The cost effectiveness of cognitive behavioral therapy for bulimia nervosa delivered via telemedicine versus face-to-face

Scott J. Crow, James E. Mitchell, Ross D. Crosby, Sonja A. Swanson, Stephen Wonderlich, Kathy Lancanster

Research output: Contribution to journalArticlepeer-review

44 Scopus citations

Abstract

Objective: A number of effective treatments for bulimia nervosa have been developed, but they are infrequently used, in part due to problems with dissemination. The goal of this study was to examine the cost effectiveness of telemedicine delivery of cognitive behavioral therapy for bulimia nervosa. Method: A randomized controlled trial of face-to-face versus telemedicine cognitive behavioral therapy for bulimia nervosa. One hundred twenty eight women with DSM-IV bulimia nervosa or eating disorder, not otherwise specified subsyndromal variants of bulimia nervosa were randomized to 20 sessions of treatment over 16 weeks. A cost effectiveness analysis from a societal perspective was conducted. Results: The total cost per recovered (abstinent) subject was $9324.68 for face-to-face CBT, and $7300.40 for telemedicine CBT. The cost differential was accounted for largely by therapist travel costs. Sensitivity analyses examining therapy session costs, gasoline costs and telemedicine connection costs yielded fundamentally similar results. Discussion: In this study, CBT delivered face-to-face and via telemedicine were similarly effective, and telemedicine delivery cost substantially less. These findings underscore the potential applicability of telemedicine approaches to eating disorder treatment and psychiatric treatment in general.

Original languageEnglish (US)
Pages (from-to)451-453
Number of pages3
JournalBehaviour Research and Therapy
Volume47
Issue number6
DOIs
StatePublished - Jun 1 2009

Keywords

  • Bulimia nervosa
  • Cognitive behavioral therapy
  • Cost effectiveness

Fingerprint Dive into the research topics of 'The cost effectiveness of cognitive behavioral therapy for bulimia nervosa delivered via telemedicine versus face-to-face'. Together they form a unique fingerprint.

Cite this