| Titre : | An economic evaluation of a computer-tailored e-learning program to promote smoking cessation counseling guideline adherence among practice nurses (2019) |
| Auteurs : | Dennis de Ruijter, Auteur ; Ciska Hoving, Auteur ; Silvia Evers, Auteur ; ET AL., Auteur |
| Type de document : | Article : texte imprimé |
| Dans : | Patient Education and Counseling (Vol. 102, n° 10, Octobre 2019) |
| Article en page(s) : | pp. 1802-1811 |
| Langues: | Anglais |
| Catégories : | |
| Résumé : |
Objective
To conduct an economic evaluation of a tailored e-learning program, which successfully improved practice nurses’ smoking cessation guideline adherence. Methods The economic evaluation was embedded in a randomized controlled trial, in which 269 practice nurses recruited 388 smoking patients. Cost-effectiveness was assessed using guideline adherence as effect measure on practice nurse level, and continued smoking abstinence on patient level. Cost-utility was assessed on patient level, using patients’ Quality Adjusted Life Years (QALYs) as effect measure. Results The e-learning program was likely to be cost-effective on practice nurse level, as adherence to an additional guideline step cost €1,586. On patient level, cost-effectiveness was slightly likely after six months (cost per additional quitter: €7,126), but not after twelve months. The cost-utility analysis revealed slight cost-effectiveness (cost per QALY gained: €18,431) on patient level. Conclusion Providing practice nurses with a tailored e-learning program is cost-effective to improve their smoking cessation counseling. Though, cost-effectiveness on patient level was not found after twelve months, potentially resulting from smoking relapse. Practice implications Widespread implementation of the e-learning program can improve the quality of smoking cessation care in general practice. Strategies to prevent patients’ smoking relapse should be further explored to improve patients’ long-term abstinence. |
| Catalogueur : | RESOdoc |
Exemplaires (1)
| Cote | Code-barres | Support | Localisation | Disponibilité |
|---|---|---|---|---|
| RESO P.12 | RE65681633 | Bulletin | RESOdoc | Consultation sur place Disponible |
