Cost-effectiveness of metacognitive therapy for cardiac rehabilitation participants with symptoms of anxiety and/or depression: analysis of a randomised controlled trial

Cost-Effectiveness of Metacognitive Therapy for Cardiac Rehabilitation

Study Overview

The study examines the effectiveness and cost of metacognitive therapy (MCT) combined with usual care (UC) for patients with cardiovascular disease (CVD) experiencing anxiety and/or depression. The goal is to see if MCT is a better option than just UC.

Research Method

A multicenter, single-blind, randomized controlled trial was conducted in the UK with 332 patients. The main focus was on measuring quality-adjusted life-years (QALYs) over a 12-month period. Various methods were used to ensure accurate data analysis.

Key Findings

The results showed that MCT was cost-effective, saving approximately £219 while also improving QALYs by 0.015. However, there is some uncertainty in these results. At a cost threshold of £30,000 per QALY, MCT has a 76% chance of being cost-effective.

Conclusions

The findings suggest that MCT could save costs and improve health outcomes, but further research is needed to confirm these results and explore long-term benefits.

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