COST-EFFECTIVENESS OF COGNITIVE BEHAVIOURAL THERAPY VERSUS HEALTH EDUCATION FOR SLEEP DISTURBANCE AND FATIGUE FOLLOWING STROKE AND TRAUMATIC BRAIN INJURY.
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| Title: | COST-EFFECTIVENESS OF COGNITIVE BEHAVIOURAL THERAPY VERSUS HEALTH EDUCATION FOR SLEEP DISTURBANCE AND FATIGUE FOLLOWING STROKE AND TRAUMATIC BRAIN INJURY. |
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| Authors: | MORTIMER, Duncan, YMER, Lucy, MCKAY, Adam, WONG, Dana, FRENCHAM, Kate, GRIMA, Natalie, ROPER, Monique, NGUYEN, Sylvia, MURRAY, Jade, SPITZ, Gershon, PONSFORD, Jennie |
| Source: | Journal of Rehabilitation Medicine. 2025, Issue 57, p1-9. 9p. |
| Subjects: | Cognitive therapy, Brain injuries, Sleep disorders, Health education, Medical care costs |
| Abstract: | Objective: Evaluate cost, effectiveness and costeffectiveness of cognitive behavioural therapy for sleep and fatigue (CBT-SF) vs health education (HE) and of CBT-SF vs treatment as usual (TAU) for sleep disturbance and fatigue in acquired brain injury. Design: Economic evaluation from Australian health system and societal perspectives based on data from a June 2017 to October 2023 randomized controlled trial. Subjects: Community-dwelling Australian adults with sleep disturbance and fatigue following acquired brain injury (n = 126). Methods: Incremental health system costs based on cost of delivery and health service utilization since last follow-up. Incremental effectiveness based on participant-reported sleep quality, fatigue, and quality of life at each timepoint. Productivity gains/losses based on a 1-week activity diary at each timepoint. Results: Reductions in health service utilization from CBT-SF (-A$777, 95% CI: -A$4,232, A$2,678) offset higher delivery costs (A$333, 95% CI: A$109, A$556) relative to HE, with improvements in quality of life at 2 months post-treatment (0.02, 95% CI: -0.01, 0.05) and an additional 3.37 qualityadjusted life days per participant (95% CI: -4.18, 10.92). CBT-SF dominates HE (less costly and more effective) and is likely more cost-effective than HE (66-76%). CBT-SF is cost-effective relative to TAU under realistic assumptions. Conclusions: CBT-SF after acquired brain injury improved clinical and economic outcomes and was more likely to be cost-effective than HE. Further research is required to precisely estimate the costeffectiveness of CBT-SF vs TAU and to demonstrate generalizability to routine practice and other settings. [ABSTRACT FROM AUTHOR] |
| Copyright of Journal of Rehabilitation Medicine is the property of Foundation of Rehabilitation Medicine and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 191758231 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: COST-EFFECTIVENESS OF COGNITIVE BEHAVIOURAL THERAPY VERSUS HEALTH EDUCATION FOR SLEEP DISTURBANCE AND FATIGUE FOLLOWING STROKE AND TRAUMATIC BRAIN INJURY. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22MORTIMER%2C+Duncan%22">MORTIMER, Duncan</searchLink><br /><searchLink fieldCode="AR" term="%22YMER%2C+Lucy%22">YMER, Lucy</searchLink><br /><searchLink fieldCode="AR" term="%22MCKAY%2C+Adam%22">MCKAY, Adam</searchLink><br /><searchLink fieldCode="AR" term="%22WONG%2C+Dana%22">WONG, Dana</searchLink><br /><searchLink fieldCode="AR" term="%22FRENCHAM%2C+Kate%22">FRENCHAM, Kate</searchLink><br /><searchLink fieldCode="AR" term="%22GRIMA%2C+Natalie%22">GRIMA, Natalie</searchLink><br /><searchLink fieldCode="AR" term="%22ROPER%2C+Monique%22">ROPER, Monique</searchLink><br /><searchLink fieldCode="AR" term="%22NGUYEN%2C+Sylvia%22">NGUYEN, Sylvia</searchLink><br /><searchLink fieldCode="AR" term="%22MURRAY%2C+Jade%22">MURRAY, Jade</searchLink><br /><searchLink fieldCode="AR" term="%22SPITZ%2C+Gershon%22">SPITZ, Gershon</searchLink><br /><searchLink fieldCode="AR" term="%22PONSFORD%2C+Jennie%22">PONSFORD, Jennie</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Journal+of+Rehabilitation+Medicine%22">Journal of Rehabilitation Medicine</searchLink>. 