Cost-Effectiveness of Guided Self-Help Treatment for Recurrent Binge Eating

Autor/inn/en	Lynch, Frances L.; Striegel-Moore, Ruth H.; Dickerson, John F.; Perrin, Nancy; DeBar, Lynn; Wilson, G. Terence; Kraemer, Helena C.
Titel	Cost-Effectiveness of Guided Self-Help Treatment for Recurrent Binge Eating
Quelle	In: Journal of Consulting and Clinical Psychology, 78 (2010) 3, S.322-333 (12 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0022-006X
DOI	10.1037/a0018982
Schlagwörter	Intervention; Eating Disorders; Patients; Cost Effectiveness; Costs; Cognitive Restructuring; Behavior Modification; Outcomes of Treatment; Adults; Health Insurance; Self Management; Therapy + Suchen Sie Ihr Suchwort? Appetite disorder; Essstörung; Patient; Kosten-Nutzen-Analyse; Kosten-Nutzen-Denken; Cost; Kosten; Behaviour modification; Verhaltensänderung; Krankenversicherung; Selbstmanagement; Therapie
Abstract	Objective: Adoption of effective treatments for recurrent binge-eating disorders depends on the balance of costs and benefits. Using data from a recent randomized controlled trial, we conducted an incremental cost-effectiveness analysis (CEA) of a cognitive-behavioral therapy guided self-help intervention (CBT-GSH) to treat recurrent binge eating compared to treatment as usual (TAU). Method: Participants were 123 adult members of an HMO (mean age = 37.2 years, 91.9% female, 96.7% non-Hispanic White) who met criteria for eating disorders involving binge eating as measured by the Eating Disorder Examination (C. G. Fairburn & Z. Cooper, 1993). Participants were randomized either to treatment as usual (TAU) or to TAU plus CBT-GSH. The clinical outcomes were binge-free days and quality-adjusted life years (QALYs); total societal cost was estimated using costs to patients and the health plan and related costs. Results: Compared to those receiving TAU only, those who received TAU plus CBT-GSH experienced 25.2 more binge-free days and had lower total societal costs of $427 over 12 months following the intervention (incremental CEA ratio of -$20.23 per binge-free day or -$26,847 per QALY). Lower costs in the TAU plus CBT-GSH group were due to reduced use of TAU services in that group, resulting in lower net costs for the TAU plus CBT group despite the additional cost of CBT-GSH. Conclusions: Findings support CBT-GSH dissemination for recurrent binge-eating treatment. (Contains 2 tables and 2 figures.) (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10