Background: Both internet-based cognitive-behavioural therapy (ICBT) and physical exercise are alternatives to treatment as usual (TAU) in managing mild to moderate depression in primary care.
Aims: To determine the cost-effectiveness of ICBT and physical exercise compared with TAU in primary care.
Method: Economic evaluation of a randomised controlled trial ( = 945) in Sweden. Costs were estimated by a service use questionnaire and used together with the effects on quality-adjusted life-years (QALYs). The primary 3-month healthcare provider perspective in primary care was complemented by a 1-year societal perspective.
Results: The primary analysis showed that incremental cost per QALY gain was €8817 for ICBT and €14 571 for physical exercise compared with TAU. At the established willingness-to-pay threshold of €21 536 (£20 000) per QALY, the probability of ICBT being cost-effective is 90%, and for physical exercise is 76%, compared with TAU.
Conclusions: From a primary care perspective, both ICBT and physical exercise for depression are likely to be cost-effective compared with TAU.
Declaration Of Interest: None.
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| http://dx.doi.org/10.1192/bjo.2018.38 | DOI Listing |
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