Cost-effectiveness of a stepped care programme to prevent depression and anxiety in residents in homes for the older people: a randomised controlled trial

2013 ◽  
Vol 29 (2) ◽  
pp. 182-190 ◽  
Author(s):  
J. E. Bosmans ◽  
E. Dozeman ◽  
Harm W. J. van Marwijk ◽  
Digna J. F. van Schaik ◽  
Max L. Stek ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Randomised Controlled Trial ◽  
Older People ◽  
Controlled Trial ◽  
Stepped Care ◽  
Depression And Anxiety ◽  
Care Programme ◽  
Randomised Controlled

scholarly journals Cost-effectiveness of a stepped care intervention to prevent depression and anxiety in late life: randomised trial

2010 ◽  
Vol 196 (4) ◽  
pp. 319-325 ◽  
Author(s):  
Petronella van't Veer-Tazelaar ◽  
Filip Smit ◽  
Hein van Hout ◽  
Patricia van Oppen ◽  
Henriette van der Horst ◽  
...  
Keyword(s):  
Primary Care ◽  
Cost Effectiveness ◽  
Preventive Intervention ◽  
Controlled Trial ◽  
Randomised Trial ◽  
Cost Effective ◽  
Stepped Care ◽  
Depression And Anxiety ◽  
Care Programme ◽  
Randomised Controlled

BackgroundThere is an urgent need for the development of cost-effective preventive strategies to reduce the onset of mental disorders.AimsTo establish the cost-effectiveness of a stepped care preventive intervention for depression and anxiety disorders in older people at high risk of these conditions, compared with routine primary care.MethodAn economic evaluation was conducted alongside a pragmatic randomised controlled trial (ISRCTN26474556). Consenting individuals presenting with subthreshold levels of depressive or anxiety symptoms were randomly assigned to a preventive stepped care programme (n = 86) or to routine primary care (n = 84).ResultsThe intervention was successful in halving the incidence rate of depression and anxiety at €563 (£412) per recipient and €4367 (£3196) per disorder-free year gained, compared with routine primary care. The latter would represent good value for money if the willingness to pay for a disorder-free year is at least €5000.ConclusionsThe prevention programme generated depression- and anxiety-free survival years in the older population at affordable cost.

scholarly journals Stepped care for depression and anxiety in visually impaired older adults: multicentre randomised controlled trial

BMJ ◽  
2015 ◽  
pp. h6127 ◽  
Author(s):  
Hilde P A van der Aa ◽  
Ger H M B van Rens ◽  
Hannie C Comijs ◽  
Tom H Margrain ◽  
Francisca Gallindo-Garre ◽  
...  
Keyword(s):  
Older Adults ◽  
Randomised Controlled Trial ◽  
Visually Impaired ◽  
Controlled Trial ◽  
Stepped Care ◽  
Depression And Anxiety ◽  
Randomised Controlled
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