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Cost-effectiveness of individual versus group female-specific cognitive behavioral therapy for alcohol use disorder
| Content Provider | Scilit |
|---|---|
| Author | Olmstead, Todd A. Graff, Fiona S. Ames-Sikora, Alyssa McCrady, Barbara S. Gaba, Ayorkor Epstein, Elizabeth E. |
| Copyright Year | 2019 |
| Description | Journal: Journal of Substance Abuse Treatment Objective To determine the relative cost-effectiveness of individual female-specific cognitive behavioral therapy (I-FS-CBT) versus group female-specific cognitive behavioral therapy (G-FS-CBT). Methods This cost-effectiveness study is based on a randomized controlled trial in which 155 women seeking treatment for alcohol use disorder at an academic outpatient clinic were randomized to 12 manual-guided sessions of I-FS-CBT (n = 75) or G-FS-CBT (n = 80). The primary patient outcomes were the number of drinking days and the number of heavy drinking days during the 12-week treatment and 1-year follow-up periods. All cost data (including resource utilizations) were collected prospectively alongside the trial. Incremental cost-effectiveness ratios and cost-effectiveness acceptability curves were used to determine the cost-effectiveness of I-FS-CBT relative to G-FS-CBT. Results are presented from the provider perspective. Results During the 12-week treatment period, G-FS-CBT is likely to be cost-effective when the threshold value to decision-makers of one fewer drinking day (or one fewer day of heavy drinking) is less than $141 (or $258), and I-FS-CBT is likely to be cost-effective if the threshold is greater than $141 (or $258). During the 1-year follow-up period, G-FS-CBT is likely to be cost-effective when the threshold value to decision-makers of one fewer drinking day (or one fewer day of heavy drinking) is less than $54 (or $169), and I-FS-CBT is likely to be cost-effective if the threshold is greater than $54 (or $169). The results are robust to sensitivity analyses on several key cost parameters. Conclusions Compared to I-FS-CBT, G-FS-CBT holds promise as a cost-effective approach, in both the short run and the long run, for improving drinking outcomes of women with alcohol use disorder. |
| Related Links | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6432929/pdf http://www.journalofsubstanceabusetreatment.com/article/S0740547218303131/pdf |
| Ending Page | 7 |
| Page Count | 7 |
| Starting Page | 1 |
| ISSN | 07405472 |
| e-ISSN | 18736483 |
| DOI | 10.1016/j.jsat.2019.02.001 |
| Journal | Journal of Substance Abuse Treatment |
| Volume Number | 100 |
| Language | English |
| Publisher | Elsevier BV |
| Publisher Date | 2019-02-07 |
| Access Restriction | Open |
| Subject Keyword | Journal: Journal of Substance Abuse Treatment Substance Abuse Cost Effectiveness Alcohol Use Disorder Female Specific Therapy Cognitive Behavioral Therapy |
| Content Type | Text |
| Resource Type | Article |
| Subject | Clinical Psychology Psychiatry and Mental Health |
