Evidence map›Paper›PMID 30762502›Full record

ArticleBJPsych open2019

Cost-effectiveness analysis of telephone cognitive-behaviour therapy for adolescents with obsessive-compulsive disorder.

Hiong Tie, Georgina Krebs, Katie Lang, James Shearer, Cynthia Turner, David Mataix-Cols, Karina Lovell, Isobel Heyman, Sarah Byford

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BJPsych open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 13% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Uses of Virtual Care in Primary Care: Scoping Review.Journal of medical Internet research · 2025
    Article
  5. Article
  6. Review
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

9 authors at 5 institutions in 3 countries.

Hiong TieResearch Worker,Health Service and Population Research Department,Institute of Psychiatry, Psychology and Neuroscience at King's College London,UK.
Georgina KrebsClinical Research Training Fellow,Social, Genetic and Developmental Psychiatry Centre Institute of Psychiatry, Psychology and Neuroscience at King's College London,UK.
Katie LangTrainee Clinical Psychologist,Department of Psychology,Institute of Psychiatry, Psychology and Neuroscience at King's College London,UK.
James ShearerLecturer in Health Economics,Health Service and Population Research Department,Institute of Psychiatry, Psychology and Neuroscience at King's College London,UK.
Cynthia TurnerResearch Fellow,Primary Care Clinical Unit,University of Queensland,Australia.
David Mataix-ColsProfessor of Child and Adolescent Psychiatric Science,Department of Clinical Neuroscience Karolinska Institutet,Sweden.
Karina LovellProfessor of Mental Health,Division of Nursing, Midwifery and Social Work, University of Manchester and Greater Manchester Mental Health NHS Foundation Trust,UK.
Isobel HeymanConsultant Child and Adolescent Psychiatrist,Great Ormond Street Hospital for Children,UK.
Sarah ByfordProfessor of Health Economics,Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience at King's College London,UK.ORCID http://orcid.org/0000-0001-7084-1495
King's College London · GBGreater Manchester Mental Health NHS Foundation Trust · GBGreat Ormond Street Hospital · GBKarolinska Institutet · SEThe University of Queensland · AU

Funding

Medical Research Council MR/N001400/1
6 · The paper itself

Abstract

backgroundTelephone cognitive-behaviour therapy (TCBT) may be a cost-effective method for improving access to evidence-based treatment for obsessive-compulsive disorder (OCD) in young people.AimsEconomic evaluation of TCBT compared with face-to-face CBT for OCD in young people.

methodRandomised non-inferiority trial comparing TCBT with face-to-face CBT for 72 young people (aged 11 to 18) with a diagnosis of OCD. Cost-effectiveness at 12-month follow-up was explored in terms of the primary clinical outcome (Children's Yale-Brown Obsessive-Compulsive Scale, CY-BOCS) and quality-adjusted life-years (QALYs) (trial registration: ISRCTN27070832).

resultsTotal health and social care costs were higher for face-to-face CBT (mean total cost £2965, s.d. = £1548) than TCBT (mean total cost £2475, s.d. = £1024) but this difference was non-significant (P = 0.118). There were no significant between-group differences in QALYs or the CY-BOCS and there was strong evidence to support the clinical non-inferiority of TCBT. Cost-effectiveness analysis suggests a 74% probability that face-to-face CBT is cost-effective compared with TCBT in terms of QALYs, but the result was less clear in terms of CY-BOCS, with TCBT being the preferred option at low levels of willingness to pay and the probability of either intervention being cost-effective at higher levels of willingness to pay being around 50%.

conclusionsAlthough cost-effectiveness of TCBT was sensitive to the outcome measure used, TCBT should be considered a clinically non-inferior alternative when access to standard clinic-based CBT is limited, or when patient preference is expressed.Declaration of interestD.M.-C. reports research grants from the Swedish Research Council (Vetenskapsrådet), the Swedish Research Council for Health, working life and welfare (Forte), the US National Institute of Mental Health (NIMH), the UK National Institute of Health Research (NIHR), as well as royalties from Wolters Kluwer Health and Elsevier, all unrelated to the submitted work.

Indexed as

adolescentcognitive behavioural therapiescost-effectivenesseconomic evaluationObsessive-compulsive disorder

Identifiers

PMID30762502
PMCPMC6343121
OpenAlexW2908600084

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.