Economic evaluation of a psychological intervention for high distress cancer patients and carers: costs and quality-adjusted life years
Article
Article Title | Economic evaluation of a psychological intervention for high distress cancer patients and carers: costs and quality-adjusted life years |
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ERA Journal ID | 6624 |
Article Category | Article |
Authors | Chatterton, Mary Lou (Author), Chambers, Suzanne (Author), Occhipinti, Stefano (Author), Girgis, Afaf (Author), Dunn, Jeffrey (Author), Carter, Rob (Author), Shih, Sophy (Author) and Mihalopoulos, Cathrine (Author) |
Journal Title | Psycho-Oncology: journal of the psychological, social and behavioral dimensions of cancer |
Journal Citation | 25 (7), pp. 857-864 |
Number of Pages | 8 |
Year | 2016 |
Publisher | John Wiley & Sons |
Place of Publication | United Kingdom |
ISSN | 1057-9249 |
1099-1611 | |
Digital Object Identifier (DOI) | https://doi.org/10.1002/pon.4020 |
Web Address (URL) | http://onlinelibrary.wiley.com/doi/10.1002/pon.4020/abstract |
Abstract | Objective: This study compared the cost-effectiveness of a psychologist-led, individualised cognitive behavioural intervention (PI) to a nurse-led, minimal contact self-management condition for highly distressed cancer patients and carers. Methods: This was an economic evaluation conducted alongside a randomised trial of highly distressed adult cancer patients and carers calling cancer helplines. Services used by participants were measured using a resource use questionnaire, and quality-adjusted life years were measured using the assessment of quality of life – eight-dimension – instrument collected through a computer-assisted telephone interview. The base case analysis stratified participants based on the baseline score on the Brief Symptom Inventory. Incremental cost-effectiveness ratio confidence intervals were calculated with a nonparametric bootstrap to reflect sampling uncertainty. The results were subjected to sensitivity analysis by varying unit costs for resource use and the method for handling missing data. Results: No significant differences were found in overall total costs or quality-adjusted life years (QALYs) between intervention groups. Bootstrapped data suggest the PI had a higher probability of lower cost and greater QALYs for both carers and patients with high distress at baseline. For patients with low levels of distress at baseline, the PI had a higher probability of greater QALYs but at additional cost. Sensitivity analysis showed the results were robust. Conclusions: The PI may be cost-effective compared with the nurse-led, minimal contact self-management condition for highly distressed cancer patients and carers. More intensive psychological intervention for patients with greater levels of distress appears warranted. |
Keywords | Cancer; Public Health, Social Medicine and Epidemiology; Psychiatry; Health Policy, Economics and Management; |
ANZSRC Field of Research 2020 | 321199. Oncology and carcinogenesis not elsewhere classified |
Public Notes | Files associated with this item cannot be displayed due to copyright restrictions. |
Byline Affiliations | Deakin University |
Griffith University | |
University of New South Wales | |
Institution of Origin | University of Southern Queensland |
https://research.usq.edu.au/item/q42v0/economic-evaluation-of-a-psychological-intervention-for-high-distress-cancer-patients-and-carers-costs-and-quality-adjusted-life-years
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