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Cost-effectiveness analysis of a virtually administered pain coping skills training intervention in women with breast cancer in underserved areas.

Yanhong Li·Shelby D Reed·Joseph Giles Winger·Sarah Kelleher·Hannah Fisher·Leah Zullig·Tamara J Somers
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Abstract

OBJECTIVES: 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. METHODS: Data on medical resource use, therapist time, and participants' 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. RESULTS: 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 = 0.04) with mPCST across the follow-up period, representing an incremental gain of 0.04 quality-adjusted life years (QALYs) (95% CI: 0.00-0.08). 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: 5,566-69,343). Including the value of patient time added \$303 to mPCST costs resulting in an ICER of \$20,438 per QALY (95% CI: 9,051-111,403). SIGNIFICANCE OF RESULTS: mPCST is a cost-effective program that improves HRQOL for women with cancer living in medically underserved areas.

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HumansFemaleCost-Benefit AnalysisCost-Effectiveness AnalysisBreast NeoplasmsCoping SkillsMedically Underserved AreaMiddle AgedPain ManagementAgedQuality of LifeAdaptation, PsychologicalPainbehavioral interventionscost-effectiveness analysiseconomic evaluationpain coping skills trainingJournal ArticleRandomized Controlled Trial

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Yanhong Li, Shelby D Reed, Joseph Giles Winger, Sarah Kelleher, Hannah Fisher, Leah Zullig, Tamara J Somers. 2026-09-09. Cost-effectiveness analysis of a virtually administered pain coping skills training intervention in women with breast cancer in underserved areas.. https://doi.org/10.1017/s1478951526103393

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Journal Article; Randomized Controlled Trial resourceAdaptation, Psychological subjectAged subjectBehavioral interventions subjectBreast Neoplasms subjectCoping Skills subjectCost-Benefit Analysis subjectCost-Effectiveness Analysis subjectFemale subjectHumans subjectJournal Article subjectMiddle Aged subjectPain subjectPain Management subjectRandomized controlled trials study

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