Cost analysis of the Communication and Low Mood (CALM) randomised trial of behavioural therapy for stroke patients with aphasia
Open accessAbstract
Objective To evaluate the cost effectiveness of a behavioural therapy intervention shown to be clinically effective in comparison with usual care for stroke patients with aphasia. Design Randomised controlled trial with comparison of costs and calculation of incremental cost effectiveness ratio. Setting Community. Participants Participants identified as having low mood on either the Visual Analog Mood Scale sad item (≥50) or Stroke Aphasic Depression Questionnaire Hospital version 21 (SADQH21) (≥6) were recruited. Interventions Participants were randomly allocated to behavioural therapy or usual care using internet-based randomisation generated in advance of the study by a clinical trials unit. Main measures Outcomes were assessed at six months after randomisation, blind to group allocation. The costs were assessed from a service use questionnaire. Effectiveness was defined as the change in SADQH21 scores and a cost-effectiveness analysis was performed comparing the behavioural group with the usual care control group. The cost analysis was undertaken from the perspective of the UK NHS and Social Services. Results The greatest difference was in home help costs where there was a saving of £56.20 in the intervention group compared to an increase of £61.40 in the control group. At six months the SADQH21 score for the intervention group was 17.3 compared to the control group value of 20.4. This resulted in a mean increase of 0.7 in the control group, compared to a mean significant…
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Self-citation
- Authors
- Humphreys, I., Thomas, S., Phillips, C., & Lincoln, N.
- Affiliations
- Swansea University (GB)
- University of Nottingham (GB)
- Venue
- Clinical Rehabilitation
- Publisher
- SAGE Publications
- Published
- 2014-06-18
- Volume
- 29
- Issue
- 1
- Pages
- 30-41
- ISSN
- 0269-2155 (ISSN-L)
- 1477-0873
- OpenAlex
- W2108552575
- Cited by
- 13
- References
- 24
- Citations by year
- 2025: 1 · 2022: 3 · 2021: 2 · 2020: 1 · 2019: 3 · 2018: 2 · 2015: 1
- FWCI
- 0.83
- Type
- journal article
- Language
- en
- Open access
- Locations
- Clinical Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Repository@Nottingham (University of Nottingham) (submittedVersion, cc-by)
- Nottingham ePrints (University of Nottingham) (submittedVersion)
- Repository@Nottingham (University of Nottingham) (submittedVersion, other-oa)
- Funders
- National Institute for Health and Care Research
- Topics
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Medicine › Epidemiology › Acute Ischemic Stroke Management
- Keywords
- aphasia, stroke, behavior therapy, depression, depressive mood, cost-effectiveness, service utilization, resource utilization (health care)
- MeSH terms
- Aphasia, Cost-Benefit Analysis, Female, United Kingdom, Home Care Services, Humans, Male, Middle Aged, State Medicine, Cognitive Behavioral Therapy, Outcome Assessment, Health Care, Mood Disorders, Stroke
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