Cited by 26Smoking Behavior and CessationSubstance Abuse Treatment and OutcomesHealth Policy Implementation Science

Treatment adherence in a lay health adviser intervention to treat tobacco dependence

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Hood, N. E., Ferketich, A. K., Paskett, E. D., Wewers, M. E.·2013·Health Education Research

Abstract

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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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
Published
2012-07-28
Volume
28
Issue
1
Pages
72-82
ISSN
  • 0268-1153 (ISSN-L)
  • 1465-3648
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
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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