A health economic outcome evaluation of an internet-based mobile-supported stress management intervention for employees

David Daniel Ebert, Fanny Kählke, Claudia Buntrock, Matthias Berking, Filip Smit, Elena Heber, Harald Baumeister, Burkhardt Funk, Heleen Riper, Dirk Lehr

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

Objective This study aimed to estimate and evaluate the cost-effectiveness and cost-benefit of a guided internet-and mobile-supported occupational stress-management intervention (iSMI) for employees from the employer’s perspective alongside a randomized controlled trial. Methods A sample of 264 employees with elevated symptoms of perceived stress (Perceived Stress Scale, PSS-10 ≥22) was randomly assigned either to the iSMI or a waitlist control (WLC) group with unrestricted access to treatment as usual. The iSMI consisted of seven sessions of problem-solving and emotion-regulation techniques and one booster session. Self-report data on symptoms of perceived stress and economic data were assessed at baseline, and at six months following randomization. A cost-benefit analysis (CBA) and a cost-effectiveness analysis (CEA) with symptom-free status as the main outcome from the employer’s perspective was carried out. Statistical uncertainty was estimated using bootstrapping (N=5000). Results The CBA yielded a net-benefit of €181 [95% confidence interval (CI) -6043–1042] per participant within the first six months following randomization. CEA showed that at a willingness-to-pay ceiling of €0, €1000, €2000 for one additional symptom free employee yielded a 67%, 90%, and 98% probability, respectively, of the intervention being cost-effective compared to the WLC. Conclusion The iSMI was cost-effective when compared to WLC and even lead to cost savings within the first six months after randomization. Offering stress-management interventions can present good value for money in occupational healthcare.

Original languageEnglish
Pages (from-to)171-182
Number of pages12
JournalScandinavian Journal of Work, Environment and Health
Volume44
Issue number2
DOIs
Publication statusPublished - Apr 2018

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Internet
Cost-Benefit Analysis
Health
Random Allocation
Costs and Cost Analysis
Cost Savings
Self Report
Uncertainty
Emotions
Randomized Controlled Trials
Economics
Confidence Intervals
Delivery of Health Care
Control Groups

Keywords

  • CBT
  • Cost-benefit analysis
  • Cost-effectiveness analysis
  • E-health
  • Economic evaluation
  • Internet-based intervention
  • M-health
  • Randomized controlled trial
  • RCT

Cite this

Ebert, David Daniel ; Kählke, Fanny ; Buntrock, Claudia ; Berking, Matthias ; Smit, Filip ; Heber, Elena ; Baumeister, Harald ; Funk, Burkhardt ; Riper, Heleen ; Lehr, Dirk. / A health economic outcome evaluation of an internet-based mobile-supported stress management intervention for employees. In: Scandinavian Journal of Work, Environment and Health. 2018 ; Vol. 44, No. 2. pp. 171-182.
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A health economic outcome evaluation of an internet-based mobile-supported stress management intervention for employees. / Ebert, David Daniel; Kählke, Fanny; Buntrock, Claudia; Berking, Matthias; Smit, Filip; Heber, Elena; Baumeister, Harald; Funk, Burkhardt; Riper, Heleen; Lehr, Dirk.

In: Scandinavian Journal of Work, Environment and Health, Vol. 44, No. 2, 04.2018, p. 171-182.

Research output: Contribution to JournalArticleAcademicpeer-review

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AB - Objective This study aimed to estimate and evaluate the cost-effectiveness and cost-benefit of a guided internet-and mobile-supported occupational stress-management intervention (iSMI) for employees from the employer’s perspective alongside a randomized controlled trial. Methods A sample of 264 employees with elevated symptoms of perceived stress (Perceived Stress Scale, PSS-10 ≥22) was randomly assigned either to the iSMI or a waitlist control (WLC) group with unrestricted access to treatment as usual. The iSMI consisted of seven sessions of problem-solving and emotion-regulation techniques and one booster session. Self-report data on symptoms of perceived stress and economic data were assessed at baseline, and at six months following randomization. A cost-benefit analysis (CBA) and a cost-effectiveness analysis (CEA) with symptom-free status as the main outcome from the employer’s perspective was carried out. Statistical uncertainty was estimated using bootstrapping (N=5000). Results The CBA yielded a net-benefit of €181 [95% confidence interval (CI) -6043–1042] per participant within the first six months following randomization. CEA showed that at a willingness-to-pay ceiling of €0, €1000, €2000 for one additional symptom free employee yielded a 67%, 90%, and 98% probability, respectively, of the intervention being cost-effective compared to the WLC. Conclusion The iSMI was cost-effective when compared to WLC and even lead to cost savings within the first six months after randomization. Offering stress-management interventions can present good value for money in occupational healthcare.

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