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The role of cognition in cost-effectiveness analyses of behavioral interventions
BACKGROUND: Behavioral interventions typically focus on objective behavioral endpoints like weight loss and smoking cessation. In reality, though, achieving full behavior change is a complex process in which several steps towards success are taken. Any progress in this process may also be considered...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3311086/ https://www.ncbi.nlm.nih.gov/pubmed/22380627 http://dx.doi.org/10.1186/1478-7547-10-3 |
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author | Prenger, Rilana Braakman-Jansen, Louise M Pieterse, Marcel E van der Palen, Job Seydel, Erwin R |
author_facet | Prenger, Rilana Braakman-Jansen, Louise M Pieterse, Marcel E van der Palen, Job Seydel, Erwin R |
author_sort | Prenger, Rilana |
collection | PubMed |
description | BACKGROUND: Behavioral interventions typically focus on objective behavioral endpoints like weight loss and smoking cessation. In reality, though, achieving full behavior change is a complex process in which several steps towards success are taken. Any progress in this process may also be considered as a beneficial outcome of the intervention, assuming that this increases the likelihood to achieve successful behavior change eventually. Until recently, there has been little consideration about whether partial behavior change at follow-up should be incorporated in cost-effectiveness analyses (CEAs). The aim of this explorative review is to identify CEAs of behavioral interventions in which cognitive outcome measures of behavior change are analyzed. METHODS: Data sources were searched for publications before May 2011. RESULTS: Twelve studies were found eligible for inclusion. Two different approaches were found: three studies calculated separate incremental cost-effectiveness ratios for cognitive outcome measures, and one study modeled partial behavior change into the final outcome. Both approaches rely on the assumption, be it implicitly or explicitly, that changes in cognitive outcome measures are predictive of future behavior change and may affect CEA outcomes. CONCLUSION: Potential value of cognitive states in CEA, as a way to account for partial behavior change, is to some extent recognized but not (yet) integrated in the field. In conclusion, CEAs should consider, and where appropriate incorporate measures of partial behavior change when reporting effectiveness and hence cost-effectiveness. |
format | Online Article Text |
id | pubmed-3311086 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-33110862012-03-24 The role of cognition in cost-effectiveness analyses of behavioral interventions Prenger, Rilana Braakman-Jansen, Louise M Pieterse, Marcel E van der Palen, Job Seydel, Erwin R Cost Eff Resour Alloc Review BACKGROUND: Behavioral interventions typically focus on objective behavioral endpoints like weight loss and smoking cessation. In reality, though, achieving full behavior change is a complex process in which several steps towards success are taken. Any progress in this process may also be considered as a beneficial outcome of the intervention, assuming that this increases the likelihood to achieve successful behavior change eventually. Until recently, there has been little consideration about whether partial behavior change at follow-up should be incorporated in cost-effectiveness analyses (CEAs). The aim of this explorative review is to identify CEAs of behavioral interventions in which cognitive outcome measures of behavior change are analyzed. METHODS: Data sources were searched for publications before May 2011. RESULTS: Twelve studies were found eligible for inclusion. Two different approaches were found: three studies calculated separate incremental cost-effectiveness ratios for cognitive outcome measures, and one study modeled partial behavior change into the final outcome. Both approaches rely on the assumption, be it implicitly or explicitly, that changes in cognitive outcome measures are predictive of future behavior change and may affect CEA outcomes. CONCLUSION: Potential value of cognitive states in CEA, as a way to account for partial behavior change, is to some extent recognized but not (yet) integrated in the field. In conclusion, CEAs should consider, and where appropriate incorporate measures of partial behavior change when reporting effectiveness and hence cost-effectiveness. BioMed Central 2012-03-01 /pmc/articles/PMC3311086/ /pubmed/22380627 http://dx.doi.org/10.1186/1478-7547-10-3 Text en Copyright ©2012 Prenger et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Prenger, Rilana Braakman-Jansen, Louise M Pieterse, Marcel E van der Palen, Job Seydel, Erwin R The role of cognition in cost-effectiveness analyses of behavioral interventions |
title | The role of cognition in cost-effectiveness analyses of behavioral interventions |
title_full | The role of cognition in cost-effectiveness analyses of behavioral interventions |
title_fullStr | The role of cognition in cost-effectiveness analyses of behavioral interventions |
title_full_unstemmed | The role of cognition in cost-effectiveness analyses of behavioral interventions |
title_short | The role of cognition in cost-effectiveness analyses of behavioral interventions |
title_sort | role of cognition in cost-effectiveness analyses of behavioral interventions |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3311086/ https://www.ncbi.nlm.nih.gov/pubmed/22380627 http://dx.doi.org/10.1186/1478-7547-10-3 |
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