Helping Smokers with Depression to Quit Smoking: Collaborative Care with Quitline
Wednesday, November 9, 2011
Posted by: Natalia Gromov
Segan CJ, Borland R,
Wilhelm KA, Bhar SS, Hannan AT, Dunt DR, Ferretter IT. Med J Aust. 2011 Aug
This study examined the co-management
of smoking cessation and depression by the Victorian Quitline and physicians.
Smokers’ evaluation and uptake of the co-management services were reported, as
well as its relationship to quitting success. Quitline clients disclosing
doctor-diagnosed depression (n=227) were followed up at 2 months and 6 months.
At 2-month follow-up, 83% thought it was a good idea to involve their doctor in
their quit attempt, 74% had discussed quitting with their doctor, and 43% had
received comanagement. Quit rates were 37% and 33% at 2 months and 6 months
respectively, and 20% achieved sustained abstinence. Among participants who
discussed quitting with their doctor, those who received co-management of
quitting and depression with the quitline were more likely to make a quit
attempt than those who did not receive co-management (78% vs. 63%). Those who
received co-management also received more quitline calls (mean 4.6 vs. 3.1). The
authors conclude that quitline-doctor co-management of smoking cessation and
depression is workable, is valued by smokers, and increases the probability of
quit attempts. They also found that quitting smoking did not increase the risk
of exacerbation of depression.