TY  - JOUR
AB  - BACKGROUND: Depressive disorders often remain undiagnosed or are treated inadequately. Online-based programs may reduce the present treatment gap for depressive disorders and reduce disease-related costs. This study aimed to examine the potential of the internet intervention "deprexis" to reduce the total costs of statutory health insurance. Changes in depression severity, health-related quality of life and impairment in functioning were also examined.; METHOD: A total of 3805 participants with, at minimum, mild depressive symptoms were randomized to either a 12-week online intervention (deprexis) or a control condition. The primary outcome measure was statutory health insurance costs, estimated using health insurers' administrative data. Secondary outcomes were: depression severity, health-related quality of life, and impairment in functioning; assessed on patient's self-report at baseline, post-treatment, and three-months' and nine-months' follow-up.; RESULTS: In both groups, total costs of statutory health insurance decreased during the study period, but changes from baseline differed significantly. In the intervention group total costs decreased by 32% from 3139 per year at baseline to 2119 in the study year (vs. a mean reduction in total costs of 13% in the control group). In comparison to the control group, the intervention group also showed a significantly greater reduction in depression severity, and impairment in functioning and a significantly greater increase in health-related quality of life.; CONCLUSION: The study underlines the potential of innovative internet intervention programs in treating depressive disorders. The results suggest that the use of deprexis over a period of 12weeks leads to a significant improvement in symptoms with a simultaneous reduction in the costs of statutory health insurance.
DA  - 2020
DO  - 10.1186/s13561-020-00273-0
LA  - eng
PY  - 2020
T2  - Health economics review
TI  - Health economic evaluation of an internet intervention for depression (deprexis), a randomized controlled trial.
UR  - https://nbn-resolving.org/urn:nbn:de:0070-pub-29443214
Y2  - 2024-11-22T03:27:49
ER  -