Economic Evaluation of a Web-Based Guided Self-Help Intervention for Employees With Depressive Symptoms: Results of a Randomized Controlled Trial

OBJECTIVE:To evaluate the cost-effectiveness of a Web-based guided intervention compared with care as usual for employees with depressive symptoms. METHODS:A total of 231 employees with depressive symptoms were randomized. Data were collected at baseline, 8 weeks, 6 months, and 12 months. Analyses w...

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Bibliographic Details
Published in:Journal of occupational and environmental medicine 2015-06, Vol.57 (6), p.666-675
Main Authors: Geraedts, Anna S., van Dongen, Johanna M., Kleiboer, Annet M., Wiezer, Noortje M., van Mechelen, Willem, Cuijpers, Pim, Bosmans, Judith E.
Format: Article
Language:English
Subjects:
Adult
Clinical outcomes
Cognitive Therapy - methods
Comparative analysis
Cost analysis
Cost reduction
Cost-Benefit Analysis
Depression - economics
Depression - therapy
Employment - psychology
Humans
Internet
Mental depression
Middle Aged
Occupational Diseases - therapy
Original Article
Quality-Adjusted Life Years
Self Care
Self help
Willingness to pay
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Summary:OBJECTIVE:To evaluate the cost-effectiveness of a Web-based guided intervention compared with care as usual for employees with depressive symptoms. METHODS:A total of 231 employees with depressive symptoms were randomized. Data were collected at baseline, 8 weeks, 6 months, and 12 months. Analyses were conducted from the societal and employerʼs perspective. RESULTS:At 12 months, a significant intervention effect on depressive symptoms was found. At a willingness to pay of 0 ( /unit of effect), the interventionʼs probabilities of cost-effectiveness were 0.62 (societal perspective) and 0.55 (employerʼs perspective). There was a 0.63 probability that the intervention resulted in a positive financial return for the employer. CONCLUSIONS:The interventionʼs cost-effectiveness with regard to depressive symptoms depends on the willingness to pay of societal and company decision makers as well as the probability of cost-effectiveness that they consider acceptable. The intervention is not cost-saving to the employer.
ISSN:1076-2752
1536-5948
DOI:10.1097/JOM.0000000000000423