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Overzicht en kosteneffectiviteit van online rokeninterventies in Nederland

  • Kei Long CheungEmail author
  • Ben F. M. Wijnen
  • Mickael Hiligsmann
  • Silvia M. A. A. Evers
  • Hein de Vries
Wetenschappelijk artikel
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Samenvatting

Achtergrond

Stoppen-met-rokeninterventies hebben veel potentie om roken in Nederland te ontmoedigen.

Doel

Het doel van het onderzoek is om 1) een overzicht te geven van de online stoppen-met-rokeninterventies in Nederland (waarbij gekeken wordt naar effectiviteit, kosteneffectiviteit en de achterliggende theorie) en 2) te onderzoeken of het toevoegen van online stoppen-met-rokeninterventies aan het huidige pakket van rokeninterventies in Nederland kosteneffectief is.

Methode

Voor een inventaris van de Nederlandse online stoppen-met-rokeninterventies hebben we gebruikgemaakt van 1) wetenschappelijke literatuur, 2) grijze literatuur en 3) expertinput. Dit heeft 45 interventies opgeleverd, waarvan er zes in wetenschappelijke literatuur zijn beschreven. Geschikte onderzoeken werden gebruikt om met het EQUIPT-model de kosteneffectiviteit te berekenen van online stoppen-met-rokeninterventies, als toevoeging aan het bestaande pakket van dergelijke interventies in Nederland.

Resultaten

Slechts zes online stoppen-met-rokeninterventies werden in wetenschappelijke literatuur gevonden. Investeringen in dit soort interventies leidden al na één jaar tot lagere gezondheidszorgkosten en een hogere kwaliteit van leven.

Conclusie

Online stoppen-met-rokeninterventies – vooral de interactieve, op maat gesneden online interventies – kunnen in potentie een aanzienlijk kostenbesparend effect hebben.

Trefwoorden

roken e-health internet online interventie kosteneffectiviteit model EQUIPTMOD 

Abstract

Background

Due to the massive use of the internet, online smoking cessation interventions have great potential to tackle the smoking problem in the Netherlands.

Aim

The aim of the study is to 1) provide an overview of the online smoking cessation interventions in the Netherlands (looking at effectiveness, cost-effectiveness, and inclusion of theory), and 2) to evaluate the cost-effectiveness of an alternate package (including online smoking interventions) compared with existing smoking cessation services alone (current package).

Method

To identify the Dutch online smoking cessation interventions, we have consulted 1) scientific literature, 2) gray literature, and 3) expert input. This resulted in 45 interventions, of which six have been reported in the scientific literature. We used the EQUIPTMOD to calculate the incremental cost-effectiveness ratios for different time horizons to assess the value of providing internet-based interventions to complement the current package.

Results

Only six online smoking cessation interventions were identified in the scientific literature. The provision of internet-based intervention to the current package was dominant (cost-saving) compared with the current package alone, already after two years.

Conclusion

Online smoking cessation interventions – especially the interactive, tailored online programs – have a strong potential to be cost-saving in the Netherlands.

Keywords

smoking e-health internet online intervention cost-effectiveness model EQUIPTMOD 

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Copyright information

© The Author(s) 2019

Authors and Affiliations

  • Kei Long Cheung
    • 1
    Email author
  • Ben F. M. Wijnen
    • 2
    • 3
  • Mickael Hiligsmann
    • 3
  • Silvia M. A. A. Evers
    • 2
    • 3
  • Hein de Vries
    • 1
  1. 1.CAPHRI school of Public Health and Primary Care, GezondheidsbevorderingUniversiteit MaastrichtMaastrichtNederland
  2. 2.Trimbos-instituutUtrechtNederland
  3. 3.CAPHRI Care and Public Health Research Institute, Health Services ResearchUniversiteit MaastrichtMaastrichtNederland

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