Internet-Based Cognitive Behavioral Therapy for Insomnia: A Health Economic Evaluation

Research output: Journal contributionsJournal articlesResearchpeer-review

Standard

Internet-Based Cognitive Behavioral Therapy for Insomnia: A Health Economic Evaluation. / Thiart, Hanne; Ebert, David Daniel; Lehr, Dirk et al.
In: Sleep, Vol. 39, No. 10, 01.10.2016, p. 1769-1778.

Research output: Journal contributionsJournal articlesResearchpeer-review

Harvard

APA

Vancouver

Thiart H, Ebert DD, Lehr D, Nobis S, Buntrock C, Berking M et al. Internet-Based Cognitive Behavioral Therapy for Insomnia: A Health Economic Evaluation. Sleep. 2016 Oct 1;39(10):1769-1778. doi: 10.5665/sleep.6152

Bibtex

@article{a8b43f03fe664e58bbf2a762edc34f39,
title = "Internet-Based Cognitive Behavioral Therapy for Insomnia: A Health Economic Evaluation",
abstract = "Study Objectives: Lost productivity caused by insomnia is a common and costly problem for employers. Although evidence for the efficacy of Internet-based cognitive behavioral therapy for insomnia (iCBT-I) already exists, little is known about its economic effects. This study aims to evaluate the cost-effectiveness and cost-benefit of providing iCBT-I to symptomatic employees from the employer's perspective. Methods: School teachers (N = 128) with clinically significant insomnia symptoms and work-related rumination were randomized to guided iCBT-I or a waitlist-control-group, both with access to treatment as usual. Economic data were collected at baseline and 6-mo follow-up. We conducted (1) a costeffectiveness analysis with treatment response (Reliable Change [decline of 5.01 points] and Insomnia Severity Index < 8 at 6-month follow-up) as the outcome and (2) a cost-benefit analysis. Because both analyses were performed from the employer's perspective, we focused specifically on absenteeism and presenteeism costs. Statistical uncertainty was estimated using bootstrapping. Results: Assuming intervention costs of €200 ($245), cost-effectiveness analyses showed that at a willingness-to-pay of €0 for each positive treatment response, there is an 87% probability that the intervention is more cost effective than treatment as usual alone. Cost-benefit analyses led to a net benefit of €418 (95% confidence interval: -593.03 to 1,488.70) ($512) per participant and a return on investment of 208% (95% confidence interval: -296.52 to 744.35). The reduction in costs was mainly driven by the effects of the intervention on presenteeism and to a lesser degree by reduced absenteeism. Conclusions: Focusing on sleep improvement using iCBT-I may be a cost-effective strategy in occupational health care.",
keywords = "Psychology, cost-benefit, cost-effectiveness, employer perspective, insomnia, randomized controlled trial, self-help, Internet, Business psychology, Digital media",
author = "Hanne Thiart and Ebert, {David Daniel} and Dirk Lehr and Stephanie Nobis and Claudia Buntrock and Matthias Berking and Filip Smit and Heleen Riper",
year = "2016",
month = oct,
day = "1",
doi = "10.5665/sleep.6152",
language = "English",
volume = "39",
pages = "1769--1778",
journal = "Sleep",
issn = "0161-8105",
publisher = "Oxford University Press",
number = "10",

}

RIS

TY - JOUR

T1 - Internet-Based Cognitive Behavioral Therapy for Insomnia

T2 - A Health Economic Evaluation

AU - Thiart, Hanne

AU - Ebert, David Daniel

AU - Lehr, Dirk

AU - Nobis, Stephanie

AU - Buntrock, Claudia

AU - Berking, Matthias

AU - Smit, Filip

AU - Riper, Heleen

PY - 2016/10/1

Y1 - 2016/10/1

N2 - Study Objectives: Lost productivity caused by insomnia is a common and costly problem for employers. Although evidence for the efficacy of Internet-based cognitive behavioral therapy for insomnia (iCBT-I) already exists, little is known about its economic effects. This study aims to evaluate the cost-effectiveness and cost-benefit of providing iCBT-I to symptomatic employees from the employer's perspective. Methods: School teachers (N = 128) with clinically significant insomnia symptoms and work-related rumination were randomized to guided iCBT-I or a waitlist-control-group, both with access to treatment as usual. Economic data were collected at baseline and 6-mo follow-up. We conducted (1) a costeffectiveness analysis with treatment response (Reliable Change [decline of 5.01 points] and Insomnia Severity Index < 8 at 6-month follow-up) as the outcome and (2) a cost-benefit analysis. Because both analyses were performed from the employer's perspective, we focused specifically on absenteeism and presenteeism costs. Statistical uncertainty was estimated using bootstrapping. Results: Assuming intervention costs of €200 ($245), cost-effectiveness analyses showed that at a willingness-to-pay of €0 for each positive treatment response, there is an 87% probability that the intervention is more cost effective than treatment as usual alone. Cost-benefit analyses led to a net benefit of €418 (95% confidence interval: -593.03 to 1,488.70) ($512) per participant and a return on investment of 208% (95% confidence interval: -296.52 to 744.35). The reduction in costs was mainly driven by the effects of the intervention on presenteeism and to a lesser degree by reduced absenteeism. Conclusions: Focusing on sleep improvement using iCBT-I may be a cost-effective strategy in occupational health care.

