Document Detail


Predictors of attendance in a randomized clinical trial of nicotine replacement therapy with behavioral counseling.
MedLine Citation:
PMID:  14636967     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Participant attendance at smoking cessation-counseling sessions is an important factor in treatment outcome. In this study, we examined the influence of demographic, psychological, and smoking history variables on attendance at a randomized clinical trial comparing transdermal nicotine and nicotine nasal spray that included seven sessions of behavioral group counseling. Of the 353 participants, 70.5% attended all seven sessions. Perfect attendance predicted abstinence from cigarettes at the end of treatment and at 6-month follow-up. In a logistic regression model, higher levels of education and higher body mass index were significant independent predictors of better attendance. There was a significant interaction between type of nicotine replacement (transdermal nicotine vs. nasal spray) and sex: females were less likely than males to have perfect attendance in the nasal spray group, but there was no sex difference in attendance for the transdermal nicotine group. These findings suggest that smokers with lower body mass index and less formal education may benefit from proactive counseling to address individual barriers to attendance at smoking cessation counseling. Additional research in this area would also be valuable to evaluate strategies to promote attendance in these high-risk groups.
Authors:
Freda Patterson; Christopher Jepson; Vyga Kaufmann; Margaret Rukstalis; Janet Audrain-McGovern; Susan Kucharski; Caryn Lerman
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Drug and alcohol dependence     Volume:  72     ISSN:  0376-8716     ISO Abbreviation:  Drug Alcohol Depend     Publication Date:  2003 Nov 
Date Detail:
Created Date:  2003-11-25     Completed Date:  2004-05-04     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  7513587     Medline TA:  Drug Alcohol Depend     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  123-31     Citation Subset:  IM    
Affiliation:
University of Pennsylvania, Transdisciplinary Tobacco Use Research Center, 3535 Market Street, Suite 4100, Philadelphia, PA 19104, USA.
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MeSH Terms
Descriptor/Qualifier:
Administration, Cutaneous
Administration, Intranasal
Behavior Therapy / methods*
Body Mass Index
Counseling / methods*
Depression / diagnosis,  epidemiology
Female
Follow-Up Studies
Humans
Male
Nicotine / administration & dosage,  therapeutic use*
Patient Compliance / statistics & numerical data*
Prospective Studies
Questionnaires
Smoking / prevention & control*
Smoking Cessation / methods*
Tobacco Use Disorder / therapy*
Grant Support
ID/Acronym/Agency:
P5084718//PHS HHS
Chemical
Reg. No./Substance:
54-11-5/Nicotine
Comments/Corrections
Erratum In:
Drug Alcohol Depend. 2004 Mar 8;73(3):315

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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