Evidence map›Paper›PMID 33115442›Full record

ArticleBMC health services research2020

An economic evaluation of a mobile text messaging intervention to improve mental health care in resource-poor communities in China: a cost-effectiveness study.

Rubee Dev, Jinghua Li, Donglan Zhang, Yiyuan Cai, Chun Hao, Fengsu Hou, Ruixin Wang, Meijuan Lin, Dong Roman Xu

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 37% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Association ofNeuropsychiatric disease and treatment · 2024
    Article
  3. 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 4 institutions in 2 countries.

Rubee DevSun Yat-sen University Global Health Institute (SGHI), School of Public Health & Institute of State Governance, Sun Yat-sen University, Guangzhou, China.
Jinghua LiSun Yat-sen University Global Health Institute (SGHI), School of Public Health & Institute of State Governance, Sun Yat-sen University, Guangzhou, China.
Donglan ZhangDepartment of Health Policy and Management, College of Public Health, University of Georgia, Athens, GA, USA.
Yiyuan CaiSun Yat-sen University Global Health Institute (SGHI), School of Public Health & Institute of State Governance, Sun Yat-sen University, Guangzhou, China.
Chun HaoSun Yat-sen University Global Health Institute (SGHI), School of Public Health & Institute of State Governance, Sun Yat-sen University, Guangzhou, China.
Fengsu HouSun Yat-sen University Global Health Institute (SGHI), School of Public Health & Institute of State Governance, Sun Yat-sen University, Guangzhou, China.
Ruixin WangSun Yat-sen University Global Health Institute (SGHI), School of Public Health & Institute of State Governance, Sun Yat-sen University, Guangzhou, China.
Meijuan LinSun Yat-sen University Global Health Institute (SGHI), School of Public Health & Institute of State Governance, Sun Yat-sen University, Guangzhou, China.
Dong Roman XuACACIA Lab and Department of Health Management, School of Health Management, Southern Medical University, Guangzhou, China. romanxu@i.smu.edu.cn.ORCID http://orcid.org/0000-0001-7438-632X
Sun Yat-sen University · CNGuiyang Medical University · CNSouthern Medical University · CNUniversity of Georgia · US

Funding

University of Washington Center for Demography and Economics of Aging-OverallP30AG047845 · NIA · UNIVERSITY OF WASHINGTON · PI MURRAY, CHRISTOPHER J.L. · 2014 to 2019
$3.8M
NIA NIH HHS P30 AG047845NIA NIH HHS P30AG047845
6 · The paper itself

Abstract

backgroundSevere mental disorders, a leading cause of disability has become a major public health problem. In order to promote mental health, a series of programs have been promulgated by the Chinese government. However, economic evaluations of such programs are lacking. The purpose of this study is to develop and validate an economic model to assess the cost and health outcomes of the LEAN (Lay health supporters, E-platform, Award, and iNtegration) program, and to perform an economic evaluation of LEAN versus the nationwide community-based mental health program that provides free antipsychotic medications.

methodsA cost-effectiveness and cost-utility analysis of the LEAN intervention will be performed. A Markov model will be developed, validated and used to assess and compare the costs and outcomes for the LEAN intervention versus nationwide community-based mental health program. The calculated sample size is 258 participants for the analysis. A societal perspective will be applied with the time horizon of 1-year after the termination of the LEAN program. The cost-utility will be measured primarily using Quality Adjusted Life Years and the cost-effectiveness will be measured using number of relapses and number of re-hospitalizations avoided 6-month after the intervention. Univariate and probabilistic sensitivity analysis will be conducted for the analysis of uncertainty. DISCUSSION: If proven cost-effective, this study will contribute to the nationwide implementation of the program, not only for schizophrenia but for all kind of severe mental disorders. Markov model developed as part of the study will benefit potential researchers in analyzing cost-effectiveness of other programs. The Chinese context of the study may limit the generalizability of the study results to some extent.

trial registrationThis study was registered in a Chinese Clinical Trial Registry ( ChiCTR2000034962 ) on 25 July 2020.

Indexed as

SchizophreniaText MessagingChinaCost-Benefit AnalysisHumansMental HealthCost-effectivenessCost-utilityMental disorderSchizophrenia

Identifiers

PMID33115442
PMCPMC7594477
OpenAlexW3097951417

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.