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BMC Public Health. 2011 Apr 7;11:215. doi: 10.1186/1471-2458-11-215.

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

Author information

1
Department of Clinical Neuroscience, Stockholm Center for Psychiatry Research, Karolinska Institutet, Stockholm, Sweden. erik.m.andersson@ki.se

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.

PMID:
21473754
PMCID:
PMC3083356
DOI:
10.1186/1471-2458-11-215
[Indexed for MEDLINE]
Free PMC Article
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