Please use this identifier to cite or link to this item:
https://doi.org/10.48548/pubdata-1433
| Resource type | Journal Article |
| Title(s) | A Universal Digital Stress Management Intervention for Employees: Randomized Controlled Trial with Health-Economic Evaluation |
| DOI | 10.48548/pubdata-1433 |
| Handle | 20.500.14123/1502 |
| Creator | Freund, Johanna  0000-0002-0038-9330Smit, Filip 0000-0001-9479-3600Lehr, Dirk 0000-0002-5560-3605Zarski, Anna-Carlotta 0000-0002-0517-6668Berking, Matthias 0000-0001-5903-4748Riper, Heleen 0000-0002-8144-8901Funk, Burkhardt 0000-0001-5855-2666Ebert, David Daniel 0000-0001-6820-0146Buntrock, Claudia 0000-0002-4974-5455 |
| Abstract | Background: Stress is highly prevalent and known to be a risk factor for a wide range of physical and mental disorders. The effectiveness of digital stress management interventions has been confirmed; however, research on its economic merits is still limited. Objective: This study aims to assess the cost-effectiveness, cost-utility, and cost-benefit of a universal digital stress management intervention for employees compared with a waitlist control condition within a time horizon of 6 months. Methods: Recruitment was directed at the German working population. A sample of 396 employees was randomly assigned to the intervention group (n=198) or the waitlist control condition (WLC) group (n=198). The digital stress management intervention included 7 sessions plus 1 booster session, which was offered without therapeutic guidance. Health service use, patient and family expenditures, and productivity losses were self-assessed and used for costing from a societal and an employer’s perspective. Costs were related to symptom-free status (PSS-10 [Perceived Stress Scale] score 2 SDs below the study population baseline mean) and quality-adjusted life years (QALYs) gained. The sampling error was handled using nonparametric bootstrapping. Results: From a societal perspective, the digital intervention was likely to be dominant compared with WLC, with a 56% probability of being cost-effective at a willingness-to-pay (WTP) of €0 per symptom-free person gained. At the same WTP threshold, the digital intervention had a probability of 55% being cost-effective per QALY gained relative to the WLC. This probability increased to 80% at a societal WTP of €20,000 per QALY gained. Taking the employer’s perspective, the digital intervention showed a probability of a positive return on investment of 78%. Conclusions: Digital preventive stress management for employees appears to be cost-effective societally and provides a favorable return on investment for employers. |
| Language | English |
| Keywords | Evaluation; Costs; Effectiveness; Utility; Benefit; Return on Investment; Stress Management |
| Year of publication in PubData | 2024 |
| Publishing type | Parallel publication |
| Publication version | Published version |
| Date issued | 2024-10-22 |
| Creation context | Research |
| Notes | This publication was funded by the German Research Foundation (DFG). |
| Published by | Medien- und Informationszentrum, Leuphana Universität Lüneburg |
| Related resources |
Information regarding first publication
| Field | Value |
|---|---|
| Resource type | Journal |
| Title of the resource type | Journal of Medical Internet Research |
| Identifier | DOI: 10.2196/48481 |
| Publication year | 2024 |
| Volume | 26 |
| Number | e48481 |
| Number type | Article |
| Publisher | Healthcare World |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
Freund_A_Universal_Digital_Stress_Management_Intervention_for_Employees.pdf License: 
open-access | 1.24 MB | Adobe PDF | View/Open |
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