Cost-effectiveness of blended vs. face-to-face cognitive behavioural therapy for severe anxiety disorders:study protocol of a randomized controlled trial

BACKGROUND: Anxiety disorders are among the most prevalent psychiatric conditions, and are associated with poor quality of life and substantial economic burden. Cognitive behavioural therapy is an effective treatment to reduce anxiety symptoms, but is also costly and labour intensive. Cost-effectiveness could possibly be improved by delivering cognitive behavioural therapy in a blended format, where face-to-face sessions are partially replaced by online sessions. The aim of this trial is to determine the cost-effectiveness of blended cognitive behavioural therapy for adults with anxiety disord... Mehr ...

Verfasser: Romijn, Geke
Riper, Heleen
Kok, Robin
Donker, Tara
Goorden, Maartje
van Roijen, Leona Hakkaart
Kooistra, Lisa
van Balkom, Anton
Koning, Jeroen
Dokumenttyp: Artikel
Erscheinungsdatum: 2015
Reihe/Periodikum: Romijn , G , Riper , H , Kok , R , Donker , T , Goorden , M , van Roijen , L H , Kooistra , L , van Balkom , A & Koning , J 2015 , ' Cost-effectiveness of blended vs. face-to-face cognitive behavioural therapy for severe anxiety disorders : study protocol of a randomized controlled trial ' , BMC Psychiatry , vol. 15 , 311 . https://doi.org/10.1186/s12888-015-0697-1
Schlagwörter: Adult / Anxiety Disorders / Cognitive Therapy / Cost-Benefit Analysis / Delivery of Health Care / Female / Humans / Interview / Psychological / Netherlands / Office Visits / Panic Disorder / Quality of Life / Quality-Adjusted Life Years / Treatment Outcome / Young Adult / Journal Article / Randomized Controlled Trial / Research Support / Non-U.S. Gov't / Specialized mental health care / Internet-based treatment / Social phobia / Blended CBT / Cognitive behavioural therapy / Generalized anxiety disorder / Panic disorders / Cost-effectiveness
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-29185699
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://portal.findresearcher.sdu.dk/da/publications/075a77d7-70bc-4c9f-94c3-fd215afd9f28

BACKGROUND: Anxiety disorders are among the most prevalent psychiatric conditions, and are associated with poor quality of life and substantial economic burden. Cognitive behavioural therapy is an effective treatment to reduce anxiety symptoms, but is also costly and labour intensive. Cost-effectiveness could possibly be improved by delivering cognitive behavioural therapy in a blended format, where face-to-face sessions are partially replaced by online sessions. The aim of this trial is to determine the cost-effectiveness of blended cognitive behavioural therapy for adults with anxiety disorders, i.e. panic disorder, social phobia or generalized anxiety disorder, in specialized mental health care settings compared to face-to-face cognitive behavioural therapy. In this paper, we present the study protocol. It is hypothesized that blended cognitive behavioural therapy for anxiety disorders is clinically as effective as face-to-face cognitive behavioural therapy, but that intervention costs may be reduced. We thus hypothesize that blended cognitive behavioural therapy is more cost-effective than face-to-face cognitive behavioural therapy. METHODS/DESIGN: In a randomised controlled equivalence trial 156 patients will be included (n = 78 in blended cognitive behavioural therapy, n = 78 in face-to-face cognitive behavioural therapy) based on a power of 0.80, calculated by using a formula to estimate the power of a cost-effectiveness analysis: [Formula: see text]. Measurements will take place at baseline, midway treatment (7 weeks), immediately after treatment (15 weeks) and 12-month follow-up. At baseline a diagnostic interview will be administered. Primary clinical outcomes are changes in anxiety symptom severity as measured with the Beck Anxiety Inventory. An incremental cost-effectiveness ratio will be calculated to obtain the costs per quality-adjusted life years (QALYs) measured by the EQ-5D (5-level version). Health-economic outcomes will be explored from a societal and health care perspective. DISCUSSION: This ...