A health economic outcome evaluation of an internet-based mobile-supported stress management intervention for employees
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In: Scandinavian Journal of Work, Environment and Health, Vol. 44, No. 2, 02.2018, p. 171-182.
Research output: Journal contributions › Journal articles › Research › peer-review
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TY - JOUR
T1 - A health economic outcome evaluation of an internet-based mobile-supported stress management intervention for employees
AU - Ebert, David Daniel
AU - Kählke, Fanny
AU - Buntrock, Claudia
AU - Berking, Matthias
AU - Smit, Filip
AU - Heber, Elena
AU - Baumeister, Harald
AU - Funk, Burkhardt
AU - Riper, Heleen
AU - Lehr, Dirk
N1 - Publisher Copyright: © 2018, Nordic Association of Occupational Safety and Health. All rights reserved.
PY - 2018/2
Y1 - 2018/2
N2 - Objective This study aimed to estimate and evaluate the cost-effectiveness and cost-benefit of a guided internet-and mobile-supported occupational stress-management intervention (iSMI) for employees from the employer’s perspective alongside a randomized controlled trial. Methods A sample of 264 employees with elevated symptoms of perceived stress (Perceived Stress Scale, PSS-10 ≥22) was randomly assigned either to the iSMI or a waitlist control (WLC) group with unrestricted access to treatment as usual. The iSMI consisted of seven sessions of problem-solving and emotion-regulation techniques and one booster session. Self-report data on symptoms of perceived stress and economic data were assessed at baseline, and at six months following randomization. A cost-benefit analysis (CBA) and a cost-effectiveness analysis (CEA) with symptom-free status as the main outcome from the employer’s perspective was carried out. Statistical uncertainty was estimated using bootstrapping (N=5000). Results The CBA yielded a net-benefit of €181 [95% confidence interval (CI) -6043–1042] per participant within the first six months following randomization. CEA showed that at a willingness-to-pay ceiling of €0, €1000, €2000 for one additional symptom free employee yielded a 67%, 90%, and 98% probability, respectively, of the intervention being cost-effective compared to the WLC. Conclusion The iSMI was cost-effective when compared to WLC and even lead to cost savings within the first six months after randomization. Offering stress-management interventions can present good value for money in occupational healthcare.
AB - Objective This study aimed to estimate and evaluate the cost-effectiveness and cost-benefit of a guided internet-and mobile-supported occupational stress-management intervention (iSMI) for employees from the employer’s perspective alongside a randomized controlled trial. Methods A sample of 264 employees with elevated symptoms of perceived stress (Perceived Stress Scale, PSS-10 ≥22) was randomly assigned either to the iSMI or a waitlist control (WLC) group with unrestricted access to treatment as usual. The iSMI consisted of seven sessions of problem-solving and emotion-regulation techniques and one booster session. Self-report data on symptoms of perceived stress and economic data were assessed at baseline, and at six months following randomization. A cost-benefit analysis (CBA) and a cost-effectiveness analysis (CEA) with symptom-free status as the main outcome from the employer’s perspective was carried out. Statistical uncertainty was estimated using bootstrapping (N=5000). Results The CBA yielded a net-benefit of €181 [95% confidence interval (CI) -6043–1042] per participant within the first six months following randomization. CEA showed that at a willingness-to-pay ceiling of €0, €1000, €2000 for one additional symptom free employee yielded a 67%, 90%, and 98% probability, respectively, of the intervention being cost-effective compared to the WLC. Conclusion The iSMI was cost-effective when compared to WLC and even lead to cost savings within the first six months after randomization. Offering stress-management interventions can present good value for money in occupational healthcare.
KW - Sustainability Science
KW - CBT
KW - cost-benefit analysis
KW - cost-effectiveness analysis
KW - e-health
KW - economic evaluation
KW - internet-based intervention
KW - m-health
KW - randomized controlled trial
KW - RCT
KW - stress
KW - stress management
KW - stress management intervention
UR - http://www.scopus.com/inward/record.url?scp=85042179632&partnerID=8YFLogxK
U2 - 10.5271/sjweh.3691
DO - 10.5271/sjweh.3691
M3 - Journal articles
C2 - 29144535
VL - 44
SP - 171
EP - 182
JO - Scandinavian Journal of Work, Environment and Health
JF - Scandinavian Journal of Work, Environment and Health
SN - 0355-3140
IS - 2
ER -