基于互联网的大型抑郁症认知行为疗法的成本效益分析:随机对照试验
Wenjing Zhou1,2, Yan Chen3, Herui Wu1,2
1Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, China.
Journal of medical Internet research
|February 19, 2025
概括
无指导的基于互联网的认知行为疗法 (ICBT) 是对主要抑郁症 (MDD) 的成本有效的治疗方法,改善了患者的治疗结果,并在低资源环境中产生了社会节约. 这种可扩展的干预提供了显著的健康经济效益.
科学领域:
- 心理健康研究 心理健康研究
- 卫生经济学 卫生经济学
- 数字治疗学数字治疗学
背景情况:
- 大型抑郁症 (MDD) 是全球重要的健康负担.
- 基于互联网的认知行为疗法 (ICBT) 显示出对MDD治疗的希望.
- 在资源较少的环境中,无导向ICBT的成本效益仍未得到充分研究.
研究的目的:
- 评估非引导ICBT与MDD等候名单控制的短期和长期成本效益.
- 从社会和医疗保健系统的角度评估成本效益.
- 为可扩展的MDD干预提供健康经济证据.
主要方法:
- 一个为期8周的随机对照试验,在中国深进行了12个月的随访.
- 收集了有关直接医疗成本,间接成本和健康实用性的数据 (六维简单表格).
- 计算的增量成本效益比率 (ICUR) 和使用的成本效益平面/曲线.
主要成果:
- 244名患有MDD的参与者被随机分配到ICBT或等候名单对照组.
- 从社会和医疗保健的角度来看,ICBT组显示出更好的生活质量和成本效益.
- 调整后的ICUR显示出显著的成本效益,概率分别为75.93%和54.4%.
结论:
- 非指导性ICBT是一种成本效益高的MDD治疗方法.
- 干预导致临床改善和社会经济利益.
- 研究结果支持ICBT作为低收入和中等收入国家可扩展的MDD治疗方法.
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