Cost effectiveness

Cost effectiveness is an important aspect of commissioning, because it compares the cost of a health intervention alongside the outcome, which helps commissioners to allocate resources effectively.

Our Cost effectiveness Blogs

Timebanking: from ideal to reality

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There is increasing interest in co-production in public services and in social care. This blog reports on a PhD study of timebanks which are now seen as an example of co-production but have a long history in being promising indications of mutual aid and reciprocal support between members of local communities. Social care interest groups [read the full story…]

CBT for health anxiety: should it be delivered in person or online?

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Francesca Bentivegna explores a timely RCT concluding that delivering internet-based (email) CBT for health anxiety is non-inferior to face to face CBT in the short-term. The study also concludes that iCBT is more cost-effective.

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STrAtegies for RelaTives (START): long-lasting effect on the wellbeing of family carers of dementia patients

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A group of UCL Mental Health MSc students summarise a recent RCT assessing the clinical and cost-effectiveness over 6 years of the START intervention for family carers of people with dementia.

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Cost-effectiveness of CBT for depression: uncertainty remains

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Chris Sampson reviews a recent US study which looks at the cost-effectiveness of CBT versus second-generation antidepressants for the initial treatment of major depressive disorder.

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Can contingency management help people with psychosis give up cannabis? The CIRCLE trial

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Ian Hamilton summarises the recently published CIRCLE trial, which looks at the clinical and cost-effectiveness of contingency management for cannabis use in early psychosis.

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Is third-wave CBT good value?

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Chris Sampson summarises a systematic review on the economic impact of third-wave cognitive behavioural therapies, such as mindfulness-based cognitive therapy, acceptance and commitment therapy, extended behavioural activation, dialectical behaviour therapy, and mindfulness-based stress reduction.

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Collaborative care for depression and physical multimorbidity: clinically and cost-effective over the long term

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Gemma Shields summarises the findings of a cluster RCT looking at the long-term clinical and cost-effectiveness of collaborative care (versus usual care) for people with mental-physical multimorbidity.

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Incredible Years Teacher Classroom Management: STARS trial suggests benefits for children’s mental health

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Neil Humphrey is impressed by the STARS cluster randomised controlled trial published today in Psychological Medicine, which evaluates the effectiveness and cost-effectiveness of the Incredible Years Teacher Classroom Management programme in primary school children.

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Periodontal health: no additional benefit from 6 monthly Scale and Polish

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This large multicentre, cluster randomised controlled compared the clinical effectiveness and cost-effectiveness of theory-based, personalised oral hygiene advice or scale and polish’ with routine care in improving periodontal health in dentate adults attending general dental practice.

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Person-centred care for dementia: impact on quality of life, agitation and antipsychotic use

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Hilary Shepherd reports on a recent paper from the WHELD trial on the impact of person-centred care training and person-centred activities on quality of life, agitation, and antipsychotic use in people with dementia living in nursing homes.

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