Frances L. Lynch|Ruth H. Striegel?Moore|John F. Dickerson|Nancy Perrin|Lynn DeBar|G. Terence Wilson|Helena C. Kraemer
Cost-effectiveness of guided self-help treatment for recurrent binge eating.
Kaiser Permanente Center for Health Research|Wesleyan University|Kaiser Permanente Center for Health Research|Kaiser Permanente Center for Health Research|Kaiser Permanente Center for Health Research|Rutgers, The State University of New Jersey|Stanford University
adoption effective treatments recurrent bingeeating disorders depends balance costs benefits using data recent randomized controlled trial conducted incremental costeffectiveness analysis cea cognitivebehavioral therapy guided selfhelp intervention cbtgsh treat recurrent binge eating compared treatment usual tauparticipants 123 adult members hmo mean age 372 years 919 female 967 nonhispanic white met criteria eating disorders involving binge eating measured eating disorder examination c g fairburn z cooper 1993 participants randomized either treatment usual tau tau plus cbtgsh clinical outcomes bingefree days qualityadjusted life years qalys total societal cost estimated using costs patients health plan related costscompared receiving tau received tau plus cbtgsh experienced 252 bingefree days lower total societal costs 427 12 months following intervention incremental cea ratio 2023 per bingefree day 26847 per qaly lower costs tau plus cbtgsh group due reduced use tau services group resulting lower net costs tau plus cbt group despite additional cost cbtgshfindings support cbtgsh dissemination recurrent bingeeating treatment