Cost utility of behavioural activation delivered by the non-specialist

TY - JOUR

T1 - Cost utility of behavioural activation delivered by the non-specialist

AU - Ekers, David

AU - Godfrey, Christine

AU - Gilbody, Simon

AU - Parrott, Steve

AU - Richards, David A

AU - Hammond, Danielle

AU - Hayes, Adele

PY - 2011/12

Y1 - 2011/12

N2 - Behavioural activation by non-specialists appears effective in the treatment of depression. We examined incremental cost-effectiveness of behavioural activation (n = 24) v. treatment as usual (n = 23) in a randomised controlled trial. Intention-to-treat analyses indicated a quality-adjusted life-year (QALY) difference in favour of behavioural activation of 0.20 (95% CI 0.01-0.39, P = 0.042), incremental cost-effectiveness ratio of £5756 per QALY and a 97% probability that behavioural activation is more cost-effective at a threshold value of £20 000. Results are promising for dissemination of behavioural activation but require replication in a larger study.

AB - Behavioural activation by non-specialists appears effective in the treatment of depression. We examined incremental cost-effectiveness of behavioural activation (n = 24) v. treatment as usual (n = 23) in a randomised controlled trial. Intention-to-treat analyses indicated a quality-adjusted life-year (QALY) difference in favour of behavioural activation of 0.20 (95% CI 0.01-0.39, P = 0.042), incremental cost-effectiveness ratio of £5756 per QALY and a 97% probability that behavioural activation is more cost-effective at a threshold value of £20 000. Results are promising for dissemination of behavioural activation but require replication in a larger study.

UR - http://www.scopus.com/inward/record.url?scp=83455233784&partnerID=8YFLogxK

U2 - 10.1192/bjp.bp.110.090266

DO - 10.1192/bjp.bp.110.090266

M3 - Article

C2 - 21947655

SN - 0007-1250

VL - 199

SP - 510

EP - 511

JO - The British journal of psychiatry

JF - The British journal of psychiatry

IS - 6

ER -