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Cost effectiveness of treatment for alcohol problems: findings of the randomised UK alcohol treatment trial (UKATT)

Godfrey, C. (2005) Cost effectiveness of treatment for alcohol problems: findings of the randomised UK alcohol treatment trial (UKATT). BMJ, 331 (7516). pp. 544-548. ISSN 0959-8146

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Abstract

Objective: To compare the cost effectiveness of social behaviour and network therapy (a new social treatment for alcohol problems) with that of the proved motivational enhancement therapy.

Design: Cost effectiveness analysis alongside a pragmatic randomised trial.

Setting: Seven treatment sites around Birmingham, Cardiff, and Leeds.

Participants: 742 clients with alcohol problems; 617 (83.2%) were interviewed at 12 months and hill economic data were obtained on 608 (98.5% of 617).

Main economic measures: Quality adjusted life years (QALYs), costs of trial treatments, and consequences for public sector resources (health care, other alcohol treatment, social services, and criminal justice services).

Results: Both therapies saved about five times as much in expenditure on health, social, and criminal justice services as they cost. Neither net savings nor cost effectiveness differed significantly between the therapies, despite the average cost of social behaviour and network therapy (221; pound $385; E320) being significantly more than that of motivational enhancement therapy (129) pound. If a QALY were worth 30 pound 000, then the motivational therapy would have 58% chance of being more cost effective than the social network therapy, and social network therapy would have 42% chance of being more cost effective than the motivational therapy.

Conclusion: Trial participants reported highly significant reductions in drinking and associated problems and costs. The novel social behaviour and network therapy did not differ significantly in cost effectiveness from the proved motivational enhancement therapy.

Item Type: Article
Institution: The University of York
Academic Units: The University of York > Health Sciences (York)
Depositing User: Repository Officer
Date Deposited: 12 Nov 2008 10:18
Last Modified: 12 Nov 2008 10:18
Published Version: http://dx.doi.org/10.1136/bmj.331.7516.544
Status: Published
Publisher: BMJ Publishing
Refereed: Yes
Identification Number: 10.1136/bmj.331.7516.544
URI: http://eprints.whiterose.ac.uk/id/eprint/4840

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