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AIDS Care
Psychological and Socio-medical Aspects of AIDS/HIV
Volume 29, 2017 - Issue 1
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Articles

An HIV-tailored quit-smoking counselling pilot intervention targeting depressive symptoms plus Nicotine Replacement Therapy

Louise BalfourDepartment of Psychology, The Ottawa Hospital, Ottawa, ON, Canada;Department of Psychology, The University of Ottawa, Ottawa, ON, Canada;The Ottawa Hospital Research Institute, Ottawa, ON, Canada;Department of Medicine, The Ottawa Hospital, University of Ottawa, Ottawa Hospital Research Institute, Ottawa, ON, CanadaView further author information
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Stephanie A. WiebeDepartment of Psychology, The Ottawa Hospital, Ottawa, ON, Canada;Department of Psychology, The University of Ottawa, Ottawa, ON, Canada;The Ottawa Hospital Research Institute, Ottawa, ON, CanadaCorrespondence[email protected]
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William D. CameronDivision of Infectious Diseases, The Ottawa Hospital, Ottawa Hospital Research Institute, Faculty of Medicine, University of Ottawa, Ottawa, ON, CanadaView further author information
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Daniella SandreDepartment of Psychology, The Ottawa Hospital, Ottawa, ON, Canada;Department of Psychology, The University of Ottawa, Ottawa, ON, Canada;The Ottawa Hospital Research Institute, Ottawa, ON, CanadaView further author information
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Andrew PipeThe University of Ottawa Heart Institute, Ottawa, ON, Canada;Ottawa Hospital Research Institute, Ottawa, ON, CanadaView further author information
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Curtis CooperDivision of Infectious Diseases, The Ottawa Hospital, Ottawa Hospital Research Institute, Faculty of Medicine, University of Ottawa, Ottawa, ON, CanadaView further author information
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Jonathan AngelDivision of Infectious Diseases, The Ottawa Hospital, Ottawa Hospital Research Institute, Faculty of Medicine, University of Ottawa, Ottawa, ON, CanadaView further author information
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Gary GarberFaculty of Medicine, University of Ottawa, Ottawa Hospital Research Institute, Ottawa, ON, CanadaView further author information
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Crystal HollyDepartment of Psychology, The Ottawa Hospital, Ottawa, ON, Canada;Department of Psychology, The University of Ottawa, Ottawa, ON, Canada;The Ottawa Hospital Research Institute, Ottawa, ON, CanadaView further author information
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Tracy L. DalgleishGreenbelt Family Health Team, Nepean, ON, Canada;Ottawa Couple and Family Institute, Ottawa, ON, CanadaView further author information
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Giorgio A. TascaDepartment of Psychology, The Ottawa Hospital, Ottawa, ON, Canada;Department of Psychology, The University of Ottawa, Ottawa, ON, Canada;Department of Psychology, Carleton University, Ottawa, ON, CanadaView further author information
&
Paul A. MacPhersonDivision of Infectious Diseases, The Ottawa Hospital, Ottawa Hospital Research Institute, Faculty of Medicine, University of Ottawa, Ottawa, ON, CanadaView further author information
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Pages 24-31 | Received 27 Oct 2015, Accepted 08 Jun 2016, Published online: 19 Jul 2016
 
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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.

Acknowledgement

We would like to thank Danijela Maras for her contributions to the project.

Disclosure statement

No potential conflict of interest was reported by the authors.

Additional information

Funding

This work was supported in part by the Department of Medicine at The University of Ottawa, Canadian Foundation for AIDS Research (CANFAR), Bristol-Myers Squibb (BMS), Johnson and Johnson, and Canadian Institutes of Health Research-Canadian HIV Trials Network (CIHR-CTN).

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