Cost-effectiveness of a transdiagnostic psychotherapy program for youth with common mental health problems
Permanent link
https://hdl.handle.net/10037/26491Date
2022-06-24Type
Journal articleTidsskriftartikkel
Peer reviewed
Author
Wolf, Rasmus; Jeppesen, Pia; Pedersen, Mette Maria Agner; Puggaard, Louise; Thastum, Mikael; Bielenberg, Niels; Thomsen, Per Hove; Silverman, Wendy K; Plessen, Kerstin Jessica; Neumer, Simon-Peter; Correll, Christoph U; Pagsberg, Anne Katrine; Gyrd-Hansen, DorteAbstract
Methods - A total of 396 school-aged (6–16 years) youth took part in the 6-month trial carried out in Denmark. CUAs were carried out for the trial period and four one-year extrapolation scenarios. Costs were based on a combination of budget and self-reported costs. Youths and parents were asked to report on the youth’s quality-of-life three times during the trial using the Child Health Utility 9D (CHU9D). Parental-reported CHU9D was used in the base case together with preference weights of a youth population. Analyses using self-reported CHU9D and preference weights of an adult population were also carried out.
Results - The analysis of the trial period resulted in an ICER of €170,465. The analyses of the one-year scenarios resulted in ICERs between €23,653 and €50,480. The ICER increased by 24% and 71% compared to the base case when using self-reported CHU9D and adult preference weights, respectively.
Conclusion - The MMM intervention has the potential to be cost-effective, but the ICER is dependent on the duration of the treatment effects. Results varied significantly with the choice of informant and the choice of preference weights indicating that both factors should be considered when assessing CUA involving youth.