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BMC Psychiatry
Published in: BMC Psychiatry 1/2018

Open Access 01-12-2018 | Research article

Towards sustainable mental health promotion: trial-based health-economic evaluation of a positive psychology intervention versus usual care

Authors: Marijke Schotanus-Dijkstra, Constance H. C. Drossaert, Marcel E. Pieterse, Jan A. Walburg, Ernst T. Bohlmeijer, Filip Smit

Published in: BMC Psychiatry | Issue 1/2018

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Abstract

Background

Mental well-being could be promoted and protected by positive psychology (PP) based interventions. Such interventions may be appealing for people at risk of anxiety and depressive disorders, but health-economic evaluations are scarce. The aim was to examine the cost-effectiveness of a PP intervention.

Methods

Participants with suboptimal levels of mental well-being were randomly assigned to an email guided PP-intervention (n = 137) or a wait-list control group (n = 138) with access to usual care (UC). At baseline and 6 months follow-up, data were collected on health care costs. Outcomes of interest were flourishing mental health and treatment response on anxiety and depressive symptoms.

Results

Bootstrapped mean incremental cost-effectiveness ratios were €2359 ($2899) for flourishing, €2959 ($3637) for anxiety and €2578 ($3168) for depression, suggesting appreciable health gains for low additional costs. At a willingness to pay ceiling of €10,000 ($12,290) for a treatment response, the probability that the intervention is deemed cost-effective ranged between 90 and 93%.

Conclusions

The guided PP intervention appears to be a promising strategy as seen from both a public health and a health-economic perspective, especially when there is some willingness to pay. When the PP-intervention is scaled up, then outcome monitoring is recommended to better guarantee the longer term cost-effectiveness of the intervention.

Trial registration

The Netherlands National Trial Register NTR4297. Registered on 29 November 2013. The NTR is part of the WHO Primary Registries.
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Metadata
Title
Towards sustainable mental health promotion: trial-based health-economic evaluation of a positive psychology intervention versus usual care
Authors
Marijke Schotanus-Dijkstra
Constance H. C. Drossaert
Marcel E. Pieterse
Jan A. Walburg
Ernst T. Bohlmeijer
Filip Smit
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2018
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-018-1825-5

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