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.
AuthorsTurner, D, Carter, T, Sach, T, Guo, B and Callaghan, P
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.

KeywordsHumans; Exercise Therapy; Single-Blind Method; Depression; Quality-Adjusted Life Years; Quality of Life; Adolescent; Cost-Benefit Analysis; Female; Male; United Kingdom
Year2017
JournalBMJ Open
Journal citation7 (11), pp. e016211-e016211
ISSN2044-6055
Digital Object Identifier (DOI)doi:10.1136/bmjopen-2017-016211
Publication dates
Print01 Jan 2017
Publication process dates
Deposited16 Jul 2019
Accepted26 Nov 2017
Publisher's version
License
CC BY 4.0
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https://openresearch.lsbu.ac.uk/item/870z4

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