A Cost-effectiveness Analysis of an Internet-delivered Pain Management Program Delivered With Different Levels of Clinician Support: Results From a Randomised Controlled Trial
Open accessAbstract
There is growing interest in the potential of internet-delivered pain management programs (PMPs) to increase access to care for people with chronic pain. However, very few economic evaluations of these interventions have been reported. Using existing data, the current study examined the cost-effectiveness of an internet-delivered PMP for a mixed group chronic pain patients (n = 490) provided with different levels of clinician support. The findings indicated that each additional clinical outcome (defined as a ≥ 30% reduction in disability, depression, anxiety, and pain) was associated with cost-savings when the intervention was provided in a self-guided format (ICER range: -$404--$808 AUD) or an optional-guided format (ICER range: -$314--$541 AUD), and a relatively small fixed cost when provided in the clinician-guided format (ICER range: $88-$225 AUD). The results were driven by a reduction in service use costs among the treatment groups, which offset the costs of providing the internet-delivered PMP in the self-guided and optional-guided formats. The same general pattern of results was found when more stringent clinical outcomes (defined as a ≥ 50% reduction) were employed. These findings suggest that carefully developed and administered internet-delivered PMPs, provided with different levels of clinician support, can be highly cost effective for patients with a broad range of pain conditions. PERSPECTIVE: This study examines the cost-effectiveness of an internet-delivered P…
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This growth represents a significant increase in demand for the programme.
“This represents a significant increase in demand, and is promising, as previous research suggests that Internet‐delivered cognitive behavioural PMPs contribute to considerable healthcare cost‐savings for each additional clinical outcome (i.e. depression, anxiety, disability and pain) that is reduced by 30% or greater (Dear et al., 2021).”
From Five-year observational study of Internet-delivered cognitive behavioural pain management when offered as routine care by an online therapy clinic (2022) · cites this paper as Dear et al., 2021
Internet-delivered cognitive behavioural PMPs contribute to considerable healthcare cost-savings for each additional clinical outcome that is reduced by 30% or greater.
“previous research suggests that Internet‐delivered cognitive behavioural PMPs contribute to considerable healthcare cost‐savings for each additional clinical outcome (i.e. depression, anxiety, disability and pain) that is reduced by 30% or greater (Dear et al., 2021).”
From Five-year observational study of Internet-delivered cognitive behavioural pain management when offered as routine care by an online therapy clinic (2022) · cites this paper as Dear et al., 2021
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“…demand, and is promising, as previous research suggests that Internet- delivered cognitive behavioural PMPs contribute to considerable healthcare cost- savings for each additional clinical outcome (i.e. depression, anxiety, disability and pain) that is reduced by 30% or greater (Dear et al., 2021).”
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- Authors
- Dear, B. F., Karin, E., Fogliati, R., Dudeney, J., Nielssen, O., Scott, A. J., Gandy, M., Bisby, M. A., Heriseanu, A. I., Hathway, T., Staples, L., Titov, N., & Schroeder, L.
- Affiliations
- Macquarie University (AU)
- Corresponding author
- Dear, Blake F.
- ORCID
- Venue
- The Journal of Pain
- Publisher
- Elsevier BV
- Published
- 2021-03
- Volume
- 22
- Issue
- 3
- Pages
- 344-358
- ISSN
- 1526-5900 (ISSN-L)
- OpenAlex
- W3098272031
- Cited by
- 28
- References
- 17
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 6 · 2023: 6 · 2022: 4 · 2021: 2
- FWCI
- 1.80
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Health and Medical Research Council
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Keywords
- chronic pain, cost-effectiveness, clinician support, self-guided intervention, disability, depression, anxiety, pain intensity, economic evaluation
- MeSH terms
- Internet-Based Intervention, Adult, Cost-Benefit Analysis, Humans, Cognitive Behavioral Therapy, Outcome Assessment, Health Care, Telemedicine, Chronic Pain, Pain Management
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