Cost‐effectiveness of three internet‐based interventions for eating disorders: A randomized controlled trial Article Swipe
Pieter J. Rohrbach
,
Alexandra E. Dingemans
,
Eric F. van Furth
,
Philip Spinhoven
,
Joost R. van Ginkel
,
Stéphanie Bauer
,
M. Elske van den Akker‐van Marle
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1002/eat.23763
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1002/eat.23763
Objective The primary aim was assessing the cost‐effectiveness of an internet‐based self‐help program, expert‐patient support, and the combination of both compared to a care‐as‐usual condition. Method An economic evaluation from a societal perspective was conducted alongside a randomized controlled trial. Participants aged 16 or older with at least mild eating disorder symptoms were randomly assigned to four conditions: (1) Featback, an online unguided self‐help program, (2) chat or e‐mail support from a recovered expert patient, (3) Featback with expert‐patient support, and (4) care‐as‐usual. After a baseline assessment and intervention period of 8 weeks, five online assessments were conducted over 12 months of follow‐up. The main result constituted cost‐utility acceptability curves with quality‐of‐life adjusted life years (QALYs) and societal costs over the entire study duration. Results No significant differences between the conditions were found regarding QALYs, health care costs and societal costs. Nonsignificant differences in QALYs were in favor of the Featback conditions and the lowest societal costs per participant were observed in the Featback only condition (€16,741) while the highest costs were seen in the care‐as‐usual condition (€28,479). The Featback only condition had the highest probability of being efficient compared to the alternatives for all acceptable willingness‐to‐pay values. Discussion Featback, an internet‐based unguided self‐help intervention, was likely to be efficient compared to Featback with guidance from an expert patient, guidance alone and a care‐as‐usual condition. Results suggest that scalable interventions such as Featback may reduce health care costs and help individuals with eating disorders that are currently not reached by other forms of treatment. Public significance statement Internet‐based interventions for eating disorders might reach individuals in society who currently do not receive appropriate treatment at low costs. Featback, an online automated self‐help program for eating disorders, was found to improve quality of life slightly while reducing costs for society, compared to a do‐nothing approach. Consequently, implementing internet‐based interventions such as Featback likely benefits both individuals suffering from an eating disorder and society as a whole.
Related Topics
Concepts
Psychological intervention
Randomized controlled trial
Economic evaluation
Quality of life (healthcare)
Quality-adjusted life year
Intervention (counseling)
Cost effectiveness
Medicine
Willingness to pay
Cost–benefit analysis
Psychology
Physical therapy
Psychiatry
Nursing
Ecology
Economics
Pathology
Surgery
Microeconomics
Risk analysis (engineering)
Biology
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/eat.23763
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/eat.23763
- OA Status
- hybrid
- Cited By
- 15
- References
- 49
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4283367915
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4283367915Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1002/eat.23763Digital Object Identifier
- Title
-
Cost‐effectiveness of three internet‐based interventions for eating disorders: A randomized controlled trialWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-06-23Full publication date if available
- Authors
-
Pieter J. Rohrbach, Alexandra E. Dingemans, Eric F. van Furth, Philip Spinhoven, Joost R. van Ginkel, Stéphanie Bauer, M. Elske van den Akker‐van MarleList of authors in order
- Landing page
-
https://doi.org/10.1002/eat.23763Publisher landing page
- PDF URL
-
https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/eat.23763Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
-
https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/eat.23763Direct OA link when available
- Concepts
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Psychological intervention, Randomized controlled trial, Economic evaluation, Quality of life (healthcare), Quality-adjusted life year, Intervention (counseling), Cost effectiveness, Medicine, Willingness to pay, Cost–benefit analysis, Psychology, Physical therapy, Psychiatry, Nursing, Ecology, Economics, Pathology, Surgery, Microeconomics, Risk analysis (engineering), BiologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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15Total citation count in OpenAlex
- Citations by year (recent)
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2025: 3, 2024: 4, 2023: 5, 2022: 3Per-year citation counts (last 5 years)
- References (count)
-
49Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.health | 136, 236 |
| abstract_inverted_index.likely | 207, 312 |
| abstract_inverted_index.lowest | 155 |
| abstract_inverted_index.months | 101 |
| abstract_inverted_index.online | 62, 95, 280 |
