Please use this identifier to cite or link to this item: http://hdl.handle.net/10668/2677
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dc.contributor.authorRomero-Sanchiz, Pablo-
dc.contributor.authorNogueira-Arjona, Raquel-
dc.contributor.authorGarcía-Ruiz, Antonio-
dc.contributor.authorLuciano, Juan V-
dc.contributor.authorGarcía Campayo, Javier-
dc.contributor.authorGili, Margalida-
dc.contributor.authorBotella, Cristina-
dc.contributor.authorBaños, Rosa-
dc.contributor.authorCastro, Adoración-
dc.contributor.authorLópez-Del-Hoyo, Yolanda-
dc.contributor.authorPérez Ara, Mª Ángeles-
dc.contributor.authorModrego-Alarcón, Marta-
dc.contributor.authorMayoral Cleríes, Fermín-
dc.date.accessioned2017-05-26T12:22:36Z-
dc.date.available2017-05-26T12:22:36Z-
dc.date.issued2017-02-
dc.identifier.citationRomero-Sanchiz P, Nogueira-Arjona R, García-Ruiz A, Luciano JV, García Campayo J, Gili M, et al. Economic evaluation of a guided and unguided internet-based CBT intervention for major depression: Results from a multi-center, three-armed randomized controlled trial conducted in primary care. PLoS ONE. 2017; 12(2): e0172741.es_ES
dc.identifier.issn1932-6203 (Online)es_ES
dc.identifier.otherPMC5328395es_ES
dc.identifier.urihttp://hdl.handle.net/10668/2677-
dc.descriptionTRIAL REGISTRATION: clinicaltrials.gov NCT01611818.es_ES
dc.description.abstractDepression is one of the most common mental disorders and will become one of the leading causes of disability in the world. Internet-based CBT programs for depression have been classified as "well established" following the American Psychological Association criteria for empirically supported treatments. The aim of this study is to analyze the cost effectiveness at 12-month follow-up of the Internet-based CBT program "Smiling is fun" with (LITG) and without psychotherapist support (TSG) compared to usual care. The perspective used in our analysis is societal. A sample of 296 depressed patients (mean age of 43.04 years; 76% female; BDI-II mean score = 22.37) from primary care services in four Spanish regions were randomized in the RCT. The complete case and intention-to-treat (ITT) perspectives were used for the analyses. The results demonstrated that both Internet-based CBT interventions exhibited cost utility and cost effectiveness compared with a control group. The complete case analyses revealed an incremental cost-effectiveness ratio (ICER) of €-169.50 and an incremental cost-utility ratio (ICUR) of €-11389.66 for the TSG group and an ICER of €-104.63 and an ICUR of €-6380.86 for the LITG group. The ITT analyses found an ICER of €-98.37 and an ICUR of €-5160.40 for the TSG group and an ICER of €-9.91 and an ICUR of €496.72 for the LITG group. In summary, the results of this study indicate that the two Internet-based CBT interventions are appropriate from both economic and clinical perspectives for depressed patients in the Spanish primary care system. These interventions not only help patients to improve clinically but also generate societal savings.es_ES
dc.description.sponsorshipThis study was financed by the Instituto de Salud Carlos III of the Spanish Ministry of Economy and Competitiveness with the PI10/ 01083 grant (Eficacia y coste-efectividad de un programa de psicoterapia asistida por ordenador para el tratamiento de la depresión mayor enatencio´n primaria: estudio controlado,randomizado y cualitativo). The project alsoreceived funding from the Network for Prevention and Health Promotion in primary Care (RD12/0005) and CIBER Physiopathology Obesity and Nutrition (CB06/03) grants from the Instituto deSalud Carlos III of the Ministry of Economy and Competitiveness (Spain). Both grants are cofundedby European Regional Development Fund/European Social Fund) "Investing in your future").es_ES
dc.language.isoenes_ES
dc.publisherPublic Libray of Sciencees_ES
dc.relation.ispartofPloS Onees_ES
dc.subjectAdultoes_ES
dc.subjectGrupos controles_ES
dc.subjectAnálisis costo-beneficioes_ES
dc.subjectDepresiónes_ES
dc.subjectTrastorno depresivoes_ES
dc.subjectFemeninoes_ES
dc.subjectEstudios de seguimientoes_ES
dc.subjectHispanoamericanoses_ES
dc.subjectHumanoses_ES
dc.subjectAnálisis de intención de tratares_ES
dc.subjectInternetes_ES
dc.subjectAtención primaria de saludes_ES
dc.subjectPsicoterapiaes_ES
dc.subjectSonrisaes_ES
dc.subjectSociedades científicases_ES
dc.subject.meshMedical Subject Headings::Persons::Persons::Age Groups::Adultes_ES
dc.subject.meshMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Methods::Research Design::Control Groupses_ES
dc.subject.meshMedical Subject Headings::Health Care::Health Care Economics and Organizations::Economics::Costs and Cost Analysis::Cost-Benefit Analysises_ES
dc.subject.meshMedical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Behavior::Behavioral Symptoms::Depressiones_ES
dc.subject.meshMedical Subject Headings::Psychiatry and Psychology::Mental Disorders::Mood Disorders::Depressive Disorderes_ES
dc.subject.meshMedical Subject Headings::Check Tags::Femalees_ES
dc.subject.meshMedical Subject Headings::Health Care::Health Care Quality, Access, and Evaluation::Quality of Health Care::Health Care Evaluation Mechanisms::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cohort Studies::Follow-Up Studieses_ES
dc.subject.meshMedical Subject Headings::Persons::Persons::Population Groups::Ethnic Groups::Hispanic Americanses_ES
dc.subject.meshMedical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humanses_ES
dc.subject.meshMedical Subject Headings::Health Care::Health Care Quality, Access, and Evaluation::Quality of Health Care::Health Care Evaluation Mechanisms::Epidemiologic Study Characteristics as Topic::Clinical Trials as Topic::Controlled Clinical Trials as Topic::Randomized Controlled Trials as Topic::Intention to Treat Analysises_ES
dc.subject.meshMedical Subject Headings::Information Science::Information Science::Computing Methodologies::Computer Systems::Computer Communication Networks::Internetes_ES
dc.subject.meshMedical Subject Headings::Health Care::Health Services Administration::Patient Care Management::Comprehensive Health Care::Primary Health Carees_ES
dc.subject.meshMedical Subject Headings::Psychiatry and Psychology::Behavioral Disciplines and Activities::Psychotherapyes_ES
dc.subject.meshMedical Subject Headings::Psychiatry and Psychology::Behavior and Behavior Mechanisms::Behavior::Communication::Nonverbal Communication::Facial Expression::Smilinges_ES
dc.subject.meshMedical Subject Headings::Health Care::Health Care Economics and Organizations::Organizations::Societies::Societies, Scientifices_ES
dc.titleEconomic evaluation of a guided and unguided internet-based CBT intervention for major depression: Results from a multi-center, three-armed randomized controlled trial conducted in primary care.es_ES
dc.typeinfo:eu-repo/semantics/articlees_ES
dc.description.versionYeses_ES
dc.identifier.pmid28241025es_ES
dc.rights.accessRightsAcceso abiertoes_ES
dc.identifier.doi10.1371/journal.pone.0172741es_ES
dc.type.versioninfo:eu-repo/semantics/publishedes_ES
dc.relation.publisherversionhttp://journals.plos.org/plosone/article?id=10.1371/journal.pone.0172741es_ES
dc.contributor.authoraffiliation[Romero-Sanchiz,P; Mayoral Cleríes,F] Mental Health Clinical Management Unit, Institute of Biomedical Research of Malaga (IBIMA), Regional University Hospital Carlos Haya, Malaga, Spain. [Nogueira-Arjona,R] Department of Personality, Assessment and Psychological Treatments, Faculty of Psychology, University of Malaga, Malaga, Spain. [García-Ruiz,A] Chair of Health Economics and Rational Drug Use. Department of Pharmacology and Pediatrics, Faculty of Medicine, University of Malaga, Malaga, Spain. [Luciano,JV] Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain. [Luciano,JV; García Campayo,J; Gili,M; Castro,A, López-Del-Hoyo,Y; Pérez Ara,MA; Mayoral Cleríes,F] Primary Care Prevention and Health Promotion Research Network, RedIAPP, Madrid, Spain. [García Campayo,J; López-Del-Hoyo,Y] Aragon Institute for Health Research (IIS Aragon), Zaragoza, Spain. [García Campayo,J] University Hospital Miguel Servet, Zaragoza, Spain. [Gili,M; Castro,A; Pérez Ara,MA] IUNICS-IDISPA, University of Balearic Islands, Palma de Mallorca, Spain. [ Botella,C] University Jaume I, Castellon de la Plana, Spain. [Botella,C; Baños,R] CIBER Physiopathology Obesity and Nutrition (CB06/03) Carlos III Health Institute, Madrid, Spain. [Baños,R] University of Valencia, Valencia, Spain. [López-Del-Hoyo,Y; Modrego-Alarcón,M] University of Zaragoza, Zaragoza, Spain. [Modrego-Alarcón,M] Foundation Institute of Health Research of Aragon (IIS Aragon), Zaragoza, Spain.es_ES
Appears in Collections:01- Artículos - Hospital Regional de Málaga
01- Artículos - IBIMA. Instituto de Investigación Biomédica de Málaga

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