基于暴露的成本效益和成本效益与纤维肌痛传统认知行为疗法:随机对照试验的结果
Maria Hedman-Lagerlöf1, Erik Hedman-Lagerlöf2, Monica Buhrman3
1Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Health Care Services, Stockholm, Region Stockholm, Sweden.
The journal of pain
|March 19, 2025
概括
与传统CBT (T-CBT) 相比,在线暴露疗法 (EXP-CBT) 可能是一个具有成本效益的纤维肌痛治疗方法. 虽然EXP-CBT显示成本效益,但两种在线疗法之间没有发现显著的成本或有效性差异.
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.
- 数字治疗学数字治疗学
背景情况:
- 纤维肌痛 (FM) 带来了相当大的经济负担.
- 有效和可访问的FM治疗方法是有限的,需要研究成本效益.
- 在线干预提供了更广泛的覆盖范围和降低成本的潜力.
研究的目的:
- 评估在线曝光疗法 (EXP-CBT) 与线上纤维肌痛传统认知行为疗法 (T-CBT) 的成本效益.
- 从社会和医疗保健的角度来比较治疗的有效性和成本.
- 为了确定EXP-CBT在不同支付意愿门中具有成本效益的概率.
主要方法:
- 来自随机对照试验 (n=274) 的数据的健康经济分析,比较FM的EXP-CBT和T-CBT.
- 在15个月的时间范围内进行评估,考虑直接和间接的 (社会) 成本和直接的医疗成本 (医疗保健).
- 引导净收益回归分析以评估各种支付意愿情景下的成本效益.
主要成果:
- 从社会角度来看,EXP-CBT的增量成本效益比率 (ICER) 为-16,884美元,表明成本效益.
- EXP-CBT在0美元的支付意愿门下显示了69%的成本效益概率.
- 成本效益分析也有利于EXP-CBT,在0美元的门下,成本效益的概率为69%;然而,在EXP-CBT和T-CBT之间没有观察到总体成本或效益的显著差异.
结论:
- 在线暴露疗法 (EXP-CBT) 可能是纤维肌痛在线传统CBT (T-CBT) 的经济有效替代方案.
- 尽管具有潜在的成本效益,但该研究没有发现EXP-CBT和T-CBT之间的成本或影响有明显的差异.
- 由于在评估的在线干预措施之间缺乏显著的成本或效果差异,因此应谨慎解释结果.
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