Trial reportBMJ (Clinical research ed.)2000
Randomised controlled trial of non-directive counselling, cognitive-behaviour therapy, and usual general practitioner care for patients with depression. II: cost effectiveness.
Trial report in BMJ (Clinical research ed.), 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 323 citations in OpenAlex.
- Counselling for mental health and psychosocial problems in primary care.The Cochrane database of systematic reviews · 2011Pooled it
- On-site mental health workers delivering psychological therapy and psychosocial interventions to patients in primary care: effects on the professional practice of primary care providers.The Cochrane database of systematic reviews · 2009Pooled it
- Primary care mental health workers: models of working and evidence of effectiveness.The British journal of general practice : the journal of the Royal College of General Practitioners · 2002Pooled it
- Trial
- Trial
- Cognitive Bias Modification for paranoia (CBM-pa): study protocol for a randomised controlled trial.Trials · 2017Trial
- Trial
- Trial
- Trial
- Factors associated with attrition from a randomized controlled trial of meaning-centered group psychotherapy for patients with advanced cancer.Psycho-oncology · 2012Trial
- An evaluation of the effect of an educational intervention for Australian social workers on competence in delivering brief cognitive behavioural strategies: a randomised controlled trial.BMC health services research · 2010Trial
- Cost effectiveness of a pharmacy-based coaching programme to improve adherence to antidepressants.PharmacoEconomics · 2007Trial
- Postnatal support for mothers living in disadvantaged inner city areas: a randomised controlled trial.Journal of epidemiology and community health · 2005Trial
- Economic evaluation and clinical trials: size matters.BMJ (Clinical research ed.) · 2000Trial
- Article
- Web-Based Mindfulness-Based Cognitive Therapy for Adults With a History of Depression: Protocol for a Randomized Controlled Trial.JMIR research protocols · 2024Article
- Association of oral health with various work problems: a cross-sectional study of Japanese workers.BMC oral health · 2023Article
- Article
- Mental health service use among pregnant and early postpartum women.Social psychiatry and psychiatric epidemiology · 2022Article
- Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo compare the cost effectiveness of general practitioner care and two general practice based psychological therapies for depressed patients.
designProspective, controlled trial with randomised and patient preference allocation arms.
settingGeneral practices in London and greater Manchester.
participants464 of 627 patients presenting with depression or mixed anxiety and depression were suitable for inclusion.
interventionsUsual general practitioner care or up to 12 sessions of non-directive counselling or cognitive-behaviour therapy provided by therapists.
main outcome measuresBeck depression inventory scores, EuroQol measure of health related quality of life, direct treatment and non-treatment costs, and cost of lost production.
results197 patients were randomly assigned to treatment, 137 chose their treatment, and 130 were randomised only between the two psychological therapies. At four months, both non-directive counselling and cognitive-behaviour therapy reduced depressive symptoms to a significantly greater extent than usual general practitioner care. There was no significant difference in outcome between treatments at 12 months. There were no significant differences in direct costs, production losses, or societal costs between the three treatments at either four or 12 months. Sensitivity analyses did not suggest that the results depended on particular assumptions in the statistical analysis.
conclusionsWithin the constraints of available power, the data suggest that both brief psychological therapies may be significantly more cost effective than usual care in the short term, as benefit was gained with no significant difference in cost. There are no significant differences between treatments in either outcomes or costs at 12 months.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.