This study looked at whether a digital tool called SELFIE was a good use of money for improving self-esteem in young people. The participants were aged 12 to 26 and had experienced childhood adversity. They were compared to a control group that did not receive the intervention. The main goal was to see if the cost of the app was worth the improvement in self-esteem or quality of life.
The results showed mixed outcomes depending on how costs were calculated. From a societal view, the app cost about 1,219 euros per point of improved self-esteem. It was only considered cost-effective in a specific subgroup of patients receiving specialized mental health services, where it actually saved money. In other groups, the cost per quality-adjusted life year gained was high.
Safety was not a major concern, as no adverse events or discontinuations were reported. However, the researchers note that evidence on the cost-effectiveness of these types of interventions is lacking overall. Readers should understand that while the app may help some, it is not yet proven to be a financially sound choice for everyone. More research is needed before this can be widely recommended.
