Treatment adherence in a lay health adviser intervention to treat tobacco dependence
Open accessAbstract
Lay health advisers (LHAs) are increasingly used to deliver tobacco dependence treatment, especially with low-socioeconomic status (SES) populations. More information is needed about treatment adherence to help interpret mixed evidence of LHA intervention effectiveness. This study examined adherence to behavioral counseling and nicotine patches in an LHA intervention with 147 Ohio Appalachian female daily smokers. Participants were randomly selected from clinics and randomized to the intervention condition of a randomized controlled trial. Overall, 75.5% of participants received all seven planned LHA visits, 29.3% used patches for >7 weeks and approximately half received high average ratings on participant responsiveness. Depressive symptoms and low nicotine dependence were associated with lower patch adherence while high poverty-to-income ratio was associated with high responsiveness. Compared with those with fewer visits, participants who received all visits were more likely to be abstinent (22.5 versus 2.8%, P=0.026) or have attempted quitting (85.0 versus 47.4%, P=0.009) at 3 months. High participant responsiveness was associated with 12-month abstinence. LHA interventions should focus on improving adherence to nicotine patches and managing depression because it is an independent risk factor for low adherence.
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Depression has been associated with lower use of some cessation treatments, including behavioral and pharmacotherapy interventions.
“Although depression has been linked to lower utilization of some cessation treatments, including both behavioral (Zeng et al., 2015) and pharmacotherapy (Hood et al., 2013) interventions”
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“, 2015) and pharmacotherapy (Hood et al., 2013) interventions, there has not been any examination of whether smokers with BD demonstrate lower utilization of cessation interventions such that the likelihood of quitting is reduced.”
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Chandio, N., Micheal, S., Tadakamadla, S. K., Sohn, W., Cartwright, S., White, R. L., Sanagavarapu, P., Parmar, J. S., & Arora, A. (2022) · Figshare · doi:10.6084/m9.figshare.20098714
Chandio, N., Micheal, S., Tadakamadla, S. K., Sohn, W., Cartwright, S., White, R. L., Sanagavarapu, P., Parmar, J. S., & Arora, A. (2022) · Figshare · doi:10.6084/m9.figshare.20098717
Chandio, N., Micheal, S., Tadakamadla, S. K., Sohn, W., Cartwright, S., White, R. L., Sanagavarapu, P., Parmar, J. S., & Arora, A. (2022) · Figshare · doi:10.6084/m9.figshare.20098723
Chandio, N., Micheal, S., Tadakamadla, S. K., Sohn, W., Cartwright, S., White, R. L., Sanagavarapu, P., Parmar, J. S., & Arora, A. (2022) · Figshare · doi:10.6084/m9.figshare.20098705
Chandio, N., Micheal, S., Tadakamadla, S. K., Sohn, W., Cartwright, S., White, R. L., Sanagavarapu, P., Parmar, J. S., & Arora, A. (2022) · Figshare · doi:10.6084/m9.figshare.20098711
Chandio, N., Micheal, S., Tadakamadla, S. K., Sohn, W., Cartwright, S., White, R. L., Sanagavarapu, P., Parmar, J. S., & Arora, A. (2022) · Figshare · doi:10.6084/m9.figshare.20098720
The Role of Community Health Workers in Tobacco Cessation: A Scoping Review
Woodruff, D., Sawyer, S., & Taggart, T. (2026) · American Journal of Health Promotion · doi:10.1177/08901171261433812
- Authors
- Hood, N. E., Ferketich, A. K., Paskett, E. D., & Wewers, M. E.
- Affiliations
- The Ohio State University (US)
- Corresponding author
- Hood, N. E.
- Venue
- Health Education Research
- Publisher
- Oxford University Press (OUP)
- Published
- 2012-07-28
- Volume
- 28
- Issue
- 1
- Pages
- 72-82
- ISSN
- 0268-1153 (ISSN-L)
- 1465-3648
- PMC
- PMC3549587
- OpenAlex
- W2128146191
- Cited by
- 26
- References
- 50
- Citations by year
- 2026: 1 · 2024: 2 · 2023: 1 · 2022: 8 · 2021: 3 · 2020: 2 · 2019: 1 · 2018: 1 · 2017: 1 · 2016: 1 · 2015: 2 · 2014: 1 · 2013: 1
- FWCI
- 0.86
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- other-oa
- Locations
- Health Education Research (publishedVersion, other-oa)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Cancer Institute (P50CA105632, P30CA016058)
- National Center for Research Resources (M01-RR-00034, M01RR000034)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Keywords
- tobacco dependence treatment, medication adherence, nicotine patch, behavioral counseling, participant responsiveness, depression, poverty income ratio, smoking cessation, Appalachian women, low socioeconomic status, quit attempts
- MeSH terms
- Adolescent, Adult, Appalachian Region, Counseling, Female, Humans, Middle Aged, Patient Compliance, Poverty, Tobacco Use Disorder, Medication Adherence, Young Adult, Tobacco Use Cessation Devices
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