A Cost-Utility Analysis of LISTEN: Low-Intensity Mental Health Support via Telehealth-Enabled Network for Diabetes Distress.
Joahna Kevin Perez, Mary Lou Chatterton, Harish Raj Narandaran et al.
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In 30 seconds
This randomized controlled trial evaluated the cost-effectiveness of the LISTEN program, a low-intensity mental health support via telehealth for adults with diabetes distress. Among 428 participants, the LISTEN group achieved a mean increase in quality-adjusted life-years (QALYs) of 0.024. While costs were lower for LISTEN compared to usual care, these differences were not statistically significant.
Key findings
- LISTEN resulted in a mean increase of 0.024 QALYs over 6 months.
- The mean direct cost of delivering LISTEN was A$262 per person.
- LISTEN had a 94% probability of being cost-effective at a A$50,000 per QALY threshold.
- Mean health sector costs were lower by A$3271 compared to usual care.
Why it matters
Understanding the cost-effectiveness of mental health interventions in diabetes care is crucial, as it can inform resource allocation and improve patient outcomes. Effective management of diabetes distress can enhance overall health-related quality of life.
What to keep in mind
Findings should be interpreted cautiously due to substantial missing data.