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Title: | Is it cost-effective to provide internet-based interventions to complement the current provision of smoking cessation services in the Netherlands? An analysis based on the EQUIPTMOD |
Authors: | Cheung, KL Wijnen, BFM Hiligsmann, M Coyle, K Coyle, D Pokhrel, S De Vries, H Präger, M Evers, SMAA |
Keywords: | Tobacco;Model;Economic evaluation;Internet-based;Smoking cessation |
Issue Date: | 2017 |
Publisher: | Wiley |
Citation: | Addiction, (2017) |
Abstract: | Background and aim: The cost-effectiveness of internet-based smoking cessation interventions is difficult to determine when they are provided as a complement to current smoking cessation services. The aim of this study was to evaluate the cost-effectiveness of such an alternate package compared with existing smoking cessation services alone (current package). Methods: A literature search was conducted to identify internet-based smoking cessation interventions in the Netherlands. A meta-analysis was then performed to determine the pooled effectiveness of a (web-based) computer-tailored intervention. The mean cost of implementing internet based interventions was calculated using available information whilst intervention reach was sourced from an English study. We used EQUIPTMOD, a Markov-based state-transition model, to calculate the incremental cost-effectiveness ratios [expressed as cost per quality-adjusted life years (QALYs) gained] for different time horizons to assess the value of providing internet-based interventions to complement the current package.). Deterministic sensitivity analyses tested the uncertainty around intervention costs per smoker, relative risks, and the intervention reach. Results: Internet-based interventions had an estimated pooled relative risk of 1.40; average costs per smoker of €2.71; and a reach of 0.41% of all smokers. The alternate package (i.e. provision of internet-based intervention to the current package) was dominant (cost-saving) compared with the current package alone (0.14 QALY gained per 1000 smokers; reduced healthcare costs of €602.91 per 1000 smokers for the lifetime horizon). The alternate package remained dominant in all sensitivity analyses. Conclusion: Providing internet-based smoking cessation interventions to complement the current provision of smoking cessation services could be a cost-saving policy option in the Netherlands. |
URI: | http://bura.brunel.ac.uk/handle/2438/15304 |
DOI: | https://doi.org/10.1111/add.14069 |
ISSN: | 0965-2140 |
Appears in Collections: | Dept of Health Sciences Research Papers |
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