Cost-utility and cost-effectiveness of SELFIE, a transdiagnostic ecological momentary intervention for improving self-esteem in youth aged 12–26 years exposed to childhood adversity: Findings from a multicenter randomized controlled trial

Anouk Boonstra³; Maud Daemen; Sander Osstyn; Ron Handels; Ruben M. W. A. Drost; Mary Rose Postma; Iris Hoes-van der Meulen; Nele Volbragt; Dorien H. Nieman; Philippe Delespaul; Marieke van der Pluijm; Josefien Johanna Froukje Breedvelt; Mark van der Gaag; Ramon Lindauer; Jan R. Boehnke; David Van Den Berg; Lieuwe de Haan; Silvia Evers; Filip Smit; Claudi Bockting; Thérèse van Amelsvoort; Ulrich Reininghaus

doi:10.1017/s003329172610395x

Key Points

The aim is to evaluate the cost-utility and cost-effectiveness of the SELFIE intervention for enhancing self-esteem among youth exposed to childhood adversity.
Conducted multicenter randomized controlled trial
Evaluated cost-effectiveness from both societal and healthcare perspectives
Included youth aged 12-26 from specialized mental health services
SELFIE intervention exceeded the willingness-to-pay threshold
Demonstrated higher probabilities of cost-effectiveness from a healthcare perspective
Encouraging results in the context of blended ecological momentary interventions

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Implication

Multicenter randomized controlled trial shows SELFIE improves self-esteem in youth, indicating cost-effectiveness benefits.

Abstract

At the societal level, the SELFIE intervention exceeded the WTP threshold. Tests for robustness showed higher probabilities of cost-effectiveness from a healthcare perspective, likely reflecting the absence of educational productivity loss costs in the societal perspective, and in youth recruited from specialized mental health services. The innovative field of blended EMIs yields encouraging first results, urging more cost-effectiveness research.

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Boonstra³ et al. (2026) studied this question.

synapsesocial.com/papers/69df2c62e4eeef8a2a6b1732 https://doi.org/10.1017/s003329172610395x

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Cost-utility and cost-effectiveness of SELFIE, a transdiagnostic ecological momentary intervention for improving self-esteem in youth aged 12–26 years exposed to childhood adversity: Findings from a multicenter randomized controlled trial

Key Points

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Implication

Abstract

Discussion

Cite This Study

Cost-utility and cost-effectiveness of SELFIE, a transdiagnostic ecological momentary intervention for improving self-esteem in youth aged 12–26 years exposed to childhood adversity: Findings from a multicenter randomized controlled trial

Key Points

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Implication

Abstract

Discussion

Cite This Study

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