Cost-effectiveness of a preferred intensity exercise programme for young people with depression compared with treatment as usual: An economic evaluation alongside a clinical trial in the UK
Journal article
Turner, D, Carter, T, Sach, T, Guo, B and Callaghan, P (2017). Cost-effectiveness of a preferred intensity exercise programme for young people with depression compared with treatment as usual: An economic evaluation alongside a clinical trial in the UK. BMJ Open. 7 (11), pp. e016211-e016211. https://doi.org/10.1136/bmjopen-2017-016211
Authors | Turner, D, Carter, T, Sach, T, Guo, B and Callaghan, P |
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Abstract | © 2017 BMJ Publishing Group. All Rights Reserved. Objectives To assess the cost-effectiveness of preferred intensity exercise programme for young people with depression compared with a treatment as usual control group. Design A ‘within trial’ cost-effectiveness and cost-utility analysis conducted alongside a randomised controlled trial. The perspective of the analysis was the UK National Health Service and social services. setting The intervention was provided in a community leisure centre setting. Participants 86 young people aged 14–17 years attending Tier 2 and Tier 3 CAMHS (Child and Adolescent Mental Health Services) outpatient services presenting with depression. Interventions The intervention comprised 12 separate sessions of circuit training over a 6-week period. Sessions were supervised by a qualified exercise therapist. Participants also received treatment as usual. The comparator group received treatment as usual. results We found improvements in the Children’s Depression Inventory-2 (CDI-2) and estimated cost-effectiveness at £61 per point improvement in CDI-2 for the exercise group compared with control. We found no evidence that the exercise intervention led to differences in quality-adjusted life years (QALY). QALYs were estimated using the EQ-5D-5L (5-level version of EuroQol-5 dimension). conclusions There is evidence that exercise can be an effective intervention for adolescents with depression and the current study shows that preferred intensity exercise could also represent a cost-effective intervention in terms of the CDI-2. |
Keywords | Humans; Exercise Therapy; Single-Blind Method; Depression; Quality-Adjusted Life Years; Quality of Life; Adolescent; Cost-Benefit Analysis; Female; Male; United Kingdom |
Year | 2017 |
Journal | BMJ Open |
Journal citation | 7 (11), pp. e016211-e016211 |
ISSN | 2044-6055 |
Digital Object Identifier (DOI) | https://doi.org/10.1136/bmjopen-2017-016211 |
Publication dates | |
01 Jan 2017 | |
Publication process dates | |
Deposited | 16 Jul 2019 |
Accepted | 26 Nov 2017 |
Publisher's version | License File Access Level Open |
https://openresearch.lsbu.ac.uk/item/870z4
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