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.
|Journal||Journal of Occupational and Environmental Medicine|
|Publication status||Published - 2015|
Geraedts, A. S., van Dongen, J. M., Kleiboer, A. M., Wiezer, N. M., van Mechelen, W., Cuijpers, P., & Bosmans, J. E. (2015). Economic evaluation of a Web-based guided selfhelp intervention for employees with depressive symptoms; results of a randomised controlled trial. Journal of Occupational and Environmental Medicine, 57(6), 666-675. https://doi.org/10.1097/JOM.0000000000000423