Trial reportJournal of medical Internet research2012
Economic evaluation of internet-based interventions for harmful alcohol use alongside a pragmatic randomized controlled trial.
Trial report in Journal of medical Internet research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 7 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
22 citing papers in PubMed, 7 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- A systematic review of trial-based economic evaluations of internet- and mobile-based interventions for substance use disorders.European journal of public health · 2021Pooled it
- Personalised digital interventions for reducing hazardous and harmful alcohol consumption in community-dwelling populations.The Cochrane database of systematic reviews · 2017Pooled it
- Interventions to improve therapeutic communications between Black and minority ethnic patients and professionals in psychiatric services: systematic review.The British journal of psychiatry : the journal of mental science · 2015Pooled it
- Using QALYs in telehealth evaluations: a systematic review of methodology and transparency.BMC health services research · 2014Pooled it
- The association between internet addiction and psychiatric co-morbidity: a meta-analysis.BMC psychiatry · 2014Pooled it
- Effectiveness of guided and unguided low-intensity internet interventions for adult alcohol misuse: a meta-analysis.PloS one · 2014Pooled it
- The estimation of utility weights in cost-utility analysis for mental disorders: a systematic review.PharmacoEconomics · 2013Pooled it
- Effect of Integrated Internet-Based Acceptance and Commitment Therapy and Behavioral Activation Among Ethnic Minority Young Adults With Alcohol Use Disorder in Hong Kong: Pilot Randomized Controlled Trial.Journal of medical Internet research · 2026Trial
- The Effectiveness of a Web-Based Self-Help Program to Reduce Alcohol Use Among Adults With Drinking Patterns Considered Harmful, Hazardous, or Suggestive of Dependence in Four Low- and Middle-Income Countries: Randomized Controlled Trial.Journal of medical Internet research · 2021Trial
- A Web-Based Computer-Tailored Alcohol Prevention Program for Adolescents: Cost-Effectiveness and Intersectoral Costs and Benefits.Journal of medical Internet research · 2016Trial
- The effectiveness of a Web-based personalized feedback and social norms alcohol intervention on United Kingdom university students: randomized controlled trial.Journal of medical Internet research · 2013Trial
- The Paradigm Shift From Patient to Health Consumer: 20 Years of Value Assessment in Health.Journal of medical Internet research · 2025Article
- Digital Alcohol Interventions Could Be Part of the Societal Response to Harmful Consumption, but We Know Little About Their Long-Term Costs and Health Outcomes.Journal of medical Internet research · 2024Article
- Review
- Cultural accommodation of internet-based interventions for substance use and related disorders: a proposed comprehensive framework based on a pilot study and a literature review.Frontiers in psychology · 2023Review
- SF-6D utility scores for alcohol use disorder status and alcohol consumption risk levels in the US population.Addiction (Abingdon, England) · 2021Article
- Alcohol care teams: where are we now?Frontline gastroenterology · 2020Review
- Economic Evaluation of an Internet-Based Stress Management Intervention Alongside a Randomized Controlled Trial.JMIR mental health · 2019Article
- Feasibility of using social media to monitor outdoor air pollution in London, England.Preventive medicine · 2019Article
- An Overview of Internet- and Smartphone-Delivered Interventions for Alcohol and Substance Use Disorders.Focus (American Psychiatric Publishing) · 2018Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInternet interventions with and without therapist support have been found to be effective treatment options for harmful alcohol users. Internet-based therapy (IT) leads to larger and longer-lasting positive effects than Internet-based self-help (IS), but it is also more costly to provide.
objectiveTo evaluate the cost effectiveness and cost utility of Internet-based interventions for harmful use of alcohol through the assessment of the incremental cost effectiveness of IT compared with IS.
methodsThis study was performed in a substance abuse treatment center in Amsterdam, the Netherlands. We collected data over the years 2008-2009. A total of 136 participants were included, 70 (51%) were female, and mean age was 41.5 (SD 9.83) years. Reported alcohol consumption and Alcohol Use Disorders Identification Test (AUDIT) scores indicated harmful drinking behavior at baseline. We collected self-reported outcome data prospectively at baseline and 6 months after randomization. Cost data were extracted from the treatment center's cost records, and sex- and age-specific mean productivity cost data for the Netherlands.
resultsThe median incremental cost-effectiveness ratio was estimated at €3683 per additional treatment responder and €14,710 per quality-adjusted life-year (QALY) gained. At a willingness to pay €20,000 for 1 additional QALY, IT had a 60% likelihood of being more cost effective than IS. Sensitivity analyses attested to the robustness of the findings.
conclusionsIT offers better value for money than IS and might therefore be considered as a treatment option, either as first-line treatment in a matched-care approach or as a second-line treatment in the context of a stepped-care approach.
trial registrationNetherlands Trial Register NTR-TC1155; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=1155 (Archived by WebCite at http://www.webcitation.org/6AqnV4eTU).
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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.