网络干预促进青少年心理健康求助的成本-效益研究卡塔尔世界杯8强波胆分析随机对照试验%A Le,Long Khanh-Dao %A sansi,Lena %A Chatterton,Mary Lou %A Kauer,Sylvia %A Buhagiar,Kerrie %A Mihalopoulos, catherine %+迪肯卫生经济学，迪肯大学卫生与社会发展学院卫生转型研究所，伯伍德公路221号，伯伍德，3125，澳大利亚，61 392468383，long.le@deakin.edu.au %K经济评价%K成本效益%K心理健康%K寻求帮助%K网络干预%D 2019 %7 22.07.2019 %9背景:很少有经验证据支持网络干预增加年轻人心理健康寻求帮助行为的有效性和成本效益。目的:本研究的目的是评估基于网络的心理健康求助导航工具(Link)与常规求助策略的成本效益。方法:从澳大利亚卫生保健部门的角度对主要随机试验进行成本效用分析。年龄在18至25岁之间的年轻人被随机分配到Link干预组(n=205)或常规治疗组(n=208)，随访1个月和3个月。本研究的主要结局是质量调整生命年(QALYs)，通过评估生活质量4d来衡量。成本是根据自我报告的资源使用问卷计算的，报告单位为2015年澳元。初步分析作为意向治疗进行，并以增量成本-效果比报告。在敏感性分析中进行更完整的分析。 Results: Significantly more QALYs were gained in the intervention group than the control group (0.15 vs 0.14; P<.001). The intervention was associated with significantly lower health professional consultation costs at 1-month follow-up (mean costs Aus $98 vs Aus $162; P<.05). Costs of hospital services were lower at 3 months in the intervention arm (mean costs Aus $47 vs Aus $101); however, there was insufficient sample size to detect a significant difference between the groups. There were no statistically significant differences in the total costs between the 2 arms. Relative to the control group, those who received the intervention experienced 0.01 more QALYs (0.00-0.02) and had lower total health sector costs of Aus −$81 (Aus −$348 to Aus $186) over 3 months. The intervention was found to be more effective and less costly compared with usual help-seeking strategies. The intervention was 100% likely to be cost-effective below a willingness-to-pay value-for-money threshold of Aus $28,033 per QALY. Results were robust in the sensitivity analysis. Conclusions: Our study found that the online youth mental health help-seeking Web service is a cost-effective intervention for young people aged 18 to 25 years compared with usual search strategies. Further research is required to confirm these results. Trial Registration: Australian New Zealand Clinical Trials Registry ACTRN12614001223628; https://www.anzctr.org.au /Trial/Registration/TrialReview.aspx?id=366731 %M 31333199 %R 10.2196/13065 %U //www.mybigtv.com/2019/7/e13065/ %U https://doi.org/10.2196/13065 %U http://www.ncbi.nlm.nih.gov/pubmed/31333199