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针对年轻成年人抑郁症状的基于互联网的心理健康干预:成本效益分析
Joyce H S You1, Scotty W C Luk2, Dilys Y W Chow1
1School of Pharmacy, Faculty of Medicine, The Chinese University of Hong Kong, 8th Floor, Lo Kwee-Seong Integrated Biomedical Sciences Building, Area 39, Shatin, N.T., Hong Kong SAR, China, 852-3943-6830, 852-2603-5295.
JMIR human factors
|December 15, 2025
概括
基于互联网的认知行为疗法 (CBT) 是对香港大学生轻度抑郁症状的经济有效治疗方法. 这种方法提供了更好的质量调整寿命年 (QALYs) 和较低的成本相比在人身治疗.
科学领域:
- 心理健康 心理健康
- 卫生经济学 卫生经济学
- 数字健康数字健康
背景情况:
- 基于互联网的认知行为疗法 (CBT) 为经历轻度抑郁症状的个人提供心理干预.
- 大学学生代表了一个关键的人口,经常面临轻度抑郁症状,需要可访问和有效的干预措施.
研究的目的:
- 评估基于互联网的指导性CBT与传统的面对面CBT的成本效益,用于轻度抑郁症状的大学生.
- 从香港服务提供商的角度分析这一成本效益.
主要方法:
- 采用5年的决策分析模型,将基于互联网的指导性CBT与面对面的CBT进行比较.
- 模型输入来源于已发表的文献和本地香港数据.
- 评估的关键结果包括直接的医疗费用,学业学率和质量调整寿命年 (QALYs),对所有参数进行敏感性分析.
主要成果:
- 基于互联网的CBT组表现出更高的QALY (0.0211),减少了放学率 (0.052%),与面对面的组相比,节省了249美元的成本.
- 敏感性分析始终显示基于互联网的CBT是所有参数变化的更具成本效益的选择.
- 概率敏感性分析表明,基于互联网的CBT在48,119美元/QALY的支付意愿门上具有99.7%的成本效益概率.
结论:
- 基于互联网的CBT为香港的大学生带有轻度抑郁症状提供了更具成本效益的干预措施.
- 这种数字健康方法在临床结果和服务提供商的经济效率方面提供了显著的优势.
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