Evidence map›Paper›PMID 20515208›Full record

Trial reportJournal of consulting and clinical psychology2010

Cost-effectiveness of guided self-help treatment for recurrent binge eating.

Frances L Lynch, Ruth H Striegel-Moore, John F Dickerson, Nancy Perrin, Lynn Debar, G Terence Wilson, Helena C Kraemer

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of consulting and clinical psychology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03106636 (Randomized Trial of KEEP-P, a Preventive Intervention for Foster Preschoolers), which is not on this map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
8.2field-weighted citation impact, top 3% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT03106636 nacompletednot on this mapstarted 2014, after this paper: background citation

Randomized Trial of KEEP-P, a Preventive Intervention for Foster Preschoolers

TypeinterventionalSponsorUniversity of OregonRan2014 to 2018Enrolled442ConditionsChild BehaviorArmsKEEP-P, KEEP-P+
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 2 syntheses or guidelines pooled it, 104 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Frances L LynchCenter for Health Research, Kaiser Permanente Northwest, Portland, OR 97227, USA. frances.lynch@kpchr.org
Ruth H Striegel-Moore
John F Dickerson
Nancy Perrin
Lynn Debar
G Terence Wilson
Helena C Kraemer
Kaiser Permanente Center for Health Research · USRutgers, The State University of New Jersey · USStanford University · USWesleyan University · US

Funding

Guided Self-Help for Eating DisordersR01MH066966 · NIMH · KAISER FOUNDATION RESEARCH INSTITUTE · PI STRIEGEL, RUTH H · 2003 to 2007
$3.0M
NIMH NIH HHS MH066966NIMH NIH HHS R01 MH066966
6 · The paper itself

Abstract

objectiveAdoption of effective treatments for recurrent binge-eating disorders depends on the balance of costs and benefits. Using data from a recent randomized controlled trial, we conducted an incremental cost-effectiveness analysis (CEA) of a cognitive-behavioral therapy guided self-help intervention (CBT-GSH) to treat recurrent binge eating compared to treatment as usual (TAU).

methodParticipants were 123 adult members of an HMO (mean age = 37.2 years, 91.9% female, 96.7% non-Hispanic White) who met criteria for eating disorders involving binge eating as measured by the Eating Disorder Examination (C. G. Fairburn & Z. Cooper, 1993). Participants were randomized either to treatment as usual (TAU) or to TAU plus CBT-GSH. The clinical outcomes were binge-free days and quality-adjusted life years (QALYs); total societal cost was estimated using costs to patients and the health plan and related costs.

resultsCompared to those receiving TAU only, those who received TAU plus CBT-GSH experienced 25.2 more binge-free days and had lower total societal costs of $427 over 12 months following the intervention (incremental CEA ratio of -$20.23 per binge-free day or -$26,847 per QALY). Lower costs in the TAU plus CBT-GSH group were due to reduced use of TAU services in that group, resulting in lower net costs for the TAU plus CBT group despite the additional cost of CBT-GSH.

conclusionsFindings support CBT-GSH dissemination for recurrent binge-eating treatment.

Indexed as

Manuals as TopicAdultAnorexia NervosaBinge-Eating DisorderBulimia NervosaCognitive Behavioral TherapyCost-Benefit AnalysisCost SavingsFemaleFollow-Up StudiesHumansMaleManaged Care ProgramsMiddle AgedQuality-Adjusted Life YearsSecondary Prevention

Identifiers

PMID20515208
PMCPMC2880825
OpenAlexW2115939103

What OpenQuestion holds

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Registered trials

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.