Cost-effectiveness of a transdiagnostic psychotherapy program for youth with common mental health problems
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Cost-effectiveness of a transdiagnostic psychotherapy program for youth with common mental health problems. / Wolf, Rasmus Trap; Jeppesen, Pia; Pedersen, Mette Maria Agner; Puggaard, Louise Berg; Thastum, Mikael; Bilenberg, Niels; Thomsen, Per Hove; Silverman, Wendy K.; Plessen, Kerstin Jessica; Neumer, Simon Peter; Correll, Christoph U.; Pagsberg, Anne Katrine; Gyrd-Hansen, Dorte.
I: BMC Health Services Research, Bind 22, 819, 2022.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Cost-effectiveness of a transdiagnostic psychotherapy program for youth with common mental health problems
AU - Wolf, Rasmus Trap
AU - Jeppesen, Pia
AU - Pedersen, Mette Maria Agner
AU - Puggaard, Louise Berg
AU - Thastum, Mikael
AU - Bilenberg, Niels
AU - Thomsen, Per Hove
AU - Silverman, Wendy K.
AU - Plessen, Kerstin Jessica
AU - Neumer, Simon Peter
AU - Correll, Christoph U.
AU - Pagsberg, Anne Katrine
AU - Gyrd-Hansen, Dorte
N1 - Publisher Copyright: © 2022, The Author(s).
PY - 2022
Y1 - 2022
N2 - Objectives: Our objective was to evaluate the cost-effectiveness of the transdiagnostic psychotherapy program Mind My Mind (MMM) for youth with common mental health problems using a cost-utility analysis (CUA) framework and data from a randomized controlled trial. Furthermore, we analyzed the impact of the choice of informant for both quality-of-life reporting and preference weights on the Incremental Cost-Effectiveness Ratio (ICER). Methods: A total of 396 school-aged (6–16 years) youth took part in the 6-month trial carried out in Denmark. CUAs were carried out for the trial period and four one-year extrapolation scenarios. Costs were based on a combination of budget and self-reported costs. Youths and parents were asked to report on the youth’s quality-of-life three times during the trial using the Child Health Utility 9D (CHU9D). Parental-reported CHU9D was used in the base case together with preference weights of a youth population. Analyses using self-reported CHU9D and preference weights of an adult population were also carried out. Results: The analysis of the trial period resulted in an ICER of €170,465. The analyses of the one-year scenarios resulted in ICERs between €23,653 and €50,480. The ICER increased by 24% and 71% compared to the base case when using self-reported CHU9D and adult preference weights, respectively. Conclusion: The MMM intervention has the potential to be cost-effective, but the ICER is dependent on the duration of the treatment effects. Results varied significantly with the choice of informant and the choice of preference weights indicating that both factors should be considered when assessing CUA involving youth.
AB - Objectives: Our objective was to evaluate the cost-effectiveness of the transdiagnostic psychotherapy program Mind My Mind (MMM) for youth with common mental health problems using a cost-utility analysis (CUA) framework and data from a randomized controlled trial. Furthermore, we analyzed the impact of the choice of informant for both quality-of-life reporting and preference weights on the Incremental Cost-Effectiveness Ratio (ICER). Methods: A total of 396 school-aged (6–16 years) youth took part in the 6-month trial carried out in Denmark. CUAs were carried out for the trial period and four one-year extrapolation scenarios. Costs were based on a combination of budget and self-reported costs. Youths and parents were asked to report on the youth’s quality-of-life three times during the trial using the Child Health Utility 9D (CHU9D). Parental-reported CHU9D was used in the base case together with preference weights of a youth population. Analyses using self-reported CHU9D and preference weights of an adult population were also carried out. Results: The analysis of the trial period resulted in an ICER of €170,465. The analyses of the one-year scenarios resulted in ICERs between €23,653 and €50,480. The ICER increased by 24% and 71% compared to the base case when using self-reported CHU9D and adult preference weights, respectively. Conclusion: The MMM intervention has the potential to be cost-effective, but the ICER is dependent on the duration of the treatment effects. Results varied significantly with the choice of informant and the choice of preference weights indicating that both factors should be considered when assessing CUA involving youth.
KW - Adolescents
KW - Anxiety
KW - Behavioral problems
KW - Children
KW - Cognitive behavioral intervention
KW - Cost-effectiveness
KW - Depression
KW - Informant
KW - Preference weights
KW - Transdiagnostic
UR - http://www.scopus.com/inward/record.url?scp=85132688902&partnerID=8YFLogxK
U2 - 10.1186/s12913-022-08187-9
DO - 10.1186/s12913-022-08187-9
M3 - Journal article
C2 - 35739556
AN - SCOPUS:85132688902
VL - 22
JO - BMC Health Services Research
JF - BMC Health Services Research
SN - 1472-6963
M1 - 819
ER -
ID: 321282794