Centre for Health Policy, Programs and Economics, School of Population Health, University of Melbourne, Melbourne, VIC, Australia.
Med J Aust. 2011 Aug 1;195(3):S7-11. doi: 10.5694/j.1326-5377.2011.tb03258.x.
To report smokers' evaluations and uptake of Quitline-doctor comanagement of smoking cessation and depression, a key component of the Victorian Quitline's tailored call-back service for smokers with a history of depression and to explore its relationship to quitting success.
DESIGN, PARTICIPANTS AND SETTING: Prospective study followed Quitline clients disclosing doctor-diagnosed depression (n = 227). Measures were taken at baseline (following initial Quitline call), posttreatment (2 months) and 6 months from recruitment (77% and 70% response rates, respectively).
Uptake of comanagement (initiated by fax-referral to Quitline), making a quit attempt (quit for 24 hours), sustained cessation (> 4 months at 6-month follow-up).
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. In all, 72% made a quit attempt, 37% and 33% were abstinent posttreatment and at 6 months, respectively, and 20% achieved sustained cessation. Among participants who discussed quitting with their doctor, those receiving comanagement were more likely to make a quit attempt than those who did not receive comanagement (78% v 63%). Participants with comanagement also received more Quitline calls (mean 4.6 v 3.1) - a predictor of sustained cessation. Exacerbation of depression between baseline and 6 months was reported by 18% of participants but was not related to cessation outcome.
Quitline-doctor comanagement of smoking cessation and depression is workable, is valued by smokers, and increases the probability of quit attempts. Smoking cessation did not increase the risk of exacerbation of depression.
报告吸烟者对戒烟和抑郁的 Quitline-医生共同管理的评价和接受情况，这是维多利亚戒烟热线针对有抑郁病史的吸烟者定制回拨服务的一个关键组成部分，并探讨其与戒烟成功的关系。
设计、参与者和设置：前瞻性研究随访了披露有医生诊断的抑郁病史的 Quitline 客户（n=227）。在基线（在首次 Quitline 电话后）、治疗后（2 个月）和招募后 6 个月（分别为 77%和 70%的应答率）进行了测量。
共同管理的接受情况（通过传真转介到 Quitline 发起）、尝试戒烟（24 小时内戒烟）、持续戒烟（6 个月随访时>4 个月）。
在 2 个月的随访中，83%的人认为让他们的医生参与他们的戒烟尝试是一个好主意，74%的人与他们的医生讨论了戒烟问题，43%的人接受了共同管理。总的来说，72%的人尝试了戒烟，37%和 33%的人在治疗后和 6 个月时分别戒烟成功，20%的人实现了持续戒烟。在与医生讨论过戒烟的参与者中，接受共同管理的人比没有接受共同管理的人更有可能尝试戒烟（78%比 63%）。接受共同管理的参与者也接到了更多的 Quitline 电话（平均 4.6 次比 3.1 次）——这是持续戒烟的一个预测因素。18%的参与者报告说在基线和 6 个月之间抑郁恶化，但这与戒烟结果无关。
戒烟和抑郁的 Quitline-医生共同管理是可行的，受到吸烟者的重视，并增加了戒烟尝试的可能性。戒烟并没有增加抑郁恶化的风险。
