{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T16:09:53Z","timestamp":1788970193266,"version":"build-2803163510"},"reference-count":28,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:00:00Z","timestamp":1788912000000},"content-version":"unspecified","delay-in-days":251,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1478951526103393_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Women with cancer who live in medically underserved areas could benefit from behavioral pain interventions, but access is limited. A randomized trial reported that a 4-session virtual program incorporating pain coping skills training (mPCST) was effective in improving pain outcomes compared to an attention-control condition. We performed a cost-effectiveness analysis of mPCST vs. control.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103393_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data on medical resource use, therapist time, and participants\u2019 attendance at intervention sessions and time associated with travel and using a mobile app were collected. The 5-level EuroQol 5-Dimension (EQ-5D-5L), a preference-weighted measure of health-related quality of life (HRQOL), was administered at baseline, after the intervention period, and 3 and 6 months later. Medicare payments were used to value medical resource use and therapist time to deliver mPCST. Patient time was valued using the average US wage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103393_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Medical resource utilization was similar for both groups, but hospitalizations trended higher in the mPCST group. EQ-5D-5L preference weights were higher by an average of 0.066 (p\u00a0=\u00a00.04) with mPCST across the follow-up period, representing an incremental gain of 0.04 quality-adjusted life years (QALYs) (95% CI: 0.00\u20130.08). When including the base-case cost of mPCST of \\$500 vs. \\$0 for the control group, the incremental cost-effectiveness ratio (ICER) was \\$12,725 per QALY (95% CI: 5,566\u201369,343). Including the value of patient time added \\$303 to mPCST costs resulting in an ICER of \\$20,438 per QALY (95% CI: 9,051\u2013111,403).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526103393_sec4d\">\n                    <jats:title>Significance of results<\/jats:title>\n                    <jats:p>mPCST is a cost-effective\u00a0program that improves HRQOL for women with cancer living in medically underserved areas.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951526103393","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T15:23:42Z","timestamp":1788967422000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Cost-effectiveness analysis of a virtually administered pain coping skills training intervention in women with breast cancer in underserved areas"],"prefix":"10.1017","volume":"24","author":[{"given":"Yanhong","family":"Li","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03njmea73","id-type":"ROR","asserted-by":"publisher"}],"name":"Duke University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7654-4464","authenticated-orcid":false,"given":"Shelby D.","family":"Reed","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03njmea73","id-type":"ROR","asserted-by":"publisher"}],"name":"Duke University School of Medicine"},{"name":"Duke University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6278-2560","authenticated-orcid":false,"given":"Joseph Giles","family":"Winger","sequence":"additional","affiliation":[{"name":"Duke University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0668-6803","authenticated-orcid":false,"given":"Sarah","family":"Kelleher","sequence":"additional","affiliation":[{"name":"Duke University School of Medicine"},{"name":"Duke University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Fisher","sequence":"additional","affiliation":[{"name":"Duke University School of Medicine"},{"name":"Duke University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leah","family":"Zullig","sequence":"additional","affiliation":[{"name":"Duke University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamara J.","family":"Somers","sequence":"additional","affiliation":[{"name":"Duke University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,9,9]]},"reference":[{"key":"S1478951526103393_ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2006.02.007"},{"key":"S1478951526103393_ref3","unstructured":"Centers for Disease Control and Prevention (2025) U.S. cancer statistics female breast cancer stat bite. https:\/\/www.cdc.gov\/united-states-cancer-statistics\/publications\/breast-cancer-stat-bite.html (accessed 6 February 2026 )."},{"key":"S1478951526103393_ref25","unstructured":"U.S. Bureau of Labor Statistics (2025) Consumer price index for all urban consumers: Medical care in U.S. city average. https:\/\/fred.stlouisfed.org\/series\/CPIMEDSL (accessed 28 October 2025 )."},{"key":"S1478951526103393_ref2","unstructured":"Agency for Healthcare Research and Quality (2021b) Statistical Brief #311: Costs of Treat-and-Release Emergency Department Visits in the United States, 2021. 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Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0), which permits non-commercial re-use, distribution, and reproduction in any medium, provided that no alterations are made and the original article is properly cited. The written permission of Cambridge University Press or the rights holder(s) must be obtained prior to any commercial use and\/or adaptation of the article.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e216"}}