2025, Issue 57, p1-9. 9p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Brain+injuries%22">Brain injuries</searchLink><br /><searchLink fieldCode="DE" term="%22Sleep+disorders%22">Sleep disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Health+education%22">Health education</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+costs%22">Medical care costs</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Objective: Evaluate cost, effectiveness and costeffectiveness of cognitive behavioural therapy for sleep and fatigue (CBT-SF) vs health education (HE) and of CBT-SF vs treatment as usual (TAU) for sleep disturbance and fatigue in acquired brain injury. Design: Economic evaluation from Australian health system and societal perspectives based on data from a June 2017 to October 2023 randomized controlled trial. Subjects: Community-dwelling Australian adults with sleep disturbance and fatigue following acquired brain injury (n = 126). Methods: Incremental health system costs based on cost of delivery and health service utilization since last follow-up. Incremental effectiveness based on participant-reported sleep quality, fatigue, and quality of life at each timepoint. Productivity gains/losses based on a 1-week activity diary at each timepoint. Results: Reductions in health service utilization from CBT-SF (-A$777, 95% CI: -A$4,232, A$2,678) offset higher delivery costs (A$333, 95% CI: A$109, A$556) relative to HE, with improvements in quality of life at 2 months post-treatment (0.02, 95% CI: -0.01, 0.05) and an additional 3.37 qualityadjusted life days per participant (95% CI: -4.18, 10.92). CBT-SF dominates HE (less costly and more effective) and is likely more cost-effective than HE (66-76%). CBT-SF is cost-effective relative to TAU under realistic assumptions. Conclusions: CBT-SF after acquired brain injury improved clinical and economic outcomes and was more likely to be cost-effective than HE. Further research is required to precisely estimate the costeffectiveness of CBT-SF vs TAU and to demonstrate generalizability to routine practice and other settings. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Journal of Rehabilitation Medicine is the property of Foundation of Rehabilitation Medicine and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=191758231 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.2340/jrm.v57.42770 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 9 StartPage: 1 Subjects: – SubjectFull: Cognitive therapy Type: general – SubjectFull: Brain injuries Type: general – SubjectFull: Sleep disorders Type: general – SubjectFull: Health education Type: general – SubjectFull: Medical care costs Type: general Titles: – TitleFull: COST-EFFECTIVENESS OF COGNITIVE BEHAVIOURAL THERAPY VERSUS HEALTH EDUCATION FOR SLEEP DISTURBANCE AND FATIGUE FOLLOWING STROKE AND TRAUMATIC BRAIN INJURY. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: MORTIMER, Duncan – PersonEntity: Name: NameFull: YMER, Lucy – PersonEntity: Name: NameFull: MCKAY, Adam – PersonEntity: Name: NameFull: WONG, Dana – PersonEntity: Name: NameFull: FRENCHAM, Kate – PersonEntity: Name: NameFull: GRIMA, Natalie – PersonEntity: Name: NameFull: ROPER, Monique – PersonEntity: Name: NameFull: NGUYEN, Sylvia – PersonEntity: Name: NameFull: MURRAY, Jade – PersonEntity: Name: NameFull: SPITZ, Gershon – PersonEntity: Name: NameFull: PONSFORD, Jennie IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Text: 2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 16501977 Numbering: – Type: issue Value: 57 Titles: – TitleFull: Journal of Rehabilitation Medicine Type: main |
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