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Published in: BMC Public Health 1/2011

Open Access 01-12-2011 | Research article

Cost-effectiveness of internet-based cognitive behavior therapy for irritable bowel syndrome: results from a randomized controlled trial

Authors: Erik Andersson, Brjánn Ljótsson, Filip Smit, Björn Paxling, Erik Hedman, Nils Lindefors, Gerhard Andersson, Christian Rück

Published in: BMC Public Health | Issue 1/2011

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Abstract

Background

Irritable Bowel Syndrome (IBS) is highly prevalent and is associated with a substantial economic burden. Cognitive behavior therapy (CBT) has been shown to be effective in treating IBS. The aim of this study was to evaluate the cost-effectiveness of a new treatment alternative, internet-delivered CBT based on exposure and mindfulness exercises.

Methods

Participants (N = 85) with IBS were recruited through self-referral and were assessed via a telephone interview and self-report measures on the internet. Participants were randomized to internet-delivered CBT or to a discussion forum. Economic data was assessed at pre-, post- and at 3-month and 1 year follow-up.

Results

Significant cost reductions were found for the treatment group at $16,806 per successfully treated case. The cost reductions were mainly driven by reduced work loss in the treatment group. Results were sustained at 3-month and 1 year follow-up.

Conclusions

Internet-delivered CBT appears to generate health gains in IBS treatment and is associated with cost-savings from a societal perspective.
Appendix
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Metadata
Title
Cost-effectiveness of internet-based cognitive behavior therapy for irritable bowel syndrome: results from a randomized controlled trial
Authors
Erik Andersson
Brjánn Ljótsson
Filip Smit
Björn Paxling
Erik Hedman
Nils Lindefors
Gerhard Andersson
Christian Rück
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2011
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-11-215

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