title: Economic evaluation of audio based resilience training for depression in primary care.
abstract: BACKGROUND
  Although there is some evidence on the effectiveness and cost-effectiveness of computerised cognitive behavioural therapy (CCBT) for treating anxiety and depression in primary care, alternative low-cost psychosocial interventions have not been investigated.
  
  
  METHODS
  The cost-effectiveness of an audio based resilience training (Positive Mental Training, PosMT) was examined using a decision model. Patient level cost and effectiveness data from a trial comparing a CCBT treatment and usual care and effectiveness data from a study on PosMT were used to inform this.
  
  
  RESULTS
  Net benefits of CCBT and PosMT were approximately equal in individuals with 'moderate' depression at baseline and markedly in favour of PosMT for the 'severe' depression subgroup. With only four observations in the 'mild' depression category for PosMT, the existing evidence base remains unaltered.
  
  
  CONCLUSIONS
  Efficacy data for the PosMT arm was derived from a study using a partially randomised preference design and the model structure contains simplifications due to lack of data availability.
  
  
  CONCLUSIONS
  PosMT may represent good value for money in treatment of depression for certain groups of patients. More research in this area may be warranted.
authors.affiliation: Centre for the Economics of Mental and Physical Health, King's College London, UK.
authors.forename: Leonardo
authors.initials: L
authors.lastname: Koeser
authors.forename: Alastair
authors.initials: A
authors.lastname: Dobbin
authors.forename: Sheila
authors.initials: S
authors.lastname: Ross
authors.forename: Paul
authors.initials: P
authors.lastname: McCrone
mesh_terms: D001296:Audiovisual Aids; D015928:Cognitive Behavioral Therapy / Q000191:economics* / Q000379:methods; D003362:Cost-Benefit Analysis; D003863:Depression / Q000191:economics* / Q000628:therapy*; D003866:Depressive Disorder / Q000191:economics* / Q000628:therapy*; D006801:Humans; D011320:Primary Health Care / Q000191:economics; D055500:Resilience, Psychological