Title
Economic Evaluation of a Web-Based Guided Self-Help Intervention for Employees With Depressive Symptoms: Results of a Randomized Controlled Trial
Author
Geraedts, A.S.
van Dongen, J.M.
Kleiboer, A.M.
Wiezer, N.M.
van Mechelen, W.
Cuijpers, P.
Bosmans, J.E.
Publication year
2015
Abstract
Objective: To evaluate the cost-effectiveness of a Web-based guided intervention compared with care as usual for employees with depressive symptoms. Methods: A total of 231 employees with depressive symptoms were randomized. Data were collected at baseline, 8 weeks, 6 months, and 12 months. Analyses were conducted from the societal and employer's perspective. Results: At 12 months, a significant intervention effect on depressive symptoms was found. At a willingness to pay of 0 (€/unit of effect), the intervention's probabilities of cost-effectiveness were 0.62 (societal perspective) and 0.55 (employer's perspective). There was a 0.63 probability that the intervention resulted in a positive financial return for the employer. Conclusions: The intervention's cost-effectiveness with regard to depressive symptoms depends on the willingness to pay of societal and company decision makers as well as the probability of cost-effectiveness that they consider acceptable. The intervention is not cost-saving to the employer.
Subject
Life
WHC - Work, Health and Care
ELSS - Earth, Life and Social Sciences
Work and Employment
Workplace
Healthy Living
Employees
Intervention
Web based
Cost-effectiveness
Employer
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DOI
https://doi.org/10.1097/jom.0000000000000423
TNO identifier
527210
Source
Journal of Occupational and Environmental Medicine, 57 (6), 666-675
Document type
article