Please use this identifier to cite or link to this item: https://doi.org/10.48548/pubdata-1433
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FieldValue
Resource typeJournal Article
Title(s)A Universal Digital Stress Management Intervention for Employees: Randomized Controlled Trial with Health-Economic Evaluation
DOI10.48548/pubdata-1433
Handle20.500.14123/1502
CreatorFreund, Johanna  0000-0002-0038-9330
Smit, Filip  0000-0001-9479-3600
Lehr, Dirk  0000-0002-5560-3605
Zarski, Anna-Carlotta  0000-0002-0517-6668
Berking, Matthias  0000-0001-5903-4748
Riper, Heleen  0000-0002-8144-8901
Funk, Burkhardt  0000-0001-5855-2666
Ebert, David Daniel  0000-0001-6820-0146
Buntrock, Claudia  0000-0002-4974-5455
AbstractBackground: 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.
LanguageEnglish
KeywordsEvaluation; Costs; Effectiveness; Utility; Benefit; Return on Investment; Stress Management
Year of publication in PubData2024
Publishing typeParallel publication
Publication versionPublished version
Date issued2024-10-22
Creation contextResearch
Faculty / departmentFakultät Nachhaltigkeit
NotesThis publication was funded by the German Research Foundation (DFG).
Date of Availability2024-11-08T12:07:37Z
Archiving Facility Medien- und Informationszentrum (Leuphana Universität Lüneburg  02w2y2t16)
Published byMedien- und Informationszentrum, Leuphana Universität Lüneburg
  Information regarding first publication
FieldValue
Resource typeJournal
Title of the resource typeJournal of Medical Internet Research
IdentifierDOI: 10.2196/48481
Publication year2024
Volume26
Numbere48481
Number typeArticle
PublisherHealthcare World
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