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Developing a nicotine patch adherence intervention for HIV-positive Latino smokers.

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Maintaining motivation, daily routines, and realistic expectations are key for HIV-positive Latino smokers to consistently use nicotine patches for smoking cessation. This research informs a new treatment module.

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Area of Science:

  • Public Health
  • Behavioral Science
  • Addiction Medicine

Background:

  • Smoking remains a significant health concern for individuals living with HIV.
  • Nicotine replacement therapy, such as the nicotine patch, is a crucial tool for smoking cessation.
  • Adherence to nicotine patch treatment can be challenging, particularly in specific patient populations.

Purpose of the Study:

  • To conduct formative research to develop an intervention aimed at improving nicotine patch adherence among HIV-positive Latino smokers.
  • To identify key factors influencing the consistent use of nicotine patches in this population.

Main Methods:

  • Two independent phases of qualitative research were employed.
  • Phase I involved in-depth interviews with 14 HIV-positive Latino smokers with prior nicotine patch experience.
  • Phase II utilized near real-time interviews over two months with 35 smokers undergoing a brief cessation treatment and using nicotine patches.

Main Results:

  • Consistent nicotine patch use was associated with sustained motivation for patch application (not solely quit motivation).
  • Integrating patch use with established daily routines (e.g., medication intake, hygiene) facilitated adherence.
  • Maintaining realistic expectations regarding patch efficacy, including potential residual cravings, supported continued use.

Conclusions:

  • Understanding patient perspectives is vital for designing effective smoking cessation interventions.
  • The findings will inform the development and pilot testing of a brief treatment module focused on enhancing nicotine patch adherence.
  • Targeted interventions can improve treatment adherence and support smoking cessation in vulnerable populations.