| abstract_inverted_index.period | 90 |
| abstract_inverted_index.reduce | 235 |
| abstract_inverted_index.result | 106 |
| abstract_inverted_index.trial. | 40 |
| abstract_inverted_index.weeks, | 93 |
| abstract_inverted_index.whole. | 325 |
| abstract_inverted_index.(QALYs) | 116 |
| abstract_inverted_index.Results | 125, 226 |
| abstract_inverted_index.between | 129 |
| abstract_inverted_index.highest | 170, 185 |
| abstract_inverted_index.improve | 290 |
| abstract_inverted_index.primary | 3 |
| abstract_inverted_index.program | 283 |
| abstract_inverted_index.quality | 291 |
| abstract_inverted_index.reached | 249 |
| abstract_inverted_index.receive | 272 |
| abstract_inverted_index.society | 267, 322 |
| abstract_inverted_index.suggest | 227 |
| abstract_inverted_index.support | 70 |
| abstract_inverted_index.values. | 198 |
| abstract_inverted_index.Abstract | 0 |
| abstract_inverted_index.Featback | 77, 151, 164, 180, 213, 233, 311 |
| abstract_inverted_index.adjusted | 113 |
| abstract_inverted_index.assigned | 55 |
| abstract_inverted_index.baseline | 86 |
| abstract_inverted_index.benefits | 313 |
| abstract_inverted_index.compared | 21, 190, 211, 300 |
| abstract_inverted_index.disorder | 51, 320 |
| abstract_inverted_index.economic | 28 |
| abstract_inverted_index.e‐mail | 69 |
| abstract_inverted_index.guidance | 215, 220 |
| abstract_inverted_index.observed | 161 |
| abstract_inverted_index.patient, | 75, 219 |
| abstract_inverted_index.program, | 13, 65 |
| abstract_inverted_index.randomly | 54 |
| abstract_inverted_index.reducing | 296 |
| abstract_inverted_index.scalable | 229 |
| abstract_inverted_index.slightly | 294 |
| abstract_inverted_index.societal | 32, 118, 140, 156 |
| abstract_inverted_index.society, | 299 |
| abstract_inverted_index.support, | 15, 80 |
| abstract_inverted_index.symptoms | 52 |
| abstract_inverted_index.unguided | 63, 203 |
| abstract_inverted_index.Featback, | 60, 200, 278 |
| abstract_inverted_index.Objective | 1 |
| abstract_inverted_index.alongside | 36 |
| abstract_inverted_index.approach. | 304 |
| abstract_inverted_index.assessing | 6 |
| abstract_inverted_index.automated | 281 |
| abstract_inverted_index.condition | 166, 177, 182 |
| abstract_inverted_index.conducted | 35, 98 |
| abstract_inverted_index.currently | 247, 269 |
| abstract_inverted_index.disorders | 244, 262 |
| abstract_inverted_index.duration. | 124 |
| abstract_inverted_index.efficient | 189, 210 |
| abstract_inverted_index.recovered | 73 |
| abstract_inverted_index.regarding | 134 |
| abstract_inverted_index.statement | 257 |
| abstract_inverted_index.suffering | 316 |
| abstract_inverted_index.treatment | 274 |
| abstract_inverted_index.Discussion | 199 |
| abstract_inverted_index.acceptable | 196 |
| abstract_inverted_index.assessment | 87 |
| abstract_inverted_index.condition. | 25, 225 |
| abstract_inverted_index.conditions | 131, 152 |
| abstract_inverted_index.controlled | 39 |
| abstract_inverted_index.disorders, | 286 |
| abstract_inverted_index.evaluation | 29 |
| abstract_inverted_index.randomized | 38 |
| abstract_inverted_index.treatment. | 254 |
| abstract_inverted_index.(€16,741) | 167 |
| abstract_inverted_index.appropriate | 273 |
| abstract_inverted_index.assessments | 96 |
| abstract_inverted_index.combination | 18 |
| abstract_inverted_index.conditions: | 58 |
| abstract_inverted_index.constituted | 107 |
| abstract_inverted_index.differences | 128, 143 |
| abstract_inverted_index.individuals | 241, 265, 315 |
| abstract_inverted_index.participant | 159 |
| abstract_inverted_index.perspective | 33 |
| abstract_inverted_index.probability | 186 |
| abstract_inverted_index.self‐help | 12, 64, 204, 282 |
| abstract_inverted_index.significant | 127 |
| abstract_inverted_index.(€28,479). | 178 |
| abstract_inverted_index.Participants | 41 |
| abstract_inverted_index.alternatives | 193 |
| abstract_inverted_index.do‐nothing | 303 |
| abstract_inverted_index.follow‐up. | 103 |
| abstract_inverted_index.implementing | 306 |
| abstract_inverted_index.intervention | 89 |
| abstract_inverted_index.significance | 256 |
| abstract_inverted_index.Consequently, | 305 |
| abstract_inverted_index.acceptability | 109 |
| abstract_inverted_index.intervention, | 205 |
| abstract_inverted_index.interventions | 230, 259, 308 |
| abstract_inverted_index.Nonsignificant | 142 |
| abstract_inverted_index.cost‐utility | 108 |
| abstract_inverted_index.Internet‐based | 258 |
| abstract_inverted_index.expert‐patient | 14, 79 |
| abstract_inverted_index.internet‐based | 11, 202, 307 |
| abstract_inverted_index.care‐as‐usual | 24, 176, 224 |
| abstract_inverted_index.care‐as‐usual. | 83 |
| abstract_inverted_index.quality‐of‐life | 112 |
| abstract_inverted_index.cost‐effectiveness | 8 |
| abstract_inverted_index.willingness‐to‐pay | 197 |
| cited_by_percentile_year.max | 98 |
| cited_by_percentile_year.min | 96 |
| corresponding_author_ids | https://openalex.org/A5066429985 |
| countries_distinct_count | 2 |
| institutions_distinct_count | 7 |
| corresponding_institution_ids | https://openalex.org/I2800006345, https://openalex.org/I4210127104 |
| citation_normalized_percentile.value | 0.90648685 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |