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Cost-effectiveness of internet-based cognitive–behavioural therapy and physical exercise for depression

  • Martin Kraepelien (a1), Simon Mattsson (a2), Erik Hedman-Lagerlöf (a3), Ingemar F. Petersson (a4), Yvonne Forsell (a5), Nils Lindefors (a1) and Viktor Kaldo (a6)...
Abstract
Background

Both internet-based cognitive–behavioural therapy (ICBT) and physical exercise are alternatives to treatment as usual (TAU) in managing mild to moderate depression in primary care.

Aims

To determine the cost-effectiveness of ICBT and physical exercise compared with TAU in primary care.

Method

Economic evaluation of a randomised controlled trial (N = 945) in Sweden. Costs were estimated by a service use questionnaire and used together with the effects on quality-adjusted life-years (QALYs). The primary 3-month healthcare provider perspective in primary care was complemented by a 1-year societal perspective.

Results

The primary analysis showed that incremental cost per QALY gain was €8817 for ICBT and €14 571 for physical exercise compared with TAU. At the established willingness-to-pay threshold of €21 536 (£20 000) per QALY, the probability of ICBT being cost-effective is 90%, and for physical exercise is 76%, compared with TAU.

Conclusions

From a primary care perspective, both ICBT and physical exercise for depression are likely to be cost-effective compared with TAU.

Declaration of interest

None.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Correspondence: Martin Kraepelien, M58 FoU Psychiatry Southwest, Karolinska Hospital, Huddinge 141 86, Stockholm, Sweden. Email: martin.kraepelien@ki.se
References
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Cost-effectiveness of internet-based cognitive–behavioural therapy and physical exercise for depression

  • Martin Kraepelien (a1), Simon Mattsson (a2), Erik Hedman-Lagerlöf (a3), Ingemar F. Petersson (a4), Yvonne Forsell (a5), Nils Lindefors (a1) and Viktor Kaldo (a6)...
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