Evaluating the Cost Effectiveness of ISTDP: A Quasi Experimental Study

Depression Clinical Trial

— CEISTDP  

Official title:

Evaluating the Cost Effectiveness of ISTDP: A Quasi Experimental Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01924715
• Other study ID #: AA003
• Status: Completed
• Phase: N/A
• First received: July 25, 2013
• Last updated: August 15, 2013
• Start date: January 2008
• Est. completion date: March 2009

Study information

• Verified date: July 2013
• Source: Nova Scotia Health Authority
• Contact: n/a
• Is FDA regulated: No
• Health authority: Canada: Ethics Review Committee
• Study type: Observational

Clinical Trial Summary

Objective: To evaluate whether or not cases treated with Intensive Short-term Dynamic Psychotherapy (ISTDP) facilitate healthcare cost reduction, whether any observed reduction is greater than that of a control group and whether any such gains would be maintained in follow up.

Design: A quasi-experimental design was employed in which pre and post healthcare cost and usage data were extracted for all ISTDP treated cases from 1999 to 2008 and compared to parallel measures of a control group of cases referred but never treated.

Description:

Importance: Psychiatric and psychological disorders result in excess health care service use and costs. Brief psychotherapy methods may be effective across a broad range of mental disorders and could therefore result in healthcare cost reduction.

Objective: To evaluate whether or not cases treated with Intensive Short-term Dynamic Psychotherapy (ISTDP) facilitate healthcare cost reduction, whether any observed reduction is greater than that of a control group and whether any such gains would be maintained in follow up.

Design: A quasi-experimental design was employed in which pre and post healthcare cost and usage data were extracted for all ISTDP treated cases from 1999 to 2008 and compared to parallel measures of a control group of cases referred but never treated.

Setting: Treatments were provided at an urban University based psychotherapy service.

Participants: All cases from the province of Nova Scotia treated within the research time frame were included. 890 patients were included with a very broad range of psychiatric disorders including anxiety, mood, somatoform, personality and psychotic disorders. 192 referred but never see cases served as non randomized controls.

Intervention(s): ISTDP is an emotionally focused form of brief psychotherapy which has supportive, cognitive, experiential and primarily psychodynamic elements. In this setting the average length of treatment was 7.3 sessions and cost an estimated $500 dollars per treatment course.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 1082
• Est. completion date: March 2009
• Est. primary completion date: March 2009
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 12 Years to 90 Years

Eligibility

Inclusion Criteria:

• All patients referred for ISTDP treatment

Exclusion Criteria:

• Patients not referred for ISTDP treatment

Study Design

Observational Model: Case Control, Time Perspective: Retrospective

Related Conditions & MeSH terms

• Anxiety
• Depression
• Disease
• Mental Disorders
• Personality Disorders
• Psychotic Disorders
• Somatoform Disorders

Intervention

Behavioral:
• ISTDP
An emotion focused brief psychotherapy format.

Locations

Country	Name	City	State
Canada	Capital Health	Halifax	Nova Scotia

Sponsors (1)

Lead Sponsor	Collaborator
Nova Scotia Health Authority

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Total Doctor and Hospital Costs	Total Physician and Hospital billings per patient	1 year pre versus 3 years post	No
Secondary	Hospital costs	Total Hospital costs per patient	1 year pre versus 3 years post	No
Secondary	Hospital Days	Hospital days per patient	1 year per versus 3 years post	No
Secondary	Doctor Visits	Doctor Costs per patient	1 year pre versus 3 years post	No
Secondary	Doctor Costs	Doctor costs per patient	1 year pre versus 3 years post	No