Cost-effectiveness of digital cognitive behavioral therapy (Sleepio) for insomnia: a Markov simulation model in the United States.
STUDY OBJECTIVES: To examine the cost-effectiveness and potential net monetary benefit (NMB) of a fully automated digital cognitive behavioral therapy (CBT) intervention for insomnia compared with no insomnia treatment in the United States (US). Similar relative comparisons were made for pharmacotherapy and clinician-delivered CBT (individual and group). METHODS: We simulated a Markov model of 100,000 individuals using parameters calibrated from the literature including direct (treatment) and indirect costs (e.g. insomnia-related healthcare expenditure and lost workplace productivity). Health utility estimates were converted into quality-adjusted life years (QALYs) and one QALY was worth
Duke Scholars
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Related Subject Headings
- United States
- Sleep Initiation and Maintenance Disorders
- Quality-Adjusted Life Years
- Neurology & Neurosurgery
- Humans
- Health Care Costs
- Cost-Benefit Analysis
- Cognitive Behavioral Therapy
- 52 Psychology
- 32 Biomedical and clinical sciences
Citation
Published In
DOI
EISSN
Publication Date
Volume
Issue
Location
Related Subject Headings
- United States
- Sleep Initiation and Maintenance Disorders
- Quality-Adjusted Life Years
- Neurology & Neurosurgery
- Humans
- Health Care Costs
- Cost-Benefit Analysis
- Cognitive Behavioral Therapy
- 52 Psychology
- 32 Biomedical and clinical sciences