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Control of Eating Behavior Using a Novel Feedback System
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与等待名单相比,基于网络的指导自助认知行为治疗增强过度饮食障碍的经济评估:一个随机对照试验
Bernou Melisse1,2, Matthijs Blankers3,4,5, Elske van den Berg1
1Novarum Center for Eating Disorders & Obesity, Amstelveen, The Netherlands.
The International journal of eating disorders
|June 12, 2023
概括
辅导自助认知行为疗法增强 (CBT-E) 是对过度饮食障碍 (BED) 的一个具有成本效益的治疗方法. 这种方法减少了暴饮暴食,改善了生活质量,为患者带来了显著的好处.
科学领域:
- 卫生经济学 卫生经济学
- 精神病学是一个精神病学.
- 行为科学 行为科学
背景情况:
- 暴饮暴食障碍 (BED) 是一个重大的公共卫生问题.
- 认知行为疗法增强 (CBT-E) 是对BED的有效治疗方法.
- 经济评估对于评估医疗干预措施的价值至关重要.
研究的目的:
- 对BED进行指导自助CBT-E的经济评估.
- 为了比较引导自助CBT-E与等待名单控制的成本效益.
- 通过使用质量调整寿命年 (QALYs) 评估引导自助CBT-E的成本效益.
主要方法:
- 进行了一项随机对照试验,对212名BED患者进行了试验.
- 患者被随机分配到指导自助CBT-E或3个月的等待列表中.
- 使用社会成本,暴饮暴食事件和EuroQol-5D数据进行了成本效益和成本效益分析.
主要成果:
- 引导自助CBT-E产生了更高的社会成本 (679欧元),但防止了更多的暴饮暴食.
- 每次预防过度饮食事件的增量成本约为18欧元.
- 每个获得的QALY的增量成本为34,000欧元,这表明在35,000欧元的支付意愿值下,成本效益是可行的.
结论:
- 引导自助CBT-E可能是BED的成本效益高的短期治疗方法.
- 该干预表明,在低于NICE门的成本下,提高QALY的可能性为95%.
- 未来的研究应该在更长的时间内比较引导自助CBT-E与常规治疗.
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