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An HIV-tailored quit-smoking counselling pilot intervention targeting depressive symptoms plus Nicotine Replacement Therapy.
- Source :
- AIDS Care; Jan2017, Vol. 29 Issue 1, p24-31, 8p, 3 Charts
- Publication Year :
- 2017
-
Abstract
- Cardiovascular disease (CVD) rates among people living with HIV/AIDS (PHAs) are high. Rates of cigarette smoking, a leading contributor to CVD among PHAs, are 40–70% (2–3 times higher than the general population). Furthermore, PHAs have high rates of depression (40–60%), a risk factor for smoking cessation relapse. The current pilot study examined the effectiveness of a specifically tailored 5-session smoking cessation counselling programme for PHAs, which addressed depression, in combination with Nicotine Replacement Therapy (NRT) in a cohort of PHA smokers (n = 50). At 6-month follow-up, 28% of participants demonstrated biochemically verified abstinence from smoking. This result compares favourably to other quit-smoking intervention studies, particularly given the high percentage of HIV+ smokers with depression. At study baseline, 52% of HIV+ smokers scored above the clinical cut-off for depression on the Centre for Epidemiological Studies – Depression (CES-D) scale. HIV+ smokers with depression at study baseline demonstrated quantitatively lower depression at 6-month follow-up with a large effect size (d = 1), though it did not reach statistical significance (p = .058). Furthermore, those with depression were no more likely to relapse than those without depression (p = .33), suggesting that our counselling programme adequately addressed this significant barrier to smoking cessation among PHAs. Our pilot study indicates the importance of tailored programmes to help PHAs quit smoking, the significance of addressing depressive symptoms, and the need for tailored counselling programmes to enhance quit rates among PHAs. [ABSTRACT FROM PUBLISHER]
- Subjects :
- PREVENTION of mental depression
MENTAL depression
THERAPEUTICS
CARBON monoxide analysis
HIV infection complications
BEHAVIOR therapy
CARDIOVASCULAR diseases risk factors
CHI-squared test
COGNITIVE therapy
CONFIDENCE intervals
COUNSELING
HIV-positive persons
LONGITUDINAL method
RESEARCH methodology
PROBABILITY theory
RESEARCH funding
SMOKING cessation
STATISTICS
T-test (Statistics)
LOGISTIC regression analysis
PILOT projects
DATA analysis
DATA analysis software
DESCRIPTIVE statistics
NICOTINE replacement therapy
Subjects
Details
- Language :
- English
- ISSN :
- 09540121
- Volume :
- 29
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- AIDS Care
- Publication Type :
- Academic Journal
- Accession number :
- 119572136
- Full Text :
- https://doi.org/10.1080/09540121.2016.1201195