Evaluating the Cost Effectiveness of ISTDP: A Quasi Experimental Study

NCT ID: NCT01924715

Last Updated: 2013-08-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

1082 participants

Study Classification

OBSERVATIONAL

Study Start Date

2008-01-31

Study Completion Date

2009-03-31

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Anxiety Somatoform Disorders Personality Disorders Depression Psychotic Disorders

Keywords

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somatoform disorder psychotherapy depression anxiety personality disorder

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

RETROSPECTIVE

Study Groups

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ISTDP

Patients provided Intensive Short term Dynamic Psychotherapy

ISTDP

Intervention Type BEHAVIORAL

An emotion focused brief psychotherapy format.

Control Group

Patients referred for ISTDP but never seen for any reason

No interventions assigned to this group

Interventions

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ISTDP

An emotion focused brief psychotherapy format.

Intervention Type BEHAVIORAL

Other Intervention Names

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Intensive Short-term Dynamic Psychotherapy

Eligibility Criteria

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Inclusion Criteria

* All patients referred for ISTDP treatment

Exclusion Criteria

* Patients not referred for ISTDP treatment
Minimum Eligible Age

12 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nova Scotia Health Authority

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Allan A Abbass, MD, FRCPC

Role: PRINCIPAL_INVESTIGATOR

Nova Scotia Health Authority

Locations

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Capital Health

Halifax, Nova Scotia, Canada

Site Status

Countries

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Canada

References

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Abbass A, Kisely S, Rasic D, Town JM, Johansson R. Long-term healthcare cost reduction with Intensive Short-term Dynamic Psychotherapy in a tertiary psychiatric service. J Psychiatr Res. 2015 May;64:114-20. doi: 10.1016/j.jpsychires.2015.03.001. Epub 2015 Mar 25.

Reference Type DERIVED
PMID: 25840829 (View on PubMed)

Other Identifiers

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AA003

Identifier Type: -

Identifier Source: org_study_id