Cost-effectiveness and cost-utility analyses of a web-based computer-tailored intervention for prevention of binge drinking among Spanish adolescents
Autor/a
Vargas Martínez, Ana Magdalena
Lima Serrano, Marta
Trapero-Bertran, Marta
Data de publicació
2023ISSN
1530-0277
Resum
Background: Binge drinking (BD) among adolescents is a public health concern worldwide. This study assessed the cost-effectiveness and cost-utility of a web-based computer-tailored intervention to prevent BD in adolescence. Methods: The sample was drawn from a study evaluating the Alerta Alcohol program. The population consisted of adolescents 15 to 19 years of age. Data were recorded at baseline (January to February 2016) and after 4 months (May to June 2017) and were used to estimate costs and health outcomes, as measured by the number of BD occasions and quality-adjusted life years (QALYs). Incremental cost-effectiveness and cost-utility ratios were calculated from National Health Service (NHS) and societal perspectives and for a time horizon of 4 months. A multivariate deterministic sensitivity analysis of best/worst scenarios by subgroups was used to account for uncertainty. Results: The cost of reducing BD occasions by one per month was €16.63 from the NHS perspective, which from the societal perspective resulted in savings of €7986.37. From the societal perspective, the intervention resulted in an incremental cost of €71.05 per QALY gained from the NHS perspective and this was dominant, resulting in savings of €34,126.64 per QALY gained in comparison with the control group. Subgroup analyses showed that the intervention was dominant for girls from both the perspectives and for individuals 17 years or older from the NHS perspective. Conclusions: Computer-tailored feedback is a cost-effective way to reduce BD and increase QALYs among adolescents. However, long-term follow-up is needed to evaluate more fully changes in both BD and health-related quality of life.
Tipus de document
Article
Versió del document
Versió publicada
Llengua
English
Matèries (CDU)
61 - Medicina
Paraules clau
Adolescents
Alcohol
Consum excessiu
Cost-efectivitat
Cost-utilitat
Espanya
Adolescentes
Alcohol
Binge drinking
Coste-efectividad
Coste-utilidad
España
Adolescents
Alcohol
Binge drinking
Cost-effectiveness
Cost-utility
Spain
Pàgines
17
Publicat per
John Wiley & Sons
Col·lecció
47; 2
Publicat a
Alcohol: Clinical and Experimental Research
Citació
Vargas Martínez, Ana Magdalena; Lima Serrano, Marta; Trapero Bertran, Marta. Cost-effectiveness and cost-utility analyses of a web-based computer-tailored intervention for prevention of binge drinking among Spanish adolescents. Alcohol: Clinical and Experimental Research, 2023, 47(2), p. 319-335. Disponible en: <https://onlinelibrary.wiley.com/doi/10.1111/acer.14990>. Fecha de acceso: 14 abr. 2023. DOI: 10.1111/acer.14990
Número de l'acord de la subvenció
info:eu-repo/grantAgreement/ES/2PE/ECO2017-83771-C3-3
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Drets
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