Digital cognitive behavioural therapy for insomnia and primary care costs in England: an interrupted time series analysis
Background: Sleepio is an automated digital program that delivers digital cognitive behavioural therapy for insomnia (dCBT-I). Sleepio has been proven effective in improving sleep difficulties; however, evidence for the possible impact of Sleepio use on healthcare costs in the UK has not, to the aut...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Royal College of General Practitioners
2022-06-01
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| Series: | BJGP Open |
| Subjects: | |
| Online Access: | https://bjgpopen.org/content/6/2/BJGPO.2021.0146 |
| _version_ | 1818064220784164864 |
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| author | Chris Sampson Eleanor Bell Amanda Cole Christopher B Miller Tracey Marriott Matt Williams James Rose |
| author_facet | Chris Sampson Eleanor Bell Amanda Cole Christopher B Miller Tracey Marriott Matt Williams James Rose |
| author_sort | Chris Sampson |
| collection | DOAJ |
| description | Background: Sleepio is an automated digital program that delivers digital cognitive behavioural therapy for insomnia (dCBT-I). Sleepio has been proven effective in improving sleep difficulties; however, evidence for the possible impact of Sleepio use on healthcare costs in the UK has not, to the authors’ knowledge, previously been developed. Aim: To identify the effect of a population-wide rollout of Sleepio in terms of primary care costs in the NHS in England. Design & setting: The study was conducted in the Thames Valley region of England, where access to Sleepio was made freely available to all residents between October 2018 and January 2020. The study relies on a quasi-experimental design, using an interrupted time series (ITS) to compare the trend in primary care costs before and after the rollout of Sleepio. Method: Primary care data for people with relevant characteristics from nine general practices in Buckinghamshire was used. Primary care costs include general practice contacts and prescriptions. Segmented regression analysis was used to estimate primary and secondary outcomes. Results: For the 10 705 patients included in the sample, the total saving over the 65-week follow-up period was £71 027. This corresponds to £6.64 per person in the sample or around £70.44 per Sleepio user. Secondary analyses suggest that savings may be driven primarily by reductions in prescribing. Conclusion: Sleepio rollout reduced primary care costs. National adoption of Sleepio may reduce primary care costs by £20 million in the first year. The expected impact on primary care costs in any particular setting will depend on the uptake of Sleepio. |
| first_indexed | 2024-12-10T14:32:32Z |
| format | Article |
| id | doaj.art-0e7309362a014e3ca414a008985ecfb5 |
| institution | Directory Open Access Journal |
| issn | 2398-3795 |
| language | English |
| last_indexed | 2024-12-10T14:32:32Z |
| publishDate | 2022-06-01 |
| publisher | Royal College of General Practitioners |
| record_format | Article |
| series | BJGP Open |
| spelling | doaj.art-0e7309362a014e3ca414a008985ecfb52022-12-22T01:44:53ZengRoyal College of General PractitionersBJGP Open2398-37952022-06-016210.3399/BJGPO.2021.0146Digital cognitive behavioural therapy for insomnia and primary care costs in England: an interrupted time series analysisChris Sampson0Eleanor Bell1Amanda Cole2Christopher B Miller3Tracey Marriott4Matt Williams5James Rose6The Office of Health Economics, London, UKThe Office of Health Economics, London, UKThe Office of Health Economics, London, UKSleep and Circadian Neuroscience Institute, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UKOxford Academic Health Science Network, The Magdalen Centre, Oxford, UKOxford Academic Health Science Network, The Magdalen Centre, Oxford, UKOxford Academic Health Science Network, The Magdalen Centre, Oxford, UKBackground: Sleepio is an automated digital program that delivers digital cognitive behavioural therapy for insomnia (dCBT-I). Sleepio has been proven effective in improving sleep difficulties; however, evidence for the possible impact of Sleepio use on healthcare costs in the UK has not, to the authors’ knowledge, previously been developed. Aim: To identify the effect of a population-wide rollout of Sleepio in terms of primary care costs in the NHS in England. Design & setting: The study was conducted in the Thames Valley region of England, where access to Sleepio was made freely available to all residents between October 2018 and January 2020. The study relies on a quasi-experimental design, using an interrupted time series (ITS) to compare the trend in primary care costs before and after the rollout of Sleepio. Method: Primary care data for people with relevant characteristics from nine general practices in Buckinghamshire was used. Primary care costs include general practice contacts and prescriptions. Segmented regression analysis was used to estimate primary and secondary outcomes. Results: For the 10 705 patients included in the sample, the total saving over the 65-week follow-up period was £71 027. This corresponds to £6.64 per person in the sample or around £70.44 per Sleepio user. Secondary analyses suggest that savings may be driven primarily by reductions in prescribing. Conclusion: Sleepio rollout reduced primary care costs. National adoption of Sleepio may reduce primary care costs by £20 million in the first year. The expected impact on primary care costs in any particular setting will depend on the uptake of Sleepio.https://bjgpopen.org/content/6/2/BJGPO.2021.0146cognitive behavioural therapydigital technologyhealthcare costsinsomniainterrupted time series analysisprimary health care |
| spellingShingle | Chris Sampson Eleanor Bell Amanda Cole Christopher B Miller Tracey Marriott Matt Williams James Rose Digital cognitive behavioural therapy for insomnia and primary care costs in England: an interrupted time series analysis BJGP Open cognitive behavioural therapy digital technology healthcare costs insomnia interrupted time series analysis primary health care |
| title | Digital cognitive behavioural therapy for insomnia and primary care costs in England: an interrupted time series analysis |
| title_full | Digital cognitive behavioural therapy for insomnia and primary care costs in England: an interrupted time series analysis |
| title_fullStr | Digital cognitive behavioural therapy for insomnia and primary care costs in England: an interrupted time series analysis |
| title_full_unstemmed | Digital cognitive behavioural therapy for insomnia and primary care costs in England: an interrupted time series analysis |
| title_short | Digital cognitive behavioural therapy for insomnia and primary care costs in England: an interrupted time series analysis |
| title_sort | digital cognitive behavioural therapy for insomnia and primary care costs in england an interrupted time series analysis |
| topic | cognitive behavioural therapy digital technology healthcare costs insomnia interrupted time series analysis primary health care |
| url | https://bjgpopen.org/content/6/2/BJGPO.2021.0146 |
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