Behaviour Research and Therapy, April, 2014, Vol.55, p.40(8)
To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.brat.2014.01.005 Byline: Eva-Maria Bonin, Jennifer Beecham, Naomi Swift, Shriti Raikundalia, June S.L. Brown Abstract: Around one in three of the UK population suffer from sleep problems, resulting in high costs to society. Cognitive behaviour therapy for insomnia (CBT-I) has been shown to be effective. Community-based workshops may be a cost-effective way to provide CBT-I to groups that are usually hard to reach or reluctant to seek treatment. A sample of 151 participants aged 18 or over from five London boroughs who self-referred were randomised into a group receiving workshops and a waiting list control group. 111 provided complete data on service use and outcome measures. Results from the cost-effectiveness and cost-utility analyses are presented using cost-effectiveness acceptability curves. At a maximum willingness to pay per quality-adjusted life-year (QALY) of A[pounds sterling]30,000, the probability of the intervention being cost-effective is 80%. If commissioners are willing to pay A[pounds sterling]150 per point improvement on the Insomnia Severity Index, which is approximately the cost of the intervention, there is a 97% probability of cost-effectiveness. Community-based CBT-I workshops are likely to be a cost-effective intervention to improve insomnia symptoms and are a promising low-level option to include within the panoply of interventions that are encouraged within the UK policy of increasing access to psychological therapies. Author Affiliation: (a) Personal Social Services Research Unit, London School of Economics and Political Science, Houghton Street, London WC2A 2AE, UK (b) Personal Social Services Research Unit, University of Kent, Canterbury CT2 7NF, UK (c) Institute of Psychiatry, King's College London, De Crespigny Park, London SE5 8AF, UK Article History: Received 1 August 2013; Revised 15 January 2014; Accepted 28 January 2014
Behavior Therapy -- Conferences, Meetings And Seminars ; Workshops (Educational programs) -- Conferences, Meetings And Seminars ; Insomnia -- Conferences, Meetings And Seminars ; Cost Benefit Analysis -- Conferences, Meetings And Seminars ; Cognitive-behavioral Therapy -- Conferences, Meetings And Seminars
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