We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
The cost-effectiveness of a smoking cessation program for out-patients in treatment for depression.
- Authors
Barnett, Paul G.; Wong, Wynnie; Hall, Sharon
- Abstract
Aims 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. Design 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. Findings 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 services and mental health care cost was $11 496 per successful quit. Conclusion If smoking cessation yields 1.2 years additional life, the cessation services cost $5170 per life-year, and cessation services and mental health care cost $9580 per life-year. Even if quitting does not increase survival of depressed individuals as well as in other smokers, the stepped care intervention is likely to be regarded as cost-effective.
- Subjects
CLINICAL trials; COST effectiveness; MEDICAL care costs; CIGARETTE smokers; MENTAL health services; SMOKING cessation; SUBSTANCE abuse services in hospitals; PSYCHOTHERAPY patients
- Publication
Addiction, 2008, Vol 103, Issue 5, p834
- ISSN
0965-2140
- Publication type
Article
- DOI
10.1111/j.1360-0443.2008.02167.x