{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T23:32:28Z","timestamp":1777591948856,"version":"3.51.4"},"reference-count":35,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,11,9]],"date-time":"2023-11-09T00:00:00Z","timestamp":1699488000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["1152217"],"award-info":[{"award-number":["1152217"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001168","name":"Cancer Council Queensland","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001168","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010398","name":"Metro South Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010398","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To undertake an economic evaluation of a telehealth psychological support intervention for patients with primary brain tumor (PBT).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A within\u2010trial cost\u2010utility analysis over 6\u00a0months was performed comparing a tailored telehealth\u2010psychological support intervention with standard care (SC) in a randomized control trial. Data were sourced from the Telehealth Making Sense of Brain Tumor (Tele\u2010MAST) trial survey data, project records, and administrative healthcare claims. Quality\u2010adjusted life years (QALYs) were calculated based on the EuroQol\u20105D\u20105L. Non\u2010parametric bootstrapping with 2000 iterations was used to determine sampling uncertainty. Multiple imputation was used for handling missing data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The Tele\u2010MAST trial included 82 participants and was conducted in Queensland, Australia during 2018\u20132021. When all healthcare claims were included, the incremental cost savings from Tele\u2010MAST were \u2010AU$4,327 (95% CI: \u2212$8637, \u2212$18) while incremental QALY gains were small at 0.03 (95% CI: \u22120.02, 0.08). The likelihood of Tele\u2010MAST being cost\u2010effective versus SC was 87% at a willingness\u2010to\u2010pay threshold of AU$50,000 per QALY gain. When psychological\u2010related healthcare costs were included only, the incremental cost per QALY gain was AU$10,685 (95% CI: dominant, $24,566) and net monetary benefits were AU$534 (95% CI: $466, $602) with a 65% likelihood of the intervention being cost\u2010effective.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Based on this small randomized controlled trial, the Tele\u2010MAST intervention is a cost\u2010effective intervention for improving the quality of life of people with PBT in Australia. Patients receiving the intervention incurred significantly lower overall healthcare costs than patients in SC. There was no significant difference in costs incurred for psychological health services.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.6243","type":"journal-article","created":{"date-parts":[[2023,11,10]],"date-time":"2023-11-10T07:00:58Z","timestamp":1699599658000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Cost\u2010utility analysis of a telehealth psychological support intervention for people with primary brain tumor: Telehealth Making Sense of brain tumor"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3159-4249","authenticated-orcid":false,"given":"Louisa G.","family":"Gordon","sequence":"first","affiliation":[{"name":"QIMR Berghofer Medical Research Institute  Brisbane Queensland Australia"},{"name":"Faculty of Medicine University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie","family":"Jones","sequence":"additional","affiliation":[{"name":"School of Applied Psychology Griffith University  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giverny","family":"Parker","sequence":"additional","affiliation":[{"name":"School of Applied Psychology Griffith University  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2369-6111","authenticated-orcid":false,"given":"Suzanne","family":"Chambers","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences Australian Catholic University  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanne F.","family":"Aitken","sequence":"additional","affiliation":[{"name":"Cancer Council Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Foote","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Queensland  Brisbane Queensland Australia"},{"name":"Department of Radiation Oncology Princess Alexandra Hospital  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David H. K.","family":"Shum","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Sciences The Hong Kong Polytechnic University  Hong Kong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Robertson","sequence":"additional","affiliation":[{"name":"Summer Foundation Ltd  Box Hill Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Conlon","sequence":"additional","affiliation":[{"name":"School of Applied Psychology Griffith University  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark B.","family":"Pinkham","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Queensland  Brisbane Queensland Australia"},{"name":"Department of Radiation Oncology Princess Alexandra Hospital  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1835-7094","authenticated-orcid":false,"given":"Tamara","family":"Ownsworth","sequence":"additional","affiliation":[{"name":"School of Applied Psychology Griffith University  Brisbane Queensland Australia"},{"name":"The Hopkins Centre Menzies Health Institute of Queensland Griffith University  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,11,9]]},"reference":[{"key":"e_1_2_13_2_1","volume-title":"Brain and Central Nervous System Cancer Factsheet","author":"International Agency for Research on Cancer (IARC)","year":"2020"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1191\/0269216303pm814oa"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1215\/15228517\u20102007\u2010057"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520\u2010017\u20103846\u2010x"},{"key":"e_1_2_13_6_1","volume-title":"Disease Expenditure in Australia 2019\u201020. 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