Cost effectiveness of internet interventions: review and recommendations

Deborah F Tate, Eric A Finkelstein, Olga Khavjou, Alison Gustafson, Deborah F Tate, Eric A Finkelstein, Olga Khavjou, Alison Gustafson

Abstract

Background: Internet interventions have a large potential for public health impact, and their efficacy has been established over the past 10-15 years. Cost effectiveness of Internet interventions is one of the most frequently cited reasons for developing such treatments.

Purpose: This paper provides a review of economic evaluations of Internet interventions with specific recommendations for future economic analyses of Internet interventions.

Methods: A review of PubMed from 1995 through 2008 was conducted.

Results: We identified eight studies that reported specific economic indicators associated with an Internet intervention, though many were lacking comprehensive analyses. Issues related to analysis perspective, included costs, type of analysis performed, and appropriate outcomes for Internet interventions are explored.

Conclusions: The lack of cost data published to date is likely a reflection of the early stage of research for many papers published during the review period. As the field now moves to effectiveness studies, it is important for cost-effectiveness data to be collected.

References

    1. Devineni T, Blanchard EB. A randomized controlled trial of an internet-based treatment for chronic headache. Behav Res Ther. 2005;43(3):277–292. doi: 10.1016/j.brat.2004.01.008.
    1. Drummond MF, Sculpher MJ, Torrance GW, O’Brien B, Stoddart GL, editors. Methods for the economic evaluation of health care programmes. 3. New York: Oxford University Press; 2005.
    1. Glasgow RE. eHealth evaluation and dissemination research. Am J Prev Med. 2007;32(5 Suppl):S119–126. doi: 10.1016/j.amepre.2007.01.023.
    1. Gold MR, Siegel JE, Russell LB, Weinstein MC, eds. Cost Effectiveness in Health and Medicine. New York: Oxford University Press; 1996.
    1. Griffiths F, Lindenmeyer A, Powell J, Lowe P, Thorogood M. Why are health care interventions delivered over the internet? A systematic review of the published literature. J Med Internet Res. 2006;8(2):e10. doi: 10.2196/jmir.8.2.e10.
    1. Grosse S. Assessing cost-effectiveness in healthcare: History of the $50, 000 per QALY threshold. Expert Rev Pharmacoecon Outcomes Res. 2008;8(2):165–178. doi: 10.1586/14737167.8.2.165.
    1. Haddix AC, Teutsch SM, Corso PA, eds. Prevention effectiveness: A guide to decision analysis and economic evaluation. 2nd Edition. London: Oxford University Press; 2003.
    1. Honeycutt A, Clayton L, Khavjou O, et al. Tools for communities: Methodological and measurement issues in prevention cost-effectiveness research: Guide to analyzing the cost-effectiveness of community prevention approaches. Prepared for the Office of the Assistance Secretary for Planning and Evaluation, U.S. Department of Health and Human Services. 2006. Available at . Availability verified August 11, 2009.
    1. Kaldo V, Levin S, Widarsson J, Buhrman M, Larsen HC, Andersson G. Internet versus group cognitive-behavioral treatment of distress associated with tinnitus: A randomized controlled trial. Behav Ther. 2008;39(4):348–359. doi: 10.1016/j.beth.2007.10.003.
    1. Kaltenthaler E, Brazier J, De Nigris E, et al. Computerised cognitive behaviour therapy for depression and anxiety update: A systematic review and economic evaluation. Health Technol Assess. 2006; 10(33): iii, xi–xiv, 1–168.
    1. McConnon A, Kirk SF, Cockroft JE, et al. The Internet for weight control in an obese sample: Results of a randomised controlled trial. BMC Health Serv Res. 2007;7:206. doi: 10.1186/1472-6963-7-206.
    1. Mihalopoulos C, Kiropoulos L, Shih ST, Gunn J, Blashki G, Meadows G. Exploratory economic analyses of two primary care mental health projects: Implications for sustainability. Med J Aust. 2005;183(10 Suppl):S73–76.
    1. Mills PR, Kessler RC, Cooper J, Sullivan S. Impact of a health promotion program on employee health risks and work productivity. Am J Health Promot. 2007;22(1):45–53.
    1. Murray E, Burns J, See TS, Lai R, Nazareth I. Interactive Health Communication Applications for people with chronic disease. Cochrane Database Syst Rev. 2005;4:CD004274.
    1. Runge C, Lecheler J, Horn M, Tews JT, Schaefer M. Outcomes of a Web-based patient education program for asthmatic children and adolescents. Chest. 2006;129(3):581–593. doi: 10.1378/chest.129.3.581.
    1. Russell LB, Gold MR, Siegel JE, Daniels N, Weinstein MC. The role of cost-effectiveness analysis in health and medicine. Panel on Cost-Effectiveness in Health and Medicine. JAMA. 1996;276(14):1172–1177. doi: 10.1001/jama.276.14.1172.
    1. Siegel JE, Weinstein MC, Russell LB, Gold MR. Recommendations for reporting cost-effectiveness analyses. Panel on Cost-Effectiveness in Health and Medicine. JAMA. 1996;276(16):1339–1341. doi: 10.1001/jama.276.16.1339.
    1. Southard BH, Southard DR, Nuckolls J. Clinical trial of an Internet-based case management system for secondary prevention of heart disease. J Cardiopulm Rehabil. 2003;23(5):341–348. doi: 10.1097/00008483-200309000-00003.
    1. Spek V, Cuijpers P, Nyklícek I, Riper H, Keyzer J, Pop V. Internet-based cognitive behaviour therapy for symptoms of depression and anxiety: A meta-analysis. Psychol Med. 2007;37(3):319–328. doi: 10.1017/S0033291706008944.
    1. Ström L, Pettersson R, Andersson G. A controlled trial of self-help treatment of recurrent headache conducted via the Internet. J Consult Clin Psychol. 2000;68(4):722–727. doi: 10.1037/0022-006X.68.4.722.
    1. Tate DF, Jackvony EH, Wing RR. A randomized trial comparing human e-mail counseling, computer-automated tailored counseling, and no counseling in an Internet weight loss program. Arch Intern Med. 2006;166(15):1620–1625. doi: 10.1001/archinte.166.15.1620.
    1. Wantland DJ, Portillo CJ, Holzemer WL, Slaughter R, McGhee EM. The effectiveness of Web-based vs. non-Web-based interventions: A meta-analysis of behavioral change outcomes. J Med Internet Res. 2004;6(4):e40. doi: 10.2196/jmir.6.4.e40.
    1. Weinstein MC, Siegel JE, Gold MR, Kamlet MS, Russell LB. Recommendations of the Panel on Cost-effectiveness in Health and Medicine. JAMA. 1996;276(15):1253–1258. doi: 10.1001/jama.276.15.1253.

Source: PubMed

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