The cost-effectiveness of a smoking cessation program for out-patients in treatment for depression

Addiction
Paul G BarnettSharon Hall

Abstract

Smoking cessation programs are highly cost-effective. The cost-effectiveness of programs for psychiatric patients may be affected by differences in cost, efficacy, survival and quality of life. We evaluated cost-effectiveness of a program for smokers being treated for depression. A randomized trial compared brief contact to a stepped smoking cessation program in 322 cigarette smoking mental health out-patients. We determined the intervention's direct cost. Because smoking cessation may affect short-term use of mental health care, we used administrative databases and self-report to find mental health-care cost. The 163 individuals randomized to stepped care received an average of $346 of smoking cessation services, including $221 for computer-mediated assessments of readiness to quit, and $124 for counseling, nicotine replacement therapy and bupropion. The cessation program was used by 53 participants. Total cost of smoking cessation and mental health services was $4805 in the stepped care group and $4173 in the brief-contact care group (not significantly different). After 18 months of follow-up, the stepped care group had 5.5% greater abstinence from smoking. Smoking cessation services cost $6204 per successful quit. Cessation ...Continue Reading

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Citations

Feb 19, 2011·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Bruce BolamDavid Gunnell
Mar 31, 2009·Annual Review of Clinical Psychology·Sharon M Hall, Judith J Prochaska
Aug 21, 2013·American Journal of Public Health·Judith J ProchaskaSharon M Hall
May 7, 2015·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Paul G BarnettAndrew J Saxon
May 16, 2015·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Shari P FeirmanAndrea C Villanti
Feb 27, 2013·Acta Psychiatrica Scandinavica·F M van HasseltA J M Loonen
Jul 17, 2015·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Norval J HickmanJudith J Prochaska
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Mar 25, 2016·The Cochrane Database of Systematic Reviews·Lindsay F SteadTim Lancaster
Sep 9, 2008·Nordic Journal of Psychiatry·C Barr Taylor, Vickie Y Chang
Aug 23, 2016·The Cochrane Database of Systematic Reviews·Eva A M van EerdDaniel Kotz
Aug 11, 2020·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Alba González-RozRoberto Secades-Villa
Jul 11, 2021·American Journal of Preventive Medicine·Jamie TamRafael Meza
Aug 29, 2021·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Qi WuSteve Parrott

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