Epub: Humphreys et al. Cost-effectiveness of an adjustment group for people with multiple sclerosis and low mood: a randomized trial. Clin Rehabil. 2013 Jul.
Objective: To evaluate the cost effectiveness of a psychological adjustment group shown to be clinically effective in comparison with usual care for MSers.
Design: Randomized controlled trial with comparison of costs and calculation of incremental cost effectiveness ratio.
Participants: MSers were screened on the General Health Questionnaire 12 and Hospital Anxiety and Depression Scale, and those with low mood were recruited.
Interventions: Participants randomly allocated to the adjustment group received six group treatment sessions. The control group received usual care, which did not include psychological interventions.
Main measures: Outcomes were assessed four and eight months after randomization, blind to group allocation. The costs were assessed from a service use questionnaire and information provided on medication. Quality of life was assessed using the EQ-5D.
Conclusion: In the short term, the adjustment group programme was cost effective when compared with usual care, for MSers presenting with low mood.