Cost-effectiveness and budget impact of a lifestyle intervention to improve cardiometabolic health in patients with severe mental illness
Methods: Patients (n = 244) were randomized to receive either care-as-usual or a lifestyle intervention in which mental health nurses coached patients in changing their lifestyle by using a web tool. Costs and quality of life were assessed at baseline and at 6 and 12 months. Incremental costs per ce...
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| Format: | Article |
| Language: | English |
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AboutScience Srl
2020-12-01
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| Series: | Global & Regional Health Technology Assessment |
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| Online Access: | https://journals.aboutscience.eu/index.php/grhta/article/view/2027 |
| _version_ | 1818919304757772288 |
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| author | Anne Looijmans Frederike Jörg Richard Bruggeman Robert A. Schoevers Eva Corpeleijn Talitha L Feenstra Antoinette D.I. van Asselt |
| author_facet | Anne Looijmans Frederike Jörg Richard Bruggeman Robert A. Schoevers Eva Corpeleijn Talitha L Feenstra Antoinette D.I. van Asselt |
| author_sort | Anne Looijmans |
| collection | DOAJ |
| description | Methods: Patients (n = 244) were randomized to receive either care-as-usual or a lifestyle intervention in which mental health nurses coached patients in changing their lifestyle by using a web tool. Costs and quality of life were assessed at baseline and at 6 and 12 months. Incremental costs per centimeter waist circumference (WC) lost and per Quality-Adjusted Life Year (QALY) gained were assessed. Budget impact was estimated based on three intervention-uptake scenarios using a societal and a third-party payer perspective.
Results: Costs and reduction in WC were higher in the intervention (n = 114) than in the control (n = 94) group after 12 months, although not statistically significant, resulting in €1,370 per cm WC lost. QALYs did not differ between the groups, resulting in a low probability of the intervention being cost-effective in cost/QALY gained. The budget impact analysis showed that for a reasonable participation of 43%, total costs were around €81 million over 5 years, or on average €16 million annually (societal perspective).
Conclusions: The intervention is not cost-effective at 12 months and the budget impact over 5 years is substantial. Possibly, 12 months was too short to implement the intervention, improve cardiometabolic health, and reduce care costs. Therefore, the incentive for this intervention cannot be found in short-term financial advantages. However, there may be benefits associated with lifestyle interventions in the long term that remain unclear. |
| first_indexed | 2024-12-20T01:03:44Z |
| format | Article |
| id | doaj.art-886e26c5243549fda5033e56337fc204 |
| institution | Directory Open Access Journal |
| issn | 2284-2403 2283-5733 |
| language | English |
| last_indexed | 2024-12-20T01:03:44Z |
| publishDate | 2020-12-01 |
| publisher | AboutScience Srl |
| record_format | Article |
| series | Global & Regional Health Technology Assessment |
| spelling | doaj.art-886e26c5243549fda5033e56337fc2042022-12-21T19:58:55ZengAboutScience SrlGlobal & Regional Health Technology Assessment2284-24032283-57332020-12-017110.33393/grhta.2020.2027Cost-effectiveness and budget impact of a lifestyle intervention to improve cardiometabolic health in patients with severe mental illnessAnne Looijmans0Frederike Jörg1Richard Bruggeman2Robert A. Schoevers3Eva Corpeleijn4Talitha L Feenstra5Antoinette D.I. van Asselt6Department of Health Psychology, University Medical Center Groningen, University of Groningen, Groningen and Rob Giel Research Centre, University Medical Center Groningen, University of Groningen, Groningen - The NetherlandsRob Giel Research Centre, University Medical Center Groningen, University of Groningen, Groningen -and Research Department, Friesland Mental Health Services, Leeuwarden - The NetherlandsRob Giel Research Centre, University Medical Center Groningen, University of Groningen, Groningen and Department of Psychiatry, University Medical Center Groningen, University of Groningen, Groningen - The NetherlandsDepartment of Psychiatry, University Medical Center Groningen, University of Groningen, Groningen - The NetherlandsDepartment of Epidemiology, University Medical Center Groningen, University of Groningen, Groningen - The NetherlandsDepartment of Epidemiology, University Medical Center Groningen, University of Groningen, Groningen and National Institute for Public Health and the Environment (RIVM), Bilthoven - The NetherlandsDepartment of Epidemiology, University Medical Center Groningen, University of Groningen, Groningen and Department of Health Sciences, University Medical Center Groningen, University of Groningen, Groningen - The NetherlandsMethods: Patients (n = 244) were randomized to receive either care-as-usual or a lifestyle intervention in which mental health nurses coached patients in changing their lifestyle by using a web tool. Costs and quality of life were assessed at baseline and at 6 and 12 months. Incremental costs per centimeter waist circumference (WC) lost and per Quality-Adjusted Life Year (QALY) gained were assessed. Budget impact was estimated based on three intervention-uptake scenarios using a societal and a third-party payer perspective. Results: Costs and reduction in WC were higher in the intervention (n = 114) than in the control (n = 94) group after 12 months, although not statistically significant, resulting in €1,370 per cm WC lost. QALYs did not differ between the groups, resulting in a low probability of the intervention being cost-effective in cost/QALY gained. The budget impact analysis showed that for a reasonable participation of 43%, total costs were around €81 million over 5 years, or on average €16 million annually (societal perspective). Conclusions: The intervention is not cost-effective at 12 months and the budget impact over 5 years is substantial. Possibly, 12 months was too short to implement the intervention, improve cardiometabolic health, and reduce care costs. Therefore, the incentive for this intervention cannot be found in short-term financial advantages. However, there may be benefits associated with lifestyle interventions in the long term that remain unclear.https://journals.aboutscience.eu/index.php/grhta/article/view/2027Budget impact analysisCardiometabolic riskCost-effectivenessLifestyle interventionMental health careSevere mental illnesses |
| spellingShingle | Anne Looijmans Frederike Jörg Richard Bruggeman Robert A. Schoevers Eva Corpeleijn Talitha L Feenstra Antoinette D.I. van Asselt Cost-effectiveness and budget impact of a lifestyle intervention to improve cardiometabolic health in patients with severe mental illness Global & Regional Health Technology Assessment Budget impact analysis Cardiometabolic risk Cost-effectiveness Lifestyle intervention Mental health care Severe mental illnesses |
| title | Cost-effectiveness and budget impact of a lifestyle intervention to improve cardiometabolic health in patients with severe mental illness |
| title_full | Cost-effectiveness and budget impact of a lifestyle intervention to improve cardiometabolic health in patients with severe mental illness |
| title_fullStr | Cost-effectiveness and budget impact of a lifestyle intervention to improve cardiometabolic health in patients with severe mental illness |
| title_full_unstemmed | Cost-effectiveness and budget impact of a lifestyle intervention to improve cardiometabolic health in patients with severe mental illness |
| title_short | Cost-effectiveness and budget impact of a lifestyle intervention to improve cardiometabolic health in patients with severe mental illness |
| title_sort | cost effectiveness and budget impact of a lifestyle intervention to improve cardiometabolic health in patients with severe mental illness |
| topic | Budget impact analysis Cardiometabolic risk Cost-effectiveness Lifestyle intervention Mental health care Severe mental illnesses |
| url | https://journals.aboutscience.eu/index.php/grhta/article/view/2027 |
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