title: Pilot evaluation of a brief intervention to improve nicotine patch adherence among smokers living with HIV/AIDS.
abstract: Nicotine replacement therapy is an effective intervention for smoking cessation, but adherence tends to be low. This article presents results from a pilot evaluation of a brief smoking cessation treatment to improve adherence to the nicotine patch among Latino smokers living with HIV/AIDS. Forty smokers were randomized to receive either a standard 5 As counseling session and 8-week treatment of nicotine patch, or a similar intervention that added a 10-min module to the 5 As counseling that focused on improving adherence to the nicotine patch. Smoking outcomes (breath carbon monoxide monitoring verified 7-day point prevalence and continuous abstinence) were evaluated through a 3-month follow-up. Patch usage during the follow-up period was also assessed. Intention to treat analyses indicated that abstinence rates were 2 to 3 times higher in the adherence condition compared with the standard condition (7-day point prevalence abstinence: 35.0% vs. 15.0%; continuous abstinence: 30.0% vs. 10.0%). Nicotine patch compliance over an 8-week period was also higher in the adherence condition than in the standard condition (44% vs. 25%). Although this small pilot was conducted to estimate effect sizes and was not powered to detect group differences, results are promising and suggest that adding a 10-min module focused on nicotine patch adherence to a standard 5 As protocol can increase abstinence rates. Given that this smoking cessation treatment was not specifically tailored to either HIV-positive smokers or Latino smokers, future research should examine whether it may be a promising approach for improving nicotine patch adherence in the general population of smokers. (PsycINFO Database Record
authors.affiliation: RAND Corporation.
authors.forename: Joan S
authors.initials: JS
authors.lastname: Tucker
authors.affiliation: RAND Corporation.
authors.forename: William G
authors.initials: WG
authors.lastname: Shadel
authors.affiliation: Bienestar Human Services.
authors.forename: Frank H
authors.initials: FH
authors.lastname: Galvan
authors.affiliation: RAND Corporation.
authors.forename: Diana
authors.initials: D
authors.lastname: Naranjo
authors.affiliation: RAND Corporation.
authors.forename: Christian
authors.initials: C
authors.lastname: Lopez
authors.affiliation: RAND Corporation.
authors.forename: Claude
authors.initials: C
authors.lastname: Setodji
mesh_terms: D000163:Acquired Immunodeficiency Syndrome; D000328:Adult; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000523:psychology*; D010865:Pilot Projects; D011614:Psychotherapy, Brief / Q000379:methods*; D016540:Smoking Cessation / Q000379:methods* / Q000523:psychology; D061485:Tobacco Use Cessation Devices; D016896:Treatment Outcome