An economic evaluation of a video- and text-based computer-tailored intervention for smoking cessation: a cost-effectiveness and cost-utility analysis of a randomized controlled trial
| Autor: | Eline Suzanne Smit, Daniela N Schulz, Silvia M. A. A. Evers, Hein de Vries, Catherine Bolman, Jean W M Muris, N.E. Stanczyk |
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| Přispěvatelé: | Health promotion, Family Medicine, Health Services Research, RS: CAPHRI School for Public Health and Primary Care, RS: CAPHRI - Health Technology Assessment, RS: CAPHRI - Asthma and COPD, RS: CAPHRI - Health Promotion and Health Communication, RS-Research Program The Interaction between Implicit and Explicit Strategies for Behaviour (IIESB), Persuasive Communication (ASCoR, FMG) |
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Male
Economics Cost effectiveness Cost-Benefit Analysis medicine.medical_treatment Video Recording Psychological intervention Social Sciences lcsh:Medicine RELAPSE law.invention Database and Informatics Methods Randomized controlled trial Quality of life law QUALITY-OF-LIFE DEPENDENCE Outcome Assessment Health Care SUPPORT Medicine and Health Sciences PROGRAM Public and Occupational Health lcsh:Science Multidisciplinary Cost-effectiveness analysis Middle Aged Tailored Intervention INTENTION Health Education and Awareness Female HEALTH Behavioral and Social Aspects of Health Research Article SMOKERS medicine.medical_specialty Tobacco Control Cost-Effectiveness Analysis Health Informatics Research and Analysis Methods Health Economics Willingness to pay medicine Humans Health Care Quality Demography Text Messaging Health Care Policy Computers business.industry lcsh:R FAGERSTROM TEST Economic Analysis Health Care Physical therapy Smoking cessation Smoking Cessation lcsh:Q Preventive Medicine business Follow-Up Studies |
| Zdroj: | PLoS ONE, Vol 9, Iss 10, p e110117 (2014) PLOS ONE, 9(10):e110117. Public Library of Science PLOS ONE, 9(10):e110117, 1-14. Public Library of Science PLoS ONE Stanczyk, N E, Smit, E S, Schulz, D N, de Vries, H, Bolman, C, Muris, J W M & Evers, SMAA 2014, ' An Economic Evaluation of a Video-and Text-Based Computer-Tailored Intervention for Smoking Cessation: A Cost-Effectiveness and Cost-Utility Analysis of a Randomized Controlled Trial ', PLOS ONE, vol. 9, no. 10, e110117, pp. 1-14 . https://doi.org/10.1371/journal.pone.0110117 PLoS ONE, 9(10). Public Library of Science |
| ISSN: | 1932-6203 |
| DOI: | 10.1371/journal.pone.0110117 |
| Popis: | BACKGROUND: Although evidence exists for the effectiveness of web-based smoking cessation interventions, information about the cost-effectiveness of these interventions is limited. OBJECTIVE: The study investigated the cost-effectiveness and cost-utility of two web-based computer-tailored (CT) smoking cessation interventions (video- vs. text-based CT) compared to a control condition that received general text-based advice. METHODS: In a randomized controlled trial, respondents were allocated to the video-based condition (N = 670), the text-based condition (N = 708) or the control condition (N = 721). Societal costs, smoking status, and quality-adjusted life years (QALYs; EQ-5D-3L) were assessed at baseline, six-and twelve-month follow-up. The incremental costs per abstinent respondent and per QALYs gained were calculated. To account for uncertainty, bootstrapping techniques and sensitivity analyses were carried out. RESULTS: No significant differences were found in the three conditions regarding demographics, baseline values of outcomes and societal costs over the three months prior to baseline. Analyses using prolonged abstinence as outcome measure indicated that from a willingness to pay of €1,500, the video-based intervention was likely to be the most cost-effective treatment, whereas from a willingness to pay of €50,400, the text-based intervention was likely to be the most cost-effective. With regard to cost-utilities, when quality of life was used as outcome measure, the control condition had the highest probability of being the most preferable treatment. Sensitivity analyses yielded comparable results. CONCLUSION: The video-based CT smoking cessation intervention was the most cost-effective treatment for smoking abstinence after twelve months, varying the willingness to pay per abstinent respondent from €0 up to €80,000. With regard to cost-utility, the control condition seemed to be the most preferable treatment. Probably, more time will be required to assess changes in quality of life. Future studies with longer follow-up periods are needed to investigate whether cost-utility results regarding quality of life may change in the long run. TRIAL REGISTRATION: Nederlands Trial Register NTR3102. |
| Databáze: | OpenAIRE |
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