Cost-effectiveness of guided self-help treatment for recurrent binge eating
Open accessAbstract
OBJECTIVE: Adoption of effective treatments for recurrent binge-eating disorders depends on the balance of costs and benefits. Using data from a recent randomized controlled trial, we conducted an incremental cost-effectiveness analysis (CEA) of a cognitive-behavioral therapy guided self-help intervention (CBT-GSH) to treat recurrent binge eating compared to treatment as usual (TAU). METHOD: Participants were 123 adult members of an HMO (mean age = 37.2 years, 91.9% female, 96.7% non-Hispanic White) who met criteria for eating disorders involving binge eating as measured by the Eating Disorder Examination (C. G. Fairburn & Z. Cooper, 1993). Participants were randomized either to treatment as usual (TAU) or to TAU plus CBT-GSH. The clinical outcomes were binge-free days and quality-adjusted life years (QALYs); total societal cost was estimated using costs to patients and the health plan and related costs. RESULTS: Compared to those receiving TAU only, those who received TAU plus CBT-GSH experienced 25.2 more binge-free days and had lower total societal costs of $427 over 12 months following the intervention (incremental CEA ratio of -$20.23 per binge-free day or -$26,847 per QALY). Lower costs in the TAU plus CBT-GSH group were due to reduced use of TAU services in that group, resulting in lower net costs for the TAU plus CBT group despite the additional cost of CBT-GSH. CONCLUSIONS: Findings support CBT-GSH dissemination for recurrent binge-eating treatment.
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eTherapies have emerged as a preferred guided self-help format, addressing accessibility, scalability, cost, and privacy.
“eTherapies themselves have emerged as a preferred guided self-help format, their online delivery addressing issues of accessibility, scalability, cost, and privacy (23, 24)”
From The acceptability, feasibility, and preliminary efficacy of a supported online self-help treatment program for binge-eating disorder (2023) · cites this paper as [24]
The introductory passage (page not provided) links guided self-help to barriers involving time and cost. But the Method > Intervention describes a book-based program with therapist coaching sessions, not an online eTherapy. The paper does not establish that online delivery is preferred or that it addresses scalability and privacy. (LLM, conf=0.86)
Experimental — accuracy not yet measuredThe use of other professionals in this role, whilst achieving similar results, supports the utility of BED-targeted eTherapies within a stepped-care model.
“Given the aspiration of eTherapies to address issues of accessibility, scalability, and cost (11, 23, 24), this study’s use of other professionals in this role, whilst achieving similar results, supports this utility of BED-targeted eTherapies within a stepped-care model.”
From The acceptability, feasibility, and preliminary efficacy of a supported online self-help treatment program for binge-eating disorder (2023) · cites this paper as [24]
The citation is attached to the background claim about accessibility, scalability, and cost, not the citing authors’ conclusion about their own study. The source’s Discussion says guided self-help can provide cost-effective care for recurrent binge eating, and its introductory passage identifies barriers to accessing treatment. It does not address eTherapies or establish their scalability. (LLM, conf=0.82)
Experimental — accuracy not yet measured
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- Authors
- Lynch, F. L., Striegel-Moore, R. H., Dickerson, J. F., Perrin, N., DeBar, L., Wilson, G. T., & Kraemer, H. C.
- Affiliations
- Kaiser Permanente (US)
- Rutgers, The State University of New Jersey (US)
- Stanford Medicine (US)
- ORCID
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2010
- Volume
- 78
- Issue
- 3
- Pages
- 322-333
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- PMC
- PMC2880825
- OpenAlex
- W2115939103
- Cited by
- 100
- References
- 82
- Citations by year
- 2025: 2 · 2024: 9 · 2023: 6 · 2022: 6 · 2021: 7 · 2020: 4 · 2019: 5 · 2018: 4 · 2017: 12 · 2016: 8 · 2015: 6 · 2014: 8 · 2013: 5 · 2012: 8
- FWCI
- 8.06
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- WESLEYAN
- Funders
- National Institute of Mental Health (MH066966)
- National Institute of Diabetes and Digestive and Kidney Diseases
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- binge eating, binge eating disorder, guided self-help, cognitive behavioral therapy, cost-effectiveness, social costs, quality-adjusted life years, usual care, health plan costs, treatment dissemination
- MeSH terms
- Adult, Anorexia Nervosa, Cost-Benefit Analysis, Female, Follow-Up Studies, Humans, Male, Managed Care Programs, Manuals as Topic, Middle Aged, Self Care, Cognitive Behavioral Therapy, Cost Savings, Quality-Adjusted Life Years, Bulimia Nervosa, Secondary Prevention, Binge-Eating Disorder
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