Cost-effectiveness of integrated prevention for late-life depressive symptoms: Real-world findings from a large-scale pragmatic trial ("JoyAge").
Shiyu Lu, Tianyin Liu, Dara Kiu Yi Leung et al.
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In 30 seconds
This pragmatic non-randomised controlled trial evaluated the cost-effectiveness of the JoyAge integrated prevention program for late-life depression in a sample of 3,416 participants. JoyAge demonstrated an incremental effectiveness of 31.86 depression-free days (DFDs) and 0.01 quality-adjusted life years (QALYs) at an incremental cost of US$251, indicating strong cost-effectiveness compared to usual care.
Key findings
- JoyAge resulted in 31.86 additional depression-free days (DFDs) at an incremental cost of US$251.
- The incremental cost-effectiveness ratio was US$9 per DFD and US$20,063 per QALY.
- JoyAge has a 95% likelihood of being cost-effective at US$24 per DFD and 99.9% for QALYs using WHO thresholds.
- Selective prevention was more effective in gaining DFDs and QALYs compared to usual care.
Why it matters
Understanding the cost-effectiveness of integrated prevention programs like JoyAge is crucial for addressing late-life depression, especially in resource-limited settings. Effective interventions can improve quality of life and reduce healthcare costs.