Shared sorrow, shared costs: cost-effectiveness analysis of the empowerment group therapy approach to treat affective disorders in refugee populations
BackgroundRefugees and asylum seekers (RAS) in Germany need tailored and resource-oriented mental healthcare interventions.AimsTo evaluate the cost-effectiveness of group psychotherapy for RAS with moderate depressive symptoms.MethodThis is a post hoc cost-effectiveness analysis of Empowerment group...
Gespeichert in:
| Hauptverfasser: | , , , , , , , , , , , , , , , , , , , |
|---|---|
| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
2023
|
| In: |
BJPsych Open
Year: 2023, Jahrgang: 9, Heft: 4, Pages: 1-9 |
| ISSN: | 2056-4724 |
| DOI: | 10.1192/bjo.2023.504 |
| Online-Zugang: | Verlag, kostenfrei, Volltext: https://doi.org/10.1192/bjo.2023.504 Verlag, kostenfrei, Volltext: https://www.cambridge.org/core/journals/bjpsych-open/article/shared-sorrow-shared-costs-costeffectiveness-analysis-of-the-empowerment-group-therapy-approach-to-treat-affective-disorders-in-refugee-populations/82B3E7E405863F247E606A3A0650992C 
|
| Verfasserangaben: | Michael Strupf, Andreas Hoell, Malek Bajbouj, Kerem Böge, Maren Wiechers, Carine Karnouk, Inge Kamp-Becker, Tobias Banaschewski, Andreas Meyer-Lindenberg, Michael Rapp, Alkomiet Hasan, Peter Falkai, Ute Habel, Andreas Heinz, Paul Plener, Franziska Kaiser, Stefanie Weigold, Nassim Mehran, Aline Übleis and Frank Padberg |
MARC
| LEADER | 00000caa a2200000 c 4500 | ||
|---|---|---|---|
| 001 | 1856189740 | ||
| 003 | DE-627 | ||
| 005 | 20250113232354.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 230815s2023 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1192/bjo.2023.504 |2 doi | |
| 035 | |a (DE-627)1856189740 | ||
| 035 | |a (DE-599)KXP1856189740 | ||
| 035 | |a (OCoLC)1425213050 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 084 | |a 33 |2 sdnb | ||
| 100 | 1 | |a Strupf, Michael |d 1992- |e VerfasserIn |0 (DE-588)1275022812 |0 (DE-627)1826647228 |4 aut | |
| 245 | 1 | 0 | |a Shared sorrow, shared costs |b cost-effectiveness analysis of the empowerment group therapy approach to treat affective disorders in refugee populations |c Michael Strupf, Andreas Hoell, Malek Bajbouj, Kerem Böge, Maren Wiechers, Carine Karnouk, Inge Kamp-Becker, Tobias Banaschewski, Andreas Meyer-Lindenberg, Michael Rapp, Alkomiet Hasan, Peter Falkai, Ute Habel, Andreas Heinz, Paul Plener, Franziska Kaiser, Stefanie Weigold, Nassim Mehran, Aline Übleis and Frank Padberg |
| 264 | 1 | |c 2023 | |
| 300 | |a 9 | ||
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Online veröffentlicht: 22. Juni 2023 | ||
| 500 | |a Gesehen am 15.08.2023 | ||
| 520 | |a BackgroundRefugees and asylum seekers (RAS) in Germany need tailored and resource-oriented mental healthcare interventions.AimsTo evaluate the cost-effectiveness of group psychotherapy for RAS with moderate depressive symptoms.MethodThis is a post hoc cost-effectiveness analysis of Empowerment group psychotherapy that was embedded in a stratified stepped and collaborative care model (SCCM) from the multicentre randomised controlled MEHIRA trial. One hundred and forty-nine participants were randomly assigned to SCCM or treatment as usual (TAU) and underwent Empowerment (i.e. level 3 of the SCCM for adults) or TAU. Effects were measured with the nine-item Patient Health Questionnaire (PHQ-9) and quality adjusted life-years (QALY) post-intervention. Health service and intervention costs were measured. Incremental cost-effectiveness ratios (ICER) were estimated and net monetary benefit (NMB) regressions with 95% confidence intervals were performed. Cost-effectiveness was ascertained for different values of willingness to pay (WTP) using cost-effectiveness acceptability curves for probable scenarios. Trial registration number: NCT03109028 on ClinicalTrials.gov.ResultsHealth