title: Predictors of adherence to behavioral counseling and medication among female prisoners enrolled in a smoking cessation trial.
abstract: Smoking is highly prevalent among prison populations. Adherence to counseling and nicotine replacement therapy predicts successful cessation. The authors examined predictors of ≥ 80% adherence to counseling and nicotine patch in a cessation trial targeting female prisoners. Of the 202 participants included in these analyses, 66.8% were adherent to the patch, 51.2% were adherent to counseling, 16.3% were nonadherent to both, and 45.0% were adherent to both. Older age of smoking initiation (p = .01), higher baseline smoking (p = .03), and prior substance abuse treatment (p = .04) predicted counseling adherence. Predictors of patch adherence included greater prior smoking level (p = .07) and more quit attempts (p = .09). The predictors of adherence to both was more prior quit attempts (p = .04). Understanding adherence-related factors may increase effectiveness of cessation interventions.
authors: 1Department of Behavioral Sciences and Health Education, Emory University School of Public Health, Atlanta, GA, USA.
authors: Carla J
authors: CJ
authors: Berg
authors: Jasjit S
authors: JS
authors: Ahluwalia
authors: Karen
authors: K
authors: Cropsey
mesh_terms: D000328:Adult; D000367:Age Factors; D001521:Behavior Therapy / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008603:Mental Health; D010349:Patient Compliance / Q000706:statistics & numerical data*; D011329:Prisoners / Q000706:statistics & numerical data*; D016540:Smoking Cessation / Q000379:methods* / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors; D019966:Substance-Related Disorders / Q000453:epidemiology; D013997:Time Factors; D061485:Tobacco Use Cessation Devices / Q000706:statistics & numerical data*
keywords: adherence; counseling; nicotine replacement therapy; smoking cessation