Table 3.
Differences in mean adjusted costs (€, 2014) and effects (95% confidence intervals), incremental cost‐effectiveness ratios, and distribution of incremental cost‐effect pairs on the cost‐effectiveness planes
Analysis | ΔC (95% CI) | ΔE (95% CI) | ICER | Distribution on CE Planeb (%) | |||
---|---|---|---|---|---|---|---|
Outcome | € | Points | €/Point | NE | SE | SW | NW |
Main analysis | |||||||
8 weeks (n = 763) | |||||||
CES‐D | 400 (92; 705) | 1.79 (− .12; 3.70) | 224 | 96 | 1 | 0 | 3 |
Response | 400 (92; 705) | .10 (.03; .17) | 3,903 | 98 | 1 | 0 | 1 |
QALYs | 400 (92; 705) | .01 (.00; .01) | 81,155 | 98 | 1 | 0 | 1 |
6 months (n = 1,163) | |||||||
CES‐D | 211 (− 355; 787) | 2.17 (.70; 3.64) | 97 | 74 | 26 | 0 | 0 |
Response | 211 (− 355; 787) | .07 (.01; .13) | 3,158 | 73 | 26 | 0 | 1 |
QALYs | 211 (− 355; 787) | .01 (− .00; .02) | 32,706 | 65 | 24 | 2 | 9 |
12 months (n = 906) | |||||||
CES‐D | 406 (− 611; 1,444) | 1.75 (− .09; 3.60) | 232 | 72 | 25 | 1 | 3 |
Response | 406 (− 611; 1,444) | .06 (− .02; .13) | 7,079 | 68 | 24 | 2 | 6 |
QALYs | 406 (− 611; 1,444) | −.00 (− .03; .03) | −1,122,646 | 33 | 16 | 9 | 42 |
Sensitivity analysisa | |||||||
SA1: Human capital approach | |||||||
CES‐D | 1,328 (− 32; 2,716) | 1.75 (− .09; 3.60) | 758 | 90 | 6 | 0 | 3 |
Response | 1,328 (− 32; 2,716) | .06 (− .02; .13) | 23,140 | 87 | 6 | 0 | 7 |
QALYs | 1,328 (− 32; 2,716) | −.00 (− .03; .03) | −23,210,980 | 45 | 5 | 2 | 49 |
SA2: National healthcare provider | |||||||
CES‐D | 442 (117; 824) | 1.76 (− .09; 3.60) | 251 | 95 | 2 | 0 | 3 |
Response | 442 (117; 824) | .06 (− .02; .13) | 7,698 | 91 | 2 | 0 | 7 |
QALYs | 442 (117; 824) | −.00 (− .03; .03) | −1,220,857 | 47 | 1 | 1 | 51 |
SA3: Increased costs by 25% | |||||||
CES‐D | 508 (− 764; 1,808) | 1.75 (− .09; 3.60) | 289 | 72 | 25 | 1 | 3 |
Response | 508 (− 764; 1,808) | .06 (− .02; .13) | 8,848 | 69 | 24 | 2 | 6 |
QALYs | 508 (− 764; 1,808) | −.00 (− .03; .03) | −1,403,308 | 33 | 16 | 9 | 42 |
SA4: Decreased costs by 25% | |||||||
CES‐D | 305 (− 458; 1,082) | 1.75 (− .09; 3.60) | 174 | 72 | 25 | 1 | 3 |
Response | 305 (− 458; 1,082) | .06 (− .02; .13) | 5,039 | 69 | 24 | 2 | 6 |
QALYs | 305 (− 458; 1,082) | −.00 (− .03; .03) | −841,985 | 33 | 16 | 9 | 42 |
SA5: Complete case (n = 482) | |||||||
CES‐D | −62 (− 1,304; 1,202) | 2.7 (.92; 4.62) | −23 | 47 | 53 | 0 | 0 |
Response | −62 (− 1,304; 1,202) | .12 (.03; .20) | −539 | 47 | 53 | 0 | 0 |
QALYs | −62 (− 1,304; 1,202) | .01 (− .01; .03) | −8,365 | 31 | 42 | 11 | 17 |
SA6: Per protocol (n = 681) | |||||||
CES‐D | 279 (− 935; 1,524) | 2.36 (.41; 4.62) | 118 | 66 | 34 | 0 | 1 |
Response | 279 (− 935; 1,524) | .07 (− .02; .16) | 4,070 | 62 | 32 | 2 | 5 |
QALYs | 279 (− 935; 1,524) | .01 (− .02; .03) | 39,102 | 44 | 28 | 6 | 22 |
SA7: Recruited from general populationc (n = 663) | |||||||
CES‐D | 59 (− 673; 750) | 3.17 (1.84; 4.51) | 18 | 55 | 45 | 0 | 0 |
Response | 59 (− 673; 750) | 12 (.05; .18) | 504 | 55 | 45 | 0 | 0 |
QALYs | 59 (− 673; 750) | .01 (− .01; .02) | 15,437 | 39 | 34 | 11 | 16 |
SA8: Reliable change index | 406 (− 611; 1,444) | .07 (− .01; .14) | 5,971 | 71 | 26 | 1 | 3 |
Notes: CES‐D = Center for Epidemiologic Studies Depression Scale (range:0‐6‐); QALYs = Quality‐Adjusted Life‐years (range: 0–1); ΔC = Mean difference in costs; ΔE = Mean difference in effects.
Sensitivity analyses conducted at 12‐month follow‐up. N = 906 unless otherwise specified.
The northeast (NE) quadrant of the CE plane indicates that the Internet‐based intervention is more effective and more expensive than the control condition; The southeast (SE) quadrant of the CE plane indicates that the Internet‐based intervention is more effective and less expensive than the control condition; The southwest (SW) quadrant of the CE plane indicates that the Internet‐based intervention is less effective and more expensive than the control condition; The northwest (NW) quadrant indicates that the Internet‐based intervention is less effective and more expensive than the control condition.
This sensitivity analysis was conducted at 6 months follow‐up because at 12 months only one study was conducted in primary care