Economic evaluation of the Target-D platform to match depression management to severity prognosis in primary care: A within-trial costutility analysis

YY Lee; C Mihalopoulos; ML Chatterton; SL Fletcher; P Chondros; K Densley; E Murray; C Dowrick; A Coe; KL Hegarty; SK Davidson; C Wachtler; VJ Palmer; JM Gunn

Journal article

Economic evaluation of the Target-D platform to match depression management to severity prognosis in primary care: A within-trial costutility analysis

YY Lee, C Mihalopoulos, ML Chatterton, SL Fletcher, P Chondros, K Densley, E Murray, C Dowrick, A Coe, KL Hegarty, SK Davidson, C Wachtler, VJ Palmer, JM Gunn

Plos One | PUBLIC LIBRARY SCIENCE | Published : 2022

DOI: 10.1371/journal.pone.0268948

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Abstract

Background Target-D, a new person-centred e-health platform matching depression care to symptom severity prognosis (minimal/mild, moderate or severe) has demonstrated greater improvement in depressive symptoms than usual care plus attention control. The aim of this study was to evaluate the cost-effectiveness of Target-D compared to usual care from a health sector and partial societal perspective across 3-month and 12-month follow-up. Methods and findings A cost-utility analysis was conducted alongside the Target-D randomised controlled trial; which involved 1,868 participants attending 14 general practices in metropolitan Melbourne, Australia. Data on costs were collected using a resource u..

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University of Melbourne Researchers

Patty Chondros Author

Konstancja Densley Author

Amy Coe Author

Kelsey Hegarty Author

Related Projects (5)

Diagnosis, Management and Outcomes of Depression in Primary care (DIAMOND) a longitudinal study

Depression is the single largest cause of disability for people in Australia. It is mainly managed in general practice, yet many people expe..

The diamond cohort study - long term outcomes of depressive symptoms in primary care

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The diamond cohort study- examining depressive symptoms in primary care

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A RANDOMISED TRIAL OF A CLINICAL PREDICTION TOOL FOR TARGETING DEPRESSION CARE.

The Target-D Study uses a novel clinical prediction tool to test a new approach to depression care in general practice based upon sub-groupi..

The diamond cohort study - long term outcomes of depressive

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Grants

Awarded by National Health and Medical Research Council

Funding Acknowledgements

The authors would like to thank all the patients, family physicians, and clinics who took part in Target-D; and the many research assistants who assisted with data collection. The data used to develop the clinical prediction tool were collected as a part of the diamond project (NHMRC project ID: 299869, 454463, 566511 and 1002908). We acknowledge the 30 dedicated family physicians, their patients, and clinic staff for making the diamond study possible. We also acknowledge staff and students at the School of Computing and Information Systems at the University of Melbourne for early work that informed the presentation of the e-health platform as well as the focus group participants that provided feedback on early versions of the Target-D materials. Finally, we thank staff at the former Melbourne Networked Society Institute (MNSI) who built the Target-D website.