Cost-effectiveness of targeted feedback interventions after depression screening in primary care: health economic evaluation of the GET.FEEDBACK.GP trial
BackgroundDepression screening in primary care has been widely discussed, but its economic implications have remained largely unexplored. The GET.FEEDBACK.GP randomised controlled trial evaluated feedback interventions after depression screening in primary care. The study arms were (a) feedback prov...
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| Main Authors: | , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
2026
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| In: |
BJPsych Open
Year: 2026, Volume: 12, Issue: 2, Pages: 1-10 |
| ISSN: | 2056-4724 |
| DOI: | 10.1192/bjo.2025.10945 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1192/bjo.2025.10945 Verlag, lizenzpflichtig, Volltext: https://www.cambridge.org/core/journals/bjpsych-open/article/costeffectiveness-of-targeted-feedback-interventions-after-depression-screening-in-primary-care-health-economic-evaluation-of-the-getfeedbackgp-trial/3B0AAE9389CF5DA870E6C66E7A6C0C68 
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| Author Notes: | Léon G. Kreis, Hans-Helmut König, Sebastian Kohlmann, Bernd Löwe, Martin Scherer and Christian Brettschneider |
| Summary: | BackgroundDepression screening in primary care has been widely discussed, but its economic implications have remained largely unexplored. The GET.FEEDBACK.GP randomised controlled trial evaluated feedback interventions after depression screening in primary care. The study arms were (a) feedback provided to the general practitioner; (b) feedback to both the patient and the treating general practitioner; and (c) a control group without feedback. Analysis of clinical effectiveness revealed that feedback interventions were not associated with decreased depression severity. Their economic implications were the subject of this study.AimsTo evaluate the economic impact of general-practitioner- and patient-targeted feedback following depression screening for adults in German primary care.MethodA cost-effectiveness analysis from a societal perspective of feedback interventions after depression screening with a time horizon of 12 months was conducted. Direct and indirect costs were estimated. Quality-adjusted life years were calculated on the basis of the EQ-5D-5L, and incremental cost-effectiveness ratios and cost-effectiveness acceptability curves based on the net monetary benefit were constructed. Sensitivity analyses and post hoc explorative subpopulation analyses were performed. Trial registration: ClinicalTrials.gov, NCT03988985.ResultsIn total, 987 participants who screened positive for at least moderate depression were included. Feedback provision was not significantly associated with changes in costs or quality-adjusted life years during follow-up. Cost-effectiveness probabilities of feedback interventions were lower than 50% compared with no feedback. Higher cost-effectiveness probabilities were observed in patients whose suspected depression was confirmed 1 month post-screening and in those with previous depression.ConclusionsThe analysed feedback interventions cannot be considered to be cost-effective for the investigated population. Patient-targeted feedback was potentially cost-effective for subpopulations, particularly patients with a later confirmed depression diagnosis; this requires further research. |
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| Item Description: | Online veröffentlicht: 2. Februar 2026 Gesehen am 15.04.2026 |
| Physical Description: | Online Resource |
| ISSN: | 2056-4724 |
| DOI: | 10.1192/bjo.2025.10945 |