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Strupf, Michael
[Author];
Hoell, Andreas
[Author];
Bajbouj, Malek
[Author];
Böge, Kerem
[Author];
Wiechers, Maren
[Author];
Karnouk, Carine
[Author];
Kamp-Becker, Inge
[Author];
Banaschewski, Tobias
[Author];
Meyer-Lindenberg, Andreas
[Author];
Rapp, Michael
[Author];
Hasan, Alkomiet
[Author];
Falkai, Peter
[Author];
Habel, Ute
[Author];
Heinz, Andreas
[Author];
Plener, Paul
[Author];
Kaiser, Franziska
[Author];
Weigold, Stefanie
[Author];
Mehran, Nassim
[Author];
Übleis, Aline
[Author];
Padberg, Frank
[Author]
Shared sorrow, shared costs
: cost-effectiveness analysis of the empowerment group therapy approach to treat affective disorders in refugee populations
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- Media type: E-Article
- Title: Shared sorrow, shared costs : cost-effectiveness analysis of the empowerment group therapy approach to treat affective disorders in refugee populations
- Contributor: Strupf, Michael [VerfasserIn]; Hoell, Andreas [VerfasserIn]; Bajbouj, Malek [VerfasserIn]; Böge, Kerem [VerfasserIn]; Wiechers, Maren [VerfasserIn]; Karnouk, Carine [VerfasserIn]; Kamp-Becker, Inge [VerfasserIn]; Banaschewski, Tobias [VerfasserIn]; Meyer-Lindenberg, Andreas [VerfasserIn]; Rapp, Michael [VerfasserIn]; Hasan, Alkomiet [VerfasserIn]; Falkai, Peter [VerfasserIn]; Habel, Ute [VerfasserIn]; Heinz, Andreas [VerfasserIn]; Plener, Paul [VerfasserIn]; Kaiser, Franziska [VerfasserIn]; Weigold, Stefanie [VerfasserIn]; Mehran, Nassim [VerfasserIn]; Übleis, Aline [VerfasserIn]; Padberg, Frank [VerfasserIn]
- imprint: 2023
- Published in: BJPsych Open ; 9(2023), 4, Artikel-ID e113, Seite 1-9
- Language: English
- DOI: 10.1192/bjo.2023.504
- ISSN: 2056-4724
- Identifier:
- Keywords: affective disorders ; Cost-effectiveness ; cost-utility ; group therapy ; refugees
- Origination:
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Footnote:
Online veröffentlicht: 22. Juni 2023
- Description: BackgroundRefugees and asylum seekers (RAS) in Germany need tailored and resource-oriented mental healthcare interventions.AimsTo evaluate the cost-effectiveness of group psychotherapy for RAS with moderate depressive symptoms.MethodThis is a post hoc cost-effectiveness analysis of Empowerment group psychotherapy that was embedded in a stratified stepped and collaborative care model (SCCM) from the multicentre randomised controlled MEHIRA trial. One hundred and forty-nine participants were randomly assigned to SCCM or treatment as usual (TAU) and underwent Empowerment (i.e. level 3 of the SCCM for adults) or TAU. Effects were measured with the nine-item Patient Health Questionnaire (PHQ-9) and quality adjusted life-years (QALY) post-intervention. Health service and intervention costs were measured. Incremental cost-effectiveness ratios (ICER) were estimated and net monetary benefit (NMB) regressions with 95% confidence intervals were performed. Cost-effectiveness was ascertained for different values of willingness to pay (WTP) using cost-effectiveness acceptability curves for probable scenarios. Trial registration number: NCT03109028 on ClinicalTrials.gov.ResultsHealth service use costs were significantly lower for Empowerment than TAU after 1 year. Intervention costs were on average €409.6. Empowerment led to a significant change in PHQ-9 scores but not QALY. Bootstrapped mean ICER indicated cost-effectiveness according to PHQ-9 and varied considerably for QALY in the base case. NMB for a unit reduction in PHQ-9 score at WTP of €0 was €354.3 (€978.5 to −€269.9). Results were confirmed for different scenarios and varying WTP thresholds.ConclusionsThe Empowerment intervention was cost-effective in refugees with moderate depressive symptoms regarding the clinical outcome and led to a reduction in direct healthcare consumption. Concerning QALYs, there was a lack of confidence that Empowerment differed from TAU.
- Access State: Open Access