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DC Field | Value | Language |
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dc.contributor.author | Cheung, KL | - |
dc.contributor.author | Wijnen, BFM | - |
dc.contributor.author | Hiligsmann, M | - |
dc.contributor.author | Coyle, K | - |
dc.contributor.author | Coyle, D | - |
dc.contributor.author | Pokhrel, S | - |
dc.contributor.author | De Vries, H | - |
dc.contributor.author | Präger, M | - |
dc.contributor.author | Evers, SMAA | - |
dc.date.accessioned | 2017-10-25T15:00:50Z | - |
dc.date.available | 2017-10-25T15:00:50Z | - |
dc.date.issued | 2017 | - |
dc.identifier.citation | Addiction, (2017) | en_US |
dc.identifier.issn | 0965-2140 | - |
dc.identifier.uri | http://bura.brunel.ac.uk/handle/2438/15304 | - |
dc.description.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. | en_US |
dc.language.iso | en | en_US |
dc.publisher | Wiley | en_US |
dc.subject | Tobacco | en_US |
dc.subject | Model | en_US |
dc.subject | Economic evaluation | en_US |
dc.subject | Internet-based | en_US |
dc.subject | Smoking cessation | en_US |
dc.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 | en_US |
dc.type | Article | en_US |
dc.identifier.doi | https://doi.org/10.1111/add.14069 | - |
dc.relation.isPartOf | Addiction | - |
pubs.publication-status | Accepted | - |
Appears in Collections: | Dept of Health Sciences Research Papers |
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FullText.pdf | 292.48 kB | Adobe PDF | View/Open |
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