Developing a nicotine patch adherence intervention for HIV-positive Latino smokers. (August 2016)

• Record Type: Journal Article
• Authors: Shadel, William G.; Galvan, Frank H.; Tucker, Joan S.
• Is Part Of: Addictive behaviors. Volume 59(2016)
• Page Start: 52
• Page End: 57
• Publication Date: 2016-08
• Subjects: HIV -- AIDS -- Smoking cessation -- Nicotine patch -- Adherence -- Latinos; Substance abuse -- Periodicals; Alcoholism -- Periodicals; Drug addiction -- Periodicals; Nicotine addiction -- Periodicals; Smoking -- Periodicals; Gambling -- Psychological aspects -- Periodicals; Electronic journals; 362.29
• DOI: 10.1016/j.addbeh.2016.03.037
• Languages: English
• ISSNs: 0306-4603

Abstract

Abstract: This paper describes two phases of formative research that had the goal of developing a treatment designed to improve adherence with the nicotine patch in HIV-positive Latino smokers. Each research phase (Phase I and II) was conducted independent of the other and used different qualitative methods to inform the development of the intervention. Phase I interviewed n = 14 smokers who had previous experience using the nicotine patch to gain detailed understanding of how, when, and why they used it; their perceived barriers to using it; and their perspective on ways to improve adherence to it. Phase II provided n = 35 smokers with brief smoking cessation treatment and nicotine patches, then interviewed them in "near real time" over a two month period about their use of the patch during a quit attempt (e.g., perceived barriers and facilitators). Authors of the paper extracted relevant themes emerging from the interview transcripts across the two phases. Results indicated that consistent use of the nicotine patch was associated with maintaining high motivation for use (i.e., not necessarily motivation to quit, but motivation to continue patch use); linking its use with established daily routines (e.g., with taking other medications, with brushing teeth); and maintaining realