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NAQC Newsroom: Research

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 1;195(3):S7-11.
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.

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