AB - Study Objectives: Lost productivity caused by insomnia is a common and costly problem for employers. Although evidence for the efficacy of Internet-based cognitive behavioral therapy for insomnia (iCBT-I) already exists, little is known about its economic effects. This study aims to evaluate the cost-effectiveness and cost-benefit of providing iCBT-I to symptomatic employees from the employer's perspective. Methods: School teachers (N = 128) with clinically significant insomnia symptoms and work-related rumination were randomized to guided iCBT-I or a waitlist-control-group, both with access to treatment as usual. Economic data were collected at baseline and 6-mo follow-up. We conducted (1) a costeffectiveness analysis with treatment response (Reliable Change [decline of 5.01 points] and Insomnia Severity Index < 8 at 6-month follow-up) as the outcome and (2) a cost-benefit analysis. Because both analyses were performed from the employer's perspective, we focused specifically on absenteeism and presenteeism costs. Statistical uncertainty was estimated using bootstrapping. Results: Assuming intervention costs of €200 ($245), cost-effectiveness analyses showed that at a willingness-to-pay of €0 for each positive treatment response, there is an 87% probability that the intervention is more cost effective than treatment as usual alone. Cost-benefit analyses led to a net benefit of €418 (95% confidence interval: -593.03 to 1,488.70) ($512) per participant and a return on investment of 208% (95% confidence interval: -296.52 to 744.35). The reduction in costs was mainly driven by the effects of the intervention on presenteeism and to a lesser degree by reduced absenteeism. Conclusions: Focusing on sleep improvement using iCBT-I may be a cost-effective strategy in occupational health care.

KW - Psychology

KW - cost-benefit

KW - cost-effectiveness

KW - employer perspective

KW - insomnia

KW - randomized controlled trial

KW - self-help

KW - Internet

KW - Business psychology

KW - Digital media

UR - http://www.scopus.com/inward/record.url?scp=84992390436&partnerID=8YFLogxK

U2 - 10.5665/sleep.6152

DO - 10.5665/sleep.6152

M3 - Journal articles

C2 - 27450686

VL - 39

SP - 1769

EP - 1778

JO - Sleep

JF - Sleep

SN - 0161-8105

IS - 10

ER -

DOI

Recently viewed

Researchers

  1. Sandra Harms

Publications

  1. Special issue: Exports, imports, and productivity at the firm level
  2. Mountain roads and non-native species modify elevational patterns of plant diversity
  3. Anders als die anderen?
  4. Selbstbestimmung und Classroom-Management
  5. Reduction of Atmospheric Transboundary Fluxes of Heavy Metals in Europe
  6. Pragmatism, Truth and Social Accounting Research
  7. LehrerInnen als "Reflective Practitioner"
  8. Learning from Co-Founders of Grassroots Initiatives
  9. Web-based depression treatment
  10. Linkshändigkeit als Privileg oder Nachteil bei Notebookeingabegeräten?
  11. Feldstudie zur Entwicklung der Rechenfertigkeit von Erstklässlern.
  12. Global, lokal, digital
  13. Moralphilosophische Fragen zum "Embryo"
  14. Was tun?
  15. Finance is Society!
  16. Part 14 Control of political donations and expenditure
  17. Corporate Governance Reporting zum Prüfungsausschuss
  18. Wunsch und Technik
  19. Critical Reflections on "Democracy in Crisis'
  20. Moirés, Andreas Fogarasi, Katya Sander, Urtica
  21. Global, lokal, digital
  22. Merkmale des SEMIK-Schwerpunkts "Entwicklung von Unterrichtskonzepten"
  23. Immediation
  24. Developing Carbon Accounting
  25. Halbmedienkompetenz?“
  26. Vergleichsarbeiten als Instrument der datenbasierten Schul- und Unterrichtsentwicklung in Gymnasien
  27. Robot system for the sustainable mobility assurance in the assistance and care
  28. Zwischen Animismus und Animation – Krieg und (Virtual) Reality bei Harun Farocki
  29. Bewegte Sprache – Ein Leben mit und für Mehrsprachigkeit
  30. Was will der Wagner?
  31. Ebstorfer Weltkarte
  32. Dance Librarian
  33. Gender-Rituale in der Mobilkommunikation von Jugendlichen
  34. Matheprofis im Gespräch - Kleingruppenarbeit im Mathematikunterricht
  35. Das Böse heute
  36. Interoperability of mineral sustainability initiatives
  37. Silence / Signification Degree Zero: Walter Benjamin’s Anti-Aesthetic of the Body
  38. Bildersuche
  39. Appointing to Govern: Party Patronage in Europe