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Cost-effectiveness of a transdiagnostic psychotherapy program for youth with common mental health problems

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@article{03582582e43742d397ef1e9cc9b1ef3f,
title = "Cost-effectiveness of a transdiagnostic psychotherapy program for youth with common mental health problems",
abstract = "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.",
keywords = "Adolescent, Adult, Child, Cost-Benefit Analysis, Humans, Mental Health, Parents, Psychotherapy, Quality of Life, Quality-Adjusted Life Years",
author = "Wolf, {Rasmus Trap} and Pia Jeppesen and Pedersen, {Mette Maria Agner} and Puggaard, {Louise Berg} and Mikael Thastum and Niels Bilenberg and Thomsen, {Per Hove} and Silverman, {Wendy K} and Plessen, {Kerstin Jessica} and Simon-Peter Neumer and Correll, {Christoph U} and Pagsberg, {Anne Katrine} and Dorte Gyrd-Hansen",
note = "{\textcopyright} 2022. The Author(s).",
year = "2022",
month = jun,
day = "24",
doi = "10.1186/s12913-022-08187-9",
language = "English",
volume = "22",
journal = "BMC Health Services Research",
issn = "1472-6963",
publisher = "BioMed Central Ltd",

}

RIS

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 - © 2022. The Author(s).

PY - 2022/6/24

Y1 - 2022/6/24

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 - Adolescent

KW - Adult

KW - Child

KW - Cost-Benefit Analysis

KW - Humans

KW - Mental Health

KW - Parents

KW - Psychotherapy

KW - Quality of Life

KW - Quality-Adjusted Life Years

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

VL - 22

JO - BMC Health Services Research

JF - BMC Health Services Research

SN - 1472-6963

M1 - 819

ER -

ID: 79048516