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Related Experiment Videos

Nicodermal patch adherence and its correlates.

A I Alterman1, P Gariti, T G Cook

  • 1University of Pennsylvania School of Medicine, Philadelphia 19104, USA. Alterman@Research.TRC.UPenn.Edu

Drug and Alcohol Dependence
|March 18, 1999
PubMed
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Most smokers (55%) adhered to the nicodermal patch for 8 weeks. Smoking cessation success was predicted by adherence and psychosocial support, with smoking during treatment indicating relapse risk.

Area of Science:

  • Addiction Medicine
  • Behavioral Psychology
  • Clinical Research

Background:

  • Nicotine replacement therapy, such as the nicodermal patch, is a common smoking cessation aid.
  • Adherence to treatment regimens is crucial for the efficacy of smoking cessation interventions.
  • Adjunctive psychosocial support may enhance the effectiveness of nicotine replacement therapy.

Purpose of the Study:

  • To examine patch adherence in smokers undergoing psychosocial treatment.
  • To identify predictors of nicodermal patch adherence.
  • To assess the predictive validity of adherence and smoking status during treatment for long-term smoking cessation.

Main Methods:

  • 101 smokers received 8 weeks of nicodermal patch treatment with varying levels of psychosocial support.

Related Experiment Videos

  • Patch adherence was objectively measured.
  • Regression analyses were used to identify predictors of adherence and long-term smoking status.

    • Main Results:

    • 55% of participants achieved good patch adherence (≥50 out of 56 days).
    • Fagerström score, psychosocial group, and URICA commitment predicted 18% of the variance in patch adherence.
    • All treatment dropouts were smoking at follow-up.
    • Smoking during treatment predicted smoking at 9 and 26 weeks post-treatment.

    Conclusions:

    • Nicodermal patch adherence is achievable for a majority of smokers with psychosocial support.
    • Smoking during treatment is a strong indicator of relapse.
    • Interventions should focus on improving adherence and addressing smoking behavior during treatment for better long-term cessation outcomes.