service use costs were significantly lower for Empowerment than TAU after 1 year. Intervention costs were on average €409.6. Empowerment led to a significant change in PHQ-9 scores but not QALY. Bootstrapped mean ICER indicated cost-effectiveness according to PHQ-9 and varied considerably for QALY in the base case. NMB for a unit reduction in PHQ-9 score at WTP of €0 was €354.3 (€978.5 to −€269.9). Results were confirmed for different scenarios and varying WTP thresholds.ConclusionsThe Empowerment intervention was cost-effective in refugees with moderate depressive symptoms regarding the clinical outcome and led to a reduction in direct healthcare consumption. Concerning QALYs, there was a lack of confidence that Empowerment differed from TAU. | ||
| 650 | 4 | |a affective disorders | |
| 650 | 4 | |a Cost-effectiveness | |
| 650 | 4 | |a cost-utility | |
| 650 | 4 | |a group therapy | |
| 650 | 4 | |a refugees | |
| 700 | 1 | |a Hoell, Andreas |d 1976- |e VerfasserIn |0 (DE-588)1180421035 |0 (DE-627)1067707670 |0 (DE-576)520160150 |4 aut | |
| 700 | 1 | |a Bajbouj, Malek |e VerfasserIn |4 aut | |
| 700 | 1 | |a Böge, Kerem |e VerfasserIn |4 aut | |
| 700 | 1 | |a Wiechers, Maren |e VerfasserIn |4 aut | |
| 700 | 1 | |a Karnouk, Carine |e VerfasserIn |4 aut | |
| 700 | 1 | |a Kamp-Becker, Inge |e VerfasserIn |4 aut | |
| 700 | 1 | |a Banaschewski, Tobias |d 1961- |e VerfasserIn |0 (DE-588)115856110 |0 (DE-627)507227301 |0 (DE-576)178364703 |4 aut | |
| 700 | 1 | |a Meyer-Lindenberg, Andreas |d 1965- |e VerfasserIn |0 (DE-588)1029137390 |0 (DE-627)732483069 |0 (DE-576)376589876 |4 aut | |
| 700 | 1 | |a Rapp, Michael |e VerfasserIn |4 aut | |
| 700 | 1 | |8 1\p |a Hasan, Alkomiet |d 1982- |e VerfasserIn |0 (DE-588)137655428 |0 (DE-627)594517168 |0 (DE-576)304519200 |4 aut | |
| 700 | 1 | |a Falkai, Peter |e VerfasserIn |4 aut | |
| 700 | 1 | |8 2\p |a Habel, Ute |d 1969- |e VerfasserIn |0 (DE-588)1085723720 |0 (DE-627)848998332 |0 (DE-576)457093668 |4 aut | |
| 700 | 1 | |a Heinz, Andreas |e VerfasserIn |4 aut | |
| 700 | 1 | |a Plener, Paul |e VerfasserIn |4 aut | |
| 700 | 1 | |a Kaiser, Franziska |e VerfasserIn |4 aut | |
| 700 | 1 | |a Weigold, Stefanie |e VerfasserIn |4 aut | |
| 700 | 1 | |a Mehran, Nassim |e VerfasserIn |4 aut | |
| 700 | 1 | |a Übleis, Aline |e VerfasserIn |4 aut | |
| 700 | 1 | |a Padberg, Frank |e VerfasserIn |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t BJPsych Open |d Cambridge : Cambridge University Press, 2015 |g 9(2023), 4, Artikel-ID e113, Seite 1-9 |h Online-Ressource |w (DE-627)832781878 |w (DE-600)2829557-2 |w (DE-576)442646631 |x 2056-4724 |7 nnas |a Shared sorrow, shared costs cost-effectiveness analysis of the empowerment group therapy approach to treat affective disorders in refugee populations |
| 773 | 1 | 8 | |g volume:9 |g year:2023 |g number:4 |g elocationid:e113 |g pages:1-9 |g extent:9 |a Shared sorrow, shared costs cost-effectiveness analysis of the empowerment group therapy approach to treat affective disorders in refugee populations |
| 856 | 4 | 0 | |u https://doi.org/10.1192/bjo.2023.504 |x Verlag |x Resolving-System |z kostenfrei |3 Volltext |
| 856 | 4 | 0 | |u https://www.cambridge.org/core/journals/bjpsych-open/article/shared-sorrow-shared-costs-costeffectiveness-analysis-of-the-empowerment-group-therapy-approach-to-treat-affective-disorders-in-refugee-populations/82B3E7E405863F247E606A3A0650992C |x Verlag |z kostenfrei |3 Volltext |
| 883 | |8 1\p |a cgwrk |d 20241001 |q DE-101 |u https://d-nb.info/provenance/plan#cgwrk | ||
| 883 | |8 2\p |a cgwrk |d 20241001 |q DE-101 |u https://d-nb.info/provenance/plan#cgwrk | ||
| 951 | |a AR | ||
| 992 | |a 20230815 | ||
| 993 | |a Article | ||
| 994 | |a 2023 | ||
| 998 | |g 1029137390 |a Meyer-Lindenberg, Andreas |m 1029137390:Meyer-Lindenberg, Andreas |d 60000 |e 60000PM1029137390 |k 0/60000/ |p 9 | ||
