Cost-effectiveness of an internet-delivered treatment for substance abuse: Data from a multisite randomized controlled trial

Drug and Alcohol Dependence
Sean M MurphyDaniel Polsky

Abstract

Substance misuse and excessive alcohol consumption are major public health issues. Internet-based interventions for substance use disorders (SUDs) are a relatively new method for addressing barriers to access and supplementing existing care. This study examines cost-effectiveness in a multisite, randomized trial of an internet-based version of the community reinforcement approach (CRA) with contingency management (CM) known as the Therapeutic Education System (TES). Economic evaluation of the 12-week trial with follow-up at 24 and 36 weeks. 507 individuals who were seeking therapy for alcohol or other substance use disorders at 10 outpatient community-based treatment programs were recruited and randomized to either treatment as usual (TAU) or TES+TAU. Sub-analyses were completed on participants with a poorer prognosis (i.e., those not abstinent at study entry). From the provider's perspective, TES+TAU as it was implemented in this study costs $278 (SE=87) more than TAU alone after 12 weeks. The quality-adjusted life years gained by TES+TAU and TAU were similar; however, TES+TAU has at least a 95% chance of being considered cost-effective for providers and payers with willingness-to-pay thresholds as low as $20,000 per abstinent...Continue Reading

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Citations

Mar 16, 2017·Addiction·Nikolaos BoumparisHeleen Riper
Jan 27, 2019·Journal of Medical Internet Research·Eric DA HermesJoseph E Glass
May 31, 2019·Drug and Alcohol Review·Rebecca McKetinMarian Shanahan
Jan 25, 2020·Perspectives on Behavior Science·Jesse DalleryLisa A Marsch
Mar 30, 2020·Journal of Substance Abuse Treatment·Ali JalaliSean M Murphy
Jan 21, 2022·Health Technology Assessment : HTA·Lina GegaLaura Bojke
Jan 27, 2022·Journal of American College Health : J of ACH·Sierra Castedo de MartellH Shelton Brown Iii

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