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Table 7 Per patient cost of delivering Enhanced Psychological Care (EPC)

From: Assessing the effectiveness of Enhanced Psychological Care for patients with depressive symptoms attending cardiac rehabilitation compared with treatment as usual (CADENCE): a pilot cluster randomised controlled trial

 

Unitsd

Unit costs £

Cost £

Initial costs

 For 15 nurses attending training (trainers’ and facilitator’s time, delivery and preparation)

45 + 41 ha

Various

7157

 Nurse training (nurses’ time)

56 + 21 hc

35b

2695

 Nurse manuals (printing)

8 manuals

4

32

Ongoing costs

 Telephone clinical supervision of behavioural activation (BA) delivery

35 h

50

1750

 Nurses’ time for having supervision (estimated 50 h overall)

50 h

35b

1750

 Total overhead cost of providing EPC

  

13,384

 Number of participants in EPC trial arm

  

15

 Mean allocated overhead cost of EPC per patient (in feasibility trial)

  

892

 Per participant nurse time for delivering EPC within cardiac rehabilitation sessions

1.8 hc

35b

63

 Patient booklet print costs

1

4

4

Estimated cost per EPC recipient

  

959

  1. aTwo figures presented as EPC training was delivered to two different nurse cohorts
  2. bCost per working hour for a Band-5 hospital-based nurse (excluding qualification costs). Unit Costs of Health and Social Care 2015, PSSRU
  3. cMean of 7.8 rehabilitation sessions attended. First, mid-point and final session 20 min each; other 4.8 sessions 10 min each = mean of 1 h 48 mins per participant in total
  4. dData sources: trial records (e.g. invoices) or interviews with relevant study personnel, unless otherwise stated