Cost-effectiveness of two online interventions supporting self-care for eczema for parents/carers and young people

Tracey H. Sach (), Mary Onoja, Holly Clarke, Miriam Santer, Ingrid Muller, Taeko Becque, Beth Stuart, Julie Hooper, Mary Steele, Sylvia Wilczynska, Matthew J. Ridd, Amanda Roberts, Amina Ahmed, Lucy Yardley, Paul Little, Kate Greenwell, Katy Sivyer, Jacqui Nuttall, Gareth Griffiths, Sandra Lawton, Sinéad M. Langan, Laura Howells, Paul Leighton, Hywel C. Williams and Kim S. Thomas
Additional contact information
Tracey H. Sach: University of East Anglia
Mary Onoja: University of East Anglia
Holly Clarke: University of East Anglia
Miriam Santer: University of Southampton
Ingrid Muller: University of Southampton
Taeko Becque: University of Southampton
Beth Stuart: University of Southampton
Julie Hooper: University of Southampton
Mary Steele: University of Southampton
Sylvia Wilczynska: King’s Clinical Trial Unit, King’s College London, Institute of Psychiatry, Psychology and Neuroscience
Matthew J. Ridd: Population Health Sciences, Bristol Medical School, University of Bristol
Amanda Roberts: University of Nottingham
Amina Ahmed: University of Nottingham
Lucy Yardley: University of Southampton
Paul Little: University of Southampton
Kate Greenwell: University of Southampton
Katy Sivyer: University of Southampton
Jacqui Nuttall: University of Southampton and University Hospital Southampton NHS Foundation Trust
Gareth Griffiths: University of Southampton and University Hospital Southampton NHS Foundation Trust
Sandra Lawton: The Rotherham NHS Foundation Trust
Sinéad M. Langan: London School of Hygiene and Tropical Medicine
Laura Howells: University of Nottingham, Applied Health Services Research Building (Building Number 42), University Park
Paul Leighton: University of Nottingham, Applied Health Services Research Building (Building Number 42), University Park
Hywel C. Williams: University of Nottingham, Applied Health Services Research Building (Building Number 42), University Park
Kim S. Thomas: University of Nottingham, Applied Health Services Research Building (Building Number 42), University Park

The European Journal of Health Economics, 2024, vol. 25, issue 7, No 6, 1165-1176

Abstract: Abstract Objective To estimate the cost-effectiveness of online behavioral interventions (EczemaCareOnline.org.uk) designed to support eczema self-care management for parents/carers and young people from an NHS perspective. Methods Two within-trial economic evaluations, using regression-based approaches, adjusting for baseline and pre-specified confounder variables, were undertaken alongside two independent, pragmatic, parallel group, unmasked randomized controlled trials, recruiting through primary care. Trial 1 recruited 340 parents/carers of children aged 0–12 years and Trial 2 337 young people aged 13–25 years with eczema scored ≥ 5 on Patient-Oriented Eczema Measure (POEM). Participants were randomized (1:1) to online intervention plus usual care or usual care alone. Resource use, collected via medical notes review, was valued using published unit costs in UK £Sterling 2021. Quality-of-life was elicited using proxy CHU-9D in Trial 1 and self-report EQ-5D-5L in Trial 2. Results The intervention was dominant (cost saving and more effective) with a high probability of cost-effectiveness (> 68%) in most analyses. The exception was the complete case cost–utility analysis for Trial 1 (omitting participants with children aged

Keywords: Economic evaluation; Cost-effectiveness; Atopic eczema; Atopic dermatitis; Online interventions (search for similar items in EconPapers)
JEL-codes: D61 I10 (search for similar items in EconPapers)
Date: 2024
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DOI: 10.1007/s10198-023-01649-9

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