Economic evaluation of cognitive behavioural therapy for insomnia (CBT-I) for improving health outcomes in adult populations: A systematic review

被引：57
作者：
Natsky, Andrea N. [1 ,2 ]
Vakulin, Andrew [2 ,3 ,4 ]
Chai-Coetzer, Ching L. [2 ,3 ,5 ]
Lack, Leon [2 ,3 ,6 ]
McEvoy, R. D. [2 ,3 ,5 ]
Lovato, Nicole [2 ,3 ]
Sweetman, Alexander [2 ,3 ]
Gordon, Christopher J. [7 ,8 ]
Adams, Robert J. [2 ,3 ,5 ]
Kaambwa, Billingsley [1 ,2 ]
机构：
[1] Flinders Univ S Australia, Coll Med & Publ Hlth, Hlth Econ, Hlth Sci Bldg,Sturt Rd,GPO Box 2100, Bedford Pk, SA 5042, Australia
[2] Flinders Univ S Australia, Natl Ctr Sleep Hlth Serv Res, NHMRC Ctr Res Excellence, Bedford Pk, SA, Australia
[3] Flinders Univ S Australia, Coll Med & Publ Hlth, Flinders Ctr Res Excellence, Adelaide Inst Sleep Hlth, Bedford Pk, SA, Australia
[4] Univ Sydney, NeuroSleep NHMRC Ctr Res Excellence, Woolcock Inst Med Res, Sydney, NSW, Australia
[5] Southern Adelaide Local Hlth Network, Resp & Sleep Serv, Bedford Pk, SA, Australia
[6] Flinders Univ S Australia, Coll Educ Psychol & Social Work, Flinders Ctr Res Excellence, Adelaide Inst Sleep Hlth, Bedford Pk, SA, Australia
[7] Univ Sydney, Fac Med & Hlth, Susan Wakil Sch Nursing & Midwifery, Sydney, NSW, Australia
[8] Woolcock Inst Med Res, Ctr Sleep & Chronobiol, CIRUS, Sydney, NSW, Australia
来源：
SLEEP MEDICINE REVIEWS | 2020年 / 54卷
基金：
澳大利亚国家健康与医学研究理事会;
关键词：
Systematic review; Economic evaluation; Insomnia; CBT-I; Adult; Cost-effectiveness; COST-EFFECTIVENESS; SLEEP; METAANALYSIS; TRANSFERABILITY; ASSOCIATION; GUIDELINES; MANAGEMENT; STATEMENT; DISORDER; IMPACT;
D O I：
10.1016/j.smrv.2020.101351
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Cognitive behavioural therapy for insomnia (CBT-I) is a promising intervention with established efficacy, yet evidence of its cost-effectiveness remains unclear. Systematic searches were conducted in Medline, Psychinfo, ProQuest, Cochrane, Scopus, CINAHL, Web of Science and Emcare. Titles and abstracts were screened against eligibility criteria, and studies reporting full economic evaluations of CBT-I in adult populations were included and examined in detail. Study characteristics were extracted using a standardised template. Quantitative measures and relevant findings were summarised using a qualitative approach following recommended reporting standards. 1,168 non-duplicate articles were identified, of which 44 were selected for full-text review. Seven full economic evaluations of CBT-I in adult populations met the inclusion criteria and were incorporated in the final synthesis. Using the dominance ranking framework to compare cost and outcomes, CBT-I was cost-effective compared to pharmacotherapy or no treatment. The limited number of studies included in this review implies that caution should be exercised when interpreting these results. Future studies are encouraged to employ longer time-horizons and larger sample sizes to enable better determination of sustained cost and outcomes changes. (C) 2020 Elsevier Ltd. All rights reserved.
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页数：10
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