Table 2.
Per-patient intervention costs in 2009 euros (€) within uncertainty range (based on 1000 simulations)
| Target Group Alcohol Use Disorder | Intervention | Costs in Euros | Uncertainty Range (Euros) |
|
| Low | High | |||
| Heavy | Brief face-to-face interventiona | 58 | 52 | 75 |
| Online brief interventionb | 10 | 9 | 10 | |
| Hazardous | Brief face-to-face interventiona | 58 | 52 | 75 |
| Online brief interventionb | 10 | 9 | 10 | |
| Behavioral interventionc | 2024 | 1702 | 2550 | |
| Online self-help interventiond | 207 | 198 | 224 | |
| Harmful | Behavioral interventionc | 2024 | 1702 | 2550 |
| Online self-help interventiond | 207 | 198 | 224 | |
| Online therapist-led interventione | 764 | 227 | 1451 | |
| Detox and acamprosatef | 1800 | 1620 | 2232 | |
| Aftercare and rehab with AAg | 500 | 250 | 750 | |
| Dependence | Behavioral interventionc | 2024 | 1702 | 2550 |
| Online therapist-led interventione | 1276 | 979 | 1408 | |
| Detox and acamprosatef | 1800 | 1620 | 2232 | |
| Aftercare and rehab with AAg | 500 | 250 | 750 | |
a Brief face-to-face intervention modeled as screening at € 5.70 followed by 1 or 2 (Poisson distributed) 10-minute contacts with GP at € 32.03 per contact
b Online brief intervention (DrinkTest) modeled as 40% of target population (N = 1,255,000) reached with information about the website, 8% responding to AUDIT screener and receiving automated personalized feedback. Per-participant annual costs include website upgrading at € 50,000 research at € 50,000 and hosting at € 25,000.
c Behavioral intervention is modeled as 8 to 14 (Poisson distributed) sessions of cognitive behavioral therapy (CBT) under guidance by a therapist, including referral, intake, and one booster session
d Online self-help intervention (DrinkingLess) is modeled as 15% of target population (N = 1,255,000) reached with information about the website 5% uptake rate, and 4 sessions (range 3 to 12) of online CBT-based self-help preceded by referral by a GP. Per-participant annual costs include € 75,000 for website upgrading, € 50,000 for research, € 25,000 for hosting, plus € 75,000 for moderating forum and technical assistance.
e Online therapist-led intervention is modeled as an average of 4 sessions (range 1 to 9) of 45 minutes each of online therapist-led CBT, preceded by GP referral. Per-participant costs include per annum costs of € 8000 for website upgrading, € 5000 for hosting, plus € 2000 for technical assistance.
f Detox is modeled as a 1-week ambulatory detoxification followed by clinical management with acamprosate under the supervision of a substance use disorder treatment specialist and a physician over 3 months.
g Aftercare and rehabilitation is modeled as participation in Alcoholics Anonymous at an average of € 500 (range € 250 to € 750) per patient for a year.