervention has a 51% probability of being cost-effective.
Conclusions: This web-based intervention for individuals with diabetes and comorbid depression demonstrated a high probability of being cost-effective compared with an active control group.

Original language	English
Journal	The British Journal of Psychiatry
Volume	212
Issue number	4
Pages (from-to)	199-206
Number of pages	8
ISSN	0007-1250
DOIs	https://doi.org/10.1192/bjp.2018.10
Publication status	Published - 04.2018

Bibliographical note

Publisher Copyright:
© The Royal College of Psychiatrists 2018.

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Research areas and keywords

Psychology

ASJC Scopus Subject Areas

Psychiatry and Mental health

Access to Document

10.1192/bjp.2018.10

Cite this

@article{1eef55315313407caa6273fac8e30aa8,

title = "Web-based intervention for depressive symptoms in adults with types 1 and 2 diabetes mellitus: a health economic evaluation",

abstract = "Background: Web-based interventions are effective in reducing depression. However, the evidence for the cost-effectiveness of these interventions is scarce. Aims: The aim is to assess the cost-effectiveness of a web-based intervention (GET.ON M.E.D.) for individuals with diabetes and comorbid depression compared with an active control group receiving web-based psychoeducation. Method: We conducted a cost-effectiveness analysis with treatment response as the outcome and a cost-utility analysis with quality-adjusted life-years (QALYs) alongside a randomised controlled trial with 260 participants. Results: At a willingness-to-pay ceiling of €5000 for a treatment response, the intervention has a 97\% probability of being regarded as cost-effective compared with the active control group. If society is willing to pay €14 000 for an additional QALY, the intervention has a 51\% probability of being cost-effective. Conclusions: This web-based intervention for individuals with diabetes and comorbid depression demonstrated a high probability of being cost-effective compared with an active control group.",

keywords = "Psychology",

author = "Stephanie Nobis and Ebert, \{David Daniel\} and Dirk Lehr and Filip Smit and Claudia Buntrock and Matthias Berking and Harald Baumeister and Frank Snoek and Burkhardt Funk and Heleen Riper",

note = "Publisher Copyright: {\textcopyright} The Royal College of Psychiatrists 2018.",

year = "2018",

month = apr,

doi = "10.1192/bjp.2018.10",

language = "English",

volume = "212",

pages = "199--206",

journal = "The British Journal of Psychiatry",

issn = "0007-1250",

publisher = "Cambridge University Press",

number = "4",

}

TY - JOUR

T1 - Web-based intervention for depressive symptoms in adults with types 1 and 2 diabetes mellitus

T2 - a health economic evaluation

AU - Nobis, Stephanie

AU - Ebert, David Daniel

AU - Lehr, Dirk

AU - Smit, Filip

AU - Buntrock, Claudia

AU - Berking, Matthias

AU - Baumeister, Harald

AU - Snoek, Frank

AU - Funk, Burkhardt

AU - Riper, Heleen

PY - 2018/4

Y1 - 2018/4

N2 - Background: Web-based interventions are effective in reducing depression. However, the evidence for the cost-effectiveness of these interventions is scarce. Aims: The aim is to assess the cost-effectiveness of a web-based intervention (GET.ON M.E.D.) for individuals with diabetes and comorbid depression compared with an active control group receiving web-based psychoeducation. Method: We conducted a cost-effectiveness analysis with treatment response as the outcome and a cost-utility analysis with quality-adjusted life-years (QALYs) alongside a randomised controlled trial with 260 participants. Results: At a willingness-to-pay ceiling of €5000 for a treatment response, the intervention has a 97% probability of being regarded as cost-effective compared with the active control group. If society is willing to pay €14 000 for an additional QALY, the intervention has a 51% probability of being cost-effective. Conclusions: This web-based intervention for individuals with diabetes and comorbid depression demonstrated a high probability of being cost-effective compared with an active control group.

AB - Background: Web-based interventions are effective in reducing depression. However, the evidence for the cost-effectiveness of these interventions is scarce. Aims: The aim is to assess the cost-effectiveness of a web-based intervention (GET.ON M.E.D.) for individuals with diabetes and comorbid depression compared with an active control group receiving web-based psychoeducation. Method: We conducted a cost-effectiveness analysis with treatment response as the outcome and a cost-utility analysis with quality-adjusted life-years (QALYs) alongside a randomised controlled trial with 260 participants. Results: At a willingness-to-pay ceiling of €5000 for a treatment response, the intervention has a 97% probability of being regarded as cost-effective compared with the active control group. If society is willing to pay €14 000 for an additional QALY, the intervention has a 51% probability of being cost-effective. Conclusions: This web-based intervention for individuals with diabetes and comorbid depression demonstrated a high probability of being cost-effective compared with an active control group.

KW - Psychology

UR - https://www.scopus.com/pages/publications/85044469169

UR - https://www.mendeley.com/catalogue/231366fd-246e-3b79-aad2-1a209e9f57cc/

U2 - 10.1192/bjp.2018.10

DO - 10.1192/bjp.2018.10

M3 - Journal articles

C2 - 30071909

SN - 0007-1250

VL - 212

SP - 199

EP - 206

JO - The British Journal of Psychiatry

JF - The British Journal of Psychiatry

IS - 4

ER -

Web-based intervention for depressive symptoms in adults with types 1 and 2 diabetes mellitus: a health economic evaluation

Abstract

Bibliographical note

UN SDGs

Research areas and keywords

ASJC Scopus Subject Areas

Access to Document

Fingerprint

Cite this