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Cost-effectiveness of internet-based cognitive behavior therapy for irritable bowel syndrome: results from a randomized controlled trial
Karolinska Institute.
Karolinska Institute.
Vrije University Amsterdam Med Centre.
Linköping University, Department of Behavioural Sciences and Learning. Linköping University, Faculty of Arts and Sciences.
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2011 (English)In: BMC PUBLIC HEALTH, ISSN 1471-2458, Vol. 11, no 215Article in journal (Refereed) Published
Abstract [en]

Background: Irritable Bowel Syndrome (IBS) is highly prevalent and is associated with a substantial economic burden. Cognitive behavior therapy (CBT) has been shown to be effective in treating IBS. The aim of this study was to evaluate the cost-effectiveness of a new treatment alternative, internet-delivered CBT based on exposure and mindfulness exercises. Methods: Participants (N = 85) with IBS were recruited through self-referral and were assessed via a telephone interview and self-report measures on the internet. Participants were randomized to internet-delivered CBT or to a discussion forum. Economic data was assessed at pre-, post- and at 3-month and 1 year follow-up. Results: Significant cost reductions were found for the treatment group at $16,806 per successfully treated case. The cost reductions were mainly driven by reduced work loss in the treatment group. Results were sustained at 3-month and 1 year follow-up. Conclusions: Internet-delivered CBT appears to generate health gains in IBS treatment and is associated with cost-savings from a societal perspective.

Place, publisher, year, edition, pages
BioMed Central , 2011. Vol. 11, no 215
Keyword [en]
Cognitive behavior therapy internet, IBS, cost-effectiveness analysis
National Category
Social Sciences
Identifiers
URN: urn:nbn:se:liu:diva-68181DOI: 10.1186/1471-2458-11-215ISI: 000289906800001OAI: oai:DiVA.org:liu-68181DiVA: diva2:416832
Note
Original Publication: Erik Andersson, Brjann Ljotsson, Filip Smit, Björn Paxling, Erik Hedman, Nils Lindefors, Gerhard Andersson and Christian Ruck, Cost-effectiveness of internet-based cognitive behavior therapy for irritable bowel syndrome: results from a randomized controlled trial, 2011, BMC PUBLIC HEALTH, (11), 215. http://dx.doi.org/10.1186/1471-2458-11-215 Licensee: BioMed Central http://www.biomedcentral.com/ Available from: 2011-05-13 Created: 2011-05-13 Last updated: 2014-11-28

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Paxling, BjörnAndersson, Gerhard
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