Zeng Shun, Liu Nanna, Duan Na, Mo Zue, Ai Chunqi
From Department of Mental Health Centre (Drs. Zeng, Mo, and Ai); Department of Sleep Disorders Center (Dr. Liu); Department of Obstetrics (Dr. Duan), Taihe Hospital, Hubei University of Medicine, Shiyan City, China.
Harv Rev Psychiatry. 2025;33(4):222-231. doi: 10.1097/HRP.0000000000000432. Epub 2025 May 28.
Internet-based psychological interventions are becoming a feasible substitute for conventional in-person therapy. This article provides a perspective on health economic evaluations of internet-based interventions employed for preventing and managing eating disorders (EDs).
A comprehensive search was undertaken from January 2000 to December 2023 across five general medical and three health economic databases. The goal was to identify complete economic evaluations of internet-based strategies for managing and preventing EDs.
A total of seven economic evaluations were found, carried out across four countries. The studies utilized internet-based cognitive behavioral therapy, Featback, and virtual Body Project groups as experimental interventions. The controls were either wait-list comparison groups or recipients of face-to-face cognitive behavioral therapy. Among the seven studies evaluated, five indicated that internet-based interventions were more advantageous in terms of cost and clinical benefits based on both societal and health care perspectives. One study supported implementation of the internet-based intervention primarily based on cost, and one study's findings were inconclusive.
From both societal and health care perspectives, internet-based interventions offer significant benefits in terms of cost and clinical effectiveness. The current body of evidence, however, is limited by the small number of studies and methodological variations. It is also essential to understand that these intervention outcomes may be influenced by comparator choice and thresholds for willingness to pay.
基于互联网的心理干预正成为传统面对面治疗的一种可行替代方案。本文提供了对用于预防和管理饮食失调（EDs）的基于互联网的干预措施的卫生经济评估的观点。
于2000年1月至2023年12月在五个普通医学数据库和三个卫生经济数据库中进行了全面检索。目的是确定对用于管理和预防饮食失调的基于互联网的策略的完整经济评估。
共发现七项经济评估，在四个国家开展。这些研究将基于互联网的认知行为疗法、反馈法和虚拟身体项目组作为实验性干预措施。对照组要么是等待名单比较组，要么是面对面认知行为疗法的接受者。在评估的七项研究中，五项表明基于互联网的干预措施从社会和医疗保健角度来看在成本和临床效益方面更具优势。一项研究主要基于成本支持实施基于互联网的干预措施，一项研究的结果尚无定论。
从社会和医疗保健角度来看，基于互联网的干预措施在成本和临床效果方面都有显著益处。然而，目前的证据受到研究数量少和方法学差异的限制。同样重要的是要明白，这些干预结果可能会受到比较组选择和支付意愿阈值的影响。
