Economic evaluation of cognitive behavioural therapy for insomnia (CBT-I) for improving health outcomes in adult populations: A systematic review.

Cognitive Behavioral Therapy Cost-Benefit Analysis / statistics & numerical data Humans Outcome Assessment, Health Care Sleep Initiation and Maintenance Disorders / therapy
Adult CBT-I Cost-effectiveness Economic evaluation Insomnia Systematic review

Journal

Sleep medicine reviews
ISSN: 1532-2955
Titre abrégé: Sleep Med Rev
Pays: England
ID NLM: 9804678

Informations de publication

Date de publication:
12 2020
Historique:
received: 14 01 2020
revised: 23 04 2020
accepted: 24 04 2020
pubmed: 3 8 2020
medline: 5 10 2021
entrez: 3 8 2020
Statut: ppublish

Résumé

Cognitive behavioural therapy for insomnia (CBT-I) is a promising intervention with established efficacy, yet evidence of its cost-effectiveness remains unclear. Systematic searches were conducted in Medline, Psychinfo, ProQuest, Cochrane, Scopus, CINAHL, Web of Science and Emcare. Titles and abstracts were screened against eligibility criteria, and studies reporting full economic evaluations of CBT-I in adult populations were included and examined in detail. Study characteristics were extracted using a standardised template. Quantitative measures and relevant findings were summarised using a qualitative approach following recommended reporting standards. 1,168 non-duplicate articles were identified, of which 44 were selected for full-text review. Seven full economic evaluations of CBT-I in adult populations met the inclusion criteria and were incorporated in the final synthesis. Using the dominance ranking framework to compare cost and outcomes, CBT-I was cost-effective compared to pharmacotherapy or no treatment. The limited number of studies included in this review implies that caution should be exercised when interpreting these results. Future studies are encouraged to employ longer time-horizons and larger sample sizes to enable better determination of sustained cost and outcomes changes. Prospero registration number: CRD42019133554.

Identifiants

DOI: 10.1016/j.smrv.2020.101351 PMID: 32739824
pubmed: 32739824
pii: S1087-0792(20)30094-0
doi: 10.1016/j.smrv.2020.101351
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

101351

Commentaires et corrections

Type : CommentIn

Informations de copyright

Copyright © 2020 Elsevier Ltd. All rights reserved.

Auteurs

Andrea N Natsky (AN)

Health Economics, Flinders University, College of Medicine and Public Health, Bedford Park, SA, Australia; National Centre for Sleep Health Services Research: A NHMRC Centre of Research Excellence, Flinders University, Bedford Park, SA, Australia. Electronic address: andrea.natsky@flinders.edu.au.

Andrew Vakulin (A)

National Centre for Sleep Health Services Research: A NHMRC Centre of Research Excellence, Flinders University, Bedford Park, SA, Australia; Adelaide Institute for Sleep Health, A Flinders Centre of Research Excellence, College of Medicine and Public Health, Flinders University, Bedford Park, SA, Australia; NeuroSleep - NHMRC Centre of Research Excellence, Woolcock Institute of Medical Research, University of Sydney, NSW, Australia.

Ching L Chai-Coetzer (CL)

National Centre for Sleep Health Services Research: A NHMRC Centre of Research Excellence, Flinders University, Bedford Park, SA, Australia; Adelaide Institute for Sleep Health, A Flinders Centre of Research Excellence, College of Medicine and Public Health, Flinders University, Bedford Park, SA, Australia; Respiratory and Sleep Service, Southern Adelaide Local Health Network, Bedford Park, SA, Australia.

Leon Lack (L)

National Centre for Sleep Health Services Research: A NHMRC Centre of Research Excellence, Flinders University, Bedford Park, SA, Australia; Adelaide Institute for Sleep Health, A Flinders Centre of Research Excellence, College of Medicine and Public Health, Flinders University, Bedford Park, SA, Australia; Adelaide Institute for Sleep Health, A Flinders Centre of Research Excellence, College of Education, Psychology and Social Work, Flinders University, Bedford Park, SA, Australia.

R D McEvoy (RD)

National Centre for Sleep Health Services Research: A NHMRC Centre of Research Excellence, Flinders University, Bedford Park, SA, Australia; Adelaide Institute for Sleep Health, A Flinders Centre of Research Excellence, College of Medicine and Public Health, Flinders University, Bedford Park, SA, Australia; Respiratory and Sleep Service, Southern Adelaide Local Health Network, Bedford Park, SA, Australia.

Nicole Lovato (N)

National Centre for Sleep Health Services Research: A NHMRC Centre of Research Excellence, Flinders University, Bedford Park, SA, Australia; Adelaide Institute for Sleep Health, A Flinders Centre of Research Excellence, College of Medicine and Public Health, Flinders University, Bedford Park, SA, Australia.

Alexander Sweetman (A)

National Centre for Sleep Health Services Research: A NHMRC Centre of Research Excellence, Flinders University, Bedford Park, SA, Australia; Adelaide Institute for Sleep Health, A Flinders Centre of Research Excellence, College of Medicine and Public Health, Flinders University, Bedford Park, SA, Australia.

Christopher J Gordon (CJ)

Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, University of Sydney, NSW, Australia; CIRUS, Centre for Sleep and Chronobiology, Woolcock Institute of Medical Research, NSW, Australia.

Robert J Adams (RJ)

National Centre for Sleep Health Services Research: A NHMRC Centre of Research Excellence, Flinders University, Bedford Park, SA, Australia; Adelaide Institute for Sleep Health, A Flinders Centre of Research Excellence, College of Medicine and Public Health, Flinders University, Bedford Park, SA, Australia; Respiratory and Sleep Service, Southern Adelaide Local Health Network, Bedford Park, SA, Australia.

Billingsley Kaambwa (B)

Health Economics, Flinders University, College of Medicine and Public Health, Bedford Park, SA, Australia; National Centre for Sleep Health Services Research: A NHMRC Centre of Research Excellence, Flinders University, Bedford Park, SA, Australia.

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Classifications MeSH

questionsmedicales.fr › Disciplines et activités comportementales › Psychothérapie › Thérapie comportementale › Thérapie cognitive › Economic evaluation of cognitive behavioural...
questionsmedicales.fr › Organisations et économie des soins de santé › Économie › Coûts et analyse des coûts › Analyse coût-bénéfice › Economic evaluation of cognitive behavioural...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Economic evaluation of cognitive behavioural...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Qualité des soins de santé › Mécanismes d'évaluation des soins de santé › Évaluation des résultats et des processus en soins de santé › Évaluation de résultat (soins) › Economic evaluation of cognitive behavioural...
questionsmedicales.fr › Troubles mentaux › Troubles de la veille et du sommeil › Dyssomnies › Troubles du sommeil d'origine intrinsèque › Troubles de l'endormissement et du maintien du sommeil › Economic evaluation of cognitive behavioural...