title: Cost utility of behavioural activation delivered by the non-specialist.
abstract: Behavioural activation by non-specialists appears effective in the treatment of depression. We examined incremental cost-effectiveness of behavioural activation (n = 24) v. treatment as usual (n = 23) in a randomised controlled trial. Intention-to-treat analyses indicated a quality-adjusted life-year (QALY) difference in favour of behavioural activation of 0.20 (95% CI 0.01-0.39, P = 0.042), incremental cost-effectiveness ratio of £5756 per QALY and a 97% probability that behavioural activation is more cost-effective at a threshold value of £20,000. Results are promising for dissemination of behavioural activation but require replication in a larger study.
authors.affiliation: Tees Esk and Wear Valleys NHS Foundation Trust/Mental Health Research Centre, Durham University, Durham, UK. david.ekers@tewv.nhs.uk
authors.forename: David
authors.initials: D
authors.lastname: Ekers
authors.forename: Christine
authors.initials: C
authors.lastname: Godfrey
authors.forename: Simon
authors.initials: S
authors.lastname: Gilbody
authors.forename: Steve
authors.initials: S
authors.lastname: Parrott
authors.forename: David A
authors.initials: DA
authors.lastname: Richards
authors.forename: Danielle
authors.initials: D
authors.lastname: Hammond
authors.forename: Adele
authors.initials: A
authors.lastname: Hayes
mesh_terms: D000328:Adult; D001521:Behavior Therapy / Q000191:economics* / Q000379:methods; D003362:Cost-Benefit Analysis; D003863:Depression / Q000451:nursing / Q000628:therapy*; D006801:Humans; D007318:Inservice Training / Q000191:economics; D057194:Intention to Treat Analysis; D011569:Psychiatric Status Rating Scales; D019057:Quality-Adjusted Life Years; D016896:Treatment Outcome