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Are acceptance and mindfulness-based interventions 'value for money'? : evidence from a systematic literature review
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Duarte, R., Lloyd, A., Andronis, L. and White, R. (2019) Are acceptance and mindfulness-based interventions 'value for money'? : evidence from a systematic literature review. British Journal of Clinical Psychology, 58 (2). pp. 187-210. doi:10.1111/bjc.12208 ISSN 0144-6657.
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Official URL: https://doi.org/10.1111/bjc.12208
Abstract
Objectives:
Acceptance and mindfulness‐based interventions (A/MBIs) are recommended for people with mental health conditions. Although there is a growing evidence base supporting the effectiveness of different A/MBIs for mental health conditions, the economic case for these interventions has not been fully explored. The aim of this systematic review was to identify and appraise all available economic evidence of A/MBIs for the management of mental health conditions.
Methods:
Eight electronic bibliographic databases (MEDLINE, MEDLINE In‐Process & Other Non‐Indexed Citations, EMBASE, Web of Science, NHS Economic Evaluation Database (EED), Database of Abstracts of Reviews of Effects (DARE), Health Technology Assessment (HTA) database, and EconLit) were searched for relevant economic evaluations published from each database's inception date until November 2017. Study selection, quality assessment, and data extraction were carried out according to published guidelines.
Results:
Ten relevant economic evaluations presented in 11 papers were identified. Seven of the included studies were full economic evaluations (i.e., costs and effects assessed), and three studies were partial economic evaluations (i.e., only costs were considered in the analysis). The A/MBIs that had been subjected to economic evaluation were acceptance and commitment therapy (ACT), dialectical behaviour therapy (DBT), mindfulness‐based cognitive therapy (MBCT), and mindfulness‐based stress reduction (MBSR). In terms of clinical presentations, the evaluation of cost‐effectiveness of A/MBIs has been more focused on depression and emotional unstable personality disorder with three and four economic evaluations, respectively. Three out of seven full economic evaluations observed that A/MBIs were cost‐effective for the management of mental health conditions. Nevertheless, the heterogeneity of included populations, interventions, and economic evaluation study types limits the extent to which firm conclusions can currently be made.
Conclusion:
This first substantive review of economic evaluations of A/MBIs indicates that more research is needed before firm conclusions can be reached on the cost‐effectiveness of A/MBIs for mental health conditions.
| Item Type: | Journal Article | ||||||||
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| Subjects: | B Philosophy. Psychology. Religion > BF Psychology R Medicine > RA Public aspects of medicine R Medicine > RC Internal medicine |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Population, Evidence & Technologies (PET) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Mental health , Acceptance and commitment therapy, Mindfulness-based cognitive therapy, Mindfulness (Psychology) | ||||||||
| Journal or Publication Title: | British Journal of Clinical Psychology | ||||||||
| Publisher: | John Wiley & Sons Ltd. | ||||||||
| ISSN: | 0144-6657 | ||||||||
| Official Date: | June 2019 | ||||||||
| Dates: |
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| Volume: | 58 | ||||||||
| Number: | 2 | ||||||||
| Page Range: | pp. 187-210 | ||||||||
| DOI: | 10.1111/bjc.12208 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Open Access (Creative Commons) | ||||||||
| Date of first compliant deposit: | 21 November 2018 | ||||||||
| Date of first compliant Open Access: | 7 January 2019 |
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