Video cognitive‐behavioral therapy for insomnia in cancer patients: A cost‐effective alternative

Autor: Hans Ivers, Guy Lacroix, Josée Savard, Charles M. Morin
Rok vydání: 2020
Předmět:
Zdroj: Psycho-Oncology. 30:44-51
ISSN: 1099-1611
1057-9249
DOI: 10.1002/pon.5532
Popis: OBJECTIVE Despite its high prevalence, cancer-related insomnia typically remains untreated because of a lack of access to cognitive-behavioral therapy for insomnia (CBT-I), the treatment of choice for this condition. While face-to-face CBT-I appears to be optimal in terms of efficacy, self-administered formats may be more cost-effective. The goal of this secondary analysis of a randomized clinical trial was to compare the cost-effectiveness of a professionally-based CBT-I (PCBT-I) to that of a video-based CBT-I (VCBT-I). METHODS A total of 161 women with breast cancer received six weekly, individual CBT-I sessions (PCBT-I; n = 81) or a 60-minutes animated video +6 short booklets (VCBT-I; n = 80). Participants completed the Insomnia Severity Index (ISI) and provided information to calculate treatment costs. RESULTS Total per patient treatment costs were 5.5 times greater for PCBT-I ($1298.90) than VCBT-I ($234.36; P
Databáze: OpenAIRE