Economic evaluation of a Web-based guided selfhelp intervention for employees with depressive symptoms; results of a randomised controlled trial.

A.S. Geraedts, J.M. van Dongen, A.M. Kleiboer, N.M. Wiezer, W. van Mechelen, P. Cuijpers, J.E. Bosmans

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Objective: To evaluate the cost-effectiveness of a Web-based guided intervention compared with care as usual for employees with depressive symptoms. Methods: A total of 231 employees with depressive symptoms were randomized. Data were collected at baseline, 8 weeks, 6 months, and 12 months. Analyses were conducted from the societal and employer's perspective. Results: At 12 months, a significant intervention effect on depressive symptoms was found. At a willingness to pay of 0 (€/unit of effect), the intervention's probabilities of cost-effectiveness were 0.62 (societal perspective) and 0.55 (employer's perspective). There was a 0.63 probability that the intervention resulted in a positive financial return for the employer. Conclusions: The intervention's cost-effectiveness with regard to depressive symptoms depends on the willingness to pay of societal and company decision makers as well as the probability of cost-effectiveness that they consider acceptable. The intervention is not cost-saving to the employer.
Original languageEnglish
Pages (from-to)666-675
JournalJournal of occupational and environmental medicine
Issue number6
Publication statusPublished - 2015

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