| 998 | |g 115856110 |a Banaschewski, Tobias |m 115856110:Banaschewski, Tobias |d 60000 |e 60000PB115856110 |k 0/60000/ |p 8 | ||
| 998 | |g 1180421035 |a Hoell, Andreas |m 1180421035:Hoell, Andreas |d 60000 |e 60000PH1180421035 |k 0/60000/ |p 2 | ||
| 999 | |a KXP-PPN1856189740 |e 4366259508 | ||
| BIB | |a Y | ||
| SER | |a journal | ||
| JSO | |a {"physDesc":[{"extent":"9 S."}],"recId":"1856189740","note":["Online veröffentlicht: 22. Juni 2023","Gesehen am 15.08.2023"],"language":["eng"],"type":{"media":"Online-Ressource","bibl":"article-journal"},"title":[{"title":"Shared sorrow, shared costs","title_sort":"Shared sorrow, shared costs","subtitle":"cost-effectiveness analysis of the empowerment group therapy approach to treat affective disorders in refugee populations"}],"person":[{"family":"Strupf","given":"Michael","role":"aut","display":"Strupf, Michael"},{"display":"Hoell, Andreas","family":"Hoell","role":"aut","given":"Andreas"},{"role":"aut","given":"Malek","family":"Bajbouj","display":"Bajbouj, Malek"},{"family":"Böge","given":"Kerem","role":"aut","display":"Böge, Kerem"},{"display":"Wiechers, Maren","given":"Maren","role":"aut","family":"Wiechers"},{"role":"aut","given":"Carine","family":"Karnouk","display":"Karnouk, Carine"},{"display":"Kamp-Becker, Inge","family":"Kamp-Becker","given":"Inge","role":"aut"},{"given":"Tobias","role":"aut","family":"Banaschewski","display":"Banaschewski, Tobias"},{"family":"Meyer-Lindenberg","role":"aut","given":"Andreas","display":"Meyer-Lindenberg, Andreas"},{"display":"Rapp, Michael","family":"Rapp","role":"aut","given":"Michael"},{"display":"Hasan, Alkomiet","given":"Alkomiet","role":"aut","family":"Hasan"},{"display":"Falkai, Peter","family":"Falkai","given":"Peter","role":"aut"},{"display":"Habel, Ute","given":"Ute","role":"aut","family":"Habel"},{"given":"Andreas","role":"aut","family":"Heinz","display":"Heinz, Andreas"},{"family":"Plener","given":"Paul","role":"aut","display":"Plener, Paul"},{"display":"Kaiser, Franziska","given":"Franziska","role":"aut","family":"Kaiser"},{"family":"Weigold","role":"aut","given":"Stefanie","display":"Weigold, Stefanie"},{"display":"Mehran, Nassim","family":"Mehran","given":"Nassim","role":"aut"},{"display":"Übleis, Aline","role":"aut","given":"Aline","family":"Übleis"},{"display":"Padberg, Frank","family":"Padberg","role":"aut","given":"Frank"}],"relHost":[{"physDesc":[{"extent":"Online-Ressource"}],"recId":"832781878","disp":"Shared sorrow, shared costs cost-effectiveness analysis of the empowerment group therapy approach to treat affective disorders in refugee populationsBJPsych Open","origin":[{"publisherPlace":"Cambridge ; London","dateIssuedKey":"2015","dateIssuedDisp":"2015-","publisher":"Cambridge University Press ; The Royal College of Psychiatrists"}],"note":["Gesehen am 22.04.2024"],"language":["eng"],"type":{"bibl":"periodical","media":"Online-Ressource"},"title":[{"title_sort":"BJPsych Open","title":"BJPsych Open"}],"pubHistory":["1.2015 -"],"titleAlt":[{"title":"British journal of psychiatry open"}],"name":{"displayForm":["Royal College of Psychiatrists"]},"part":{"volume":"9","year":"2023","text":"9(2023), 4, Artikel-ID e113, Seite 1-9","extent":"9","issue":"4","pages":"1-9"},"id":{"eki":["832781878"],"issn":["2056-4724"],"zdb":["2829557-2"]}}],"origin":[{"dateIssuedDisp":"2023","dateIssuedKey":"2023"}],"id":{"eki":["1856189740"],"doi":["10.1192/bjo.2023.504"]},"name":{"displayForm":["Michael Strupf, Andreas Hoell, Malek Bajbouj, Kerem Böge, Maren Wiechers, Carine Karnouk, Inge Kamp-Becker, Tobias Banaschewski, Andreas Meyer-Lindenberg, Michael Rapp, Alkomiet Hasan, Peter Falkai, Ute Habel, Andreas Heinz, Paul Plener, Franziska Kaiser, Stefanie Weigold, Nassim Mehran, Aline Übleis and Frank Padberg"]}} | ||
| SRT | |a STRUPFMICHSHAREDSORR2023 | ||