Dealing with missing behavioral endpoints in health promotion research by modeling cognitive parameters in cost-effectiveness analyses of behavioral interventions: a validation study

Autor: Prenger, R., Pieterse, M.E., Braakman-Jansen, L.M.A., Feenstra, T.L., Smit, E.S., Hoving, C., de Vries, H., van Ommeren, J.K., Evers, S.M.A.A., van der Palen, J.
Přispěvatelé: Persuasive Communication (ASCoR, FMG), Health promotion, RS: CAPHRI - R6 - Promoting Health & Personalised Care, Health Services Research, RS: CAPHRI - R2 - Creating Value-Based Health Care
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Health Economics, 25(1), 24-39. John Wiley and Sons Ltd
Health Economics, 25(1), 24-39. Wiley
ISSN: 1057-9230
Popis: Cost-effectiveness analyses (CEAs) of behavioral interventions typically use physical outcome criteria. However, any progress in cognitive antecedents of behavior change may be seen as a beneficial outcome of an intervention. The aim of this study is to explore the feasibility and validity of incorporating cognitive parameters of behavior change in CEAs. The CEA from a randomized controlled trial on smoking cessation was reanalyzed. First, relevant cognitive antecedents of behavior change in this dataset were identified. Then, transition probabilities between combined states of smoking and cognitions at 6 weeks and corresponding 6 months smoking status were obtained from the dataset. These rates were extrapolated to the period from 6 to 12 months in a decision analytic model. Simulated results were compared with the 12 months' observed cost-effectiveness results. Self-efficacy was the strongest time-varying predictor of smoking cessation. Twelve months' observed CEA results for the multiple tailoring intervention versus usual care showed (sic) 3188 had to be paid for each additional quitter versus (sic) 10,600 in the simulated model. The simulated CEA showed largely similar but somewhat more conservative results. Using self-efficacy to enhance the estimation of the true behavioral outcome seems a feasible and valid way to estimate future cost-effectiveness.
Databáze: OpenAIRE
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