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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.

Publication ,  Journal Article
Turner, D; Carter, T; Sach, T; Guo, B; Callaghan, P
Published in: BMJ open
November 2017

To assess the cost-effectiveness of preferred intensity exercise programme for young people with depression compared with a treatment as usual control group.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.The intervention was provided in a community leisure centre setting.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.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.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).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.NCT01474837.

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Published In

BMJ open

DOI

EISSN

2044-6055

ISSN

2044-6055

Publication Date

November 2017

Volume

7

Issue

11

Start / End Page

e016211

Related Subject Headings

  • United Kingdom
  • Single-Blind Method
  • Quality-Adjusted Life Years
  • Quality of Life
  • Male
  • Humans
  • Female
  • Exercise Therapy
  • Depression
  • Cost-Benefit Analysis
 

Citation

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Turner, D., Carter, T., 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
Turner, David, Tim Carter, Tracey Sach, Boliang Guo, and Patrick Callaghan. “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, no. 11 (November 2017): e016211. https://doi.org/10.1136/bmjopen-2017-016211.

Published In

BMJ open

DOI

EISSN

2044-6055

ISSN

2044-6055

Publication Date

November 2017

Volume

7

Issue

11

Start / End Page

e016211

Related Subject Headings

  • United Kingdom
  • Single-Blind Method
  • Quality-Adjusted Life Years
  • Quality of Life
  • Male
  • Humans
  • Female
  • Exercise Therapy
  • Depression
  • Cost-Benefit Analysis