Predictors of Adherence to Behavioral Counseling and Medication Among Female Prisoners Enrolled in a Smoking Cessation Trial

Carla J. Berg, Jasjit S. Ahluwalia, Karen Cropsey

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)236-247
Number of pages12
JournalJournal of Correctional Health Care
Volume19
Issue number4
DOIs
StatePublished - Oct 2013

Bibliographical note

Funding Information:
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was funded by the National Institute on Drug Abuse of the National Institutes of Health (grant K23DA15774). Product support was provided by GlaxoSmithKline. The content of this report is solely the responsibility of authors and does not necessarily represent the views of National Institute on Drug Abuse or the National Institutes of Health. Note: GlaxoSmithKline did not have any input into the study results or study design.

Keywords

  • adherence
  • counseling
  • nicotine replacement therapy
  • smoking cessation

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