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Cost-effectiveness of a preferred intensity exercise programme for young people with depression compared with treatment as usual: An economic evaluation alongside a clinical trial in the UK

Carter, Tim; Turner, David; Sach, Tracey; Guo, Boliang; Callaghan, Patrick

Cost-effectiveness of a preferred intensity exercise programme for young people with depression compared with treatment as usual: An economic evaluation alongside a clinical trial in the UK Thumbnail


Authors

David Turner

Tracey Sach

BOLIANG GUO BOLIANG.GUO@NOTTINGHAM.AC.UK
Associate Professor

Patrick Callaghan



Abstract

© 2017 BMJ Publishing Group. All Rights Reserved. Objectives To assess the cost-effectiveness of preferred intensity exercise programme for young people with depression compared with a treatment as usual control group. Design A ‘within trial’ cost-effectiveness and cost-utility analysis conducted alongside a randomised controlled trial. The perspective of the analysis was the UK National Health Service and social services. setting The intervention was provided in a community leisure centre setting. Participants 86 young people aged 14–17 years attending Tier 2 and Tier 3 CAMHS (Child and Adolescent Mental Health Services) outpatient services presenting with depression. Interventions The intervention comprised 12 separate sessions of circuit training over a 6-week period. Sessions were supervised by a qualified exercise therapist. Participants also received treatment as usual. The comparator group received treatment as usual. results We found improvements in the Children’s Depression Inventory-2 (CDI-2) and estimated cost-effectiveness at £61 per point improvement in CDI-2 for the exercise group compared with control. We found no evidence that the exercise intervention led to differences in quality-adjusted life years (QALY). QALYs were estimated using the EQ-5D-5L (5-level version of EuroQol-5 dimension). conclusions There is evidence that exercise can be an effective intervention for adolescents with depression and the current study shows that preferred intensity exercise could also represent a cost-effective intervention in terms of the CDI-2.

Citation

Carter, T., Turner, D., Sach, T., Guo, B., & Callaghan, P. (2017). Cost-effectiveness of a preferred intensity exercise programme for young people with depression compared with treatment as usual: An economic evaluation alongside a clinical trial in the UK. BMJ Open, 7(11), e016211. https://doi.org/10.1136/bmjopen-2017-016211

Journal Article Type Article
Acceptance Date Sep 5, 2017
Online Publication Date Nov 26, 2017
Publication Date Nov 26, 2017
Deposit Date Sep 20, 2017
Publicly Available Date Mar 28, 2024
Journal BMJ Open
Electronic ISSN 2044-6055
Publisher BMJ Publishing Group
Peer Reviewed Peer Reviewed
Volume 7
Issue 11
Article Number e016211
Pages e016211
DOI https://doi.org/10.1136/bmjopen-2017-016211
Public URL https://nottingham-repository.worktribe.com/output/1126044
Publisher URL https://bmjopen.bmj.com/content/7/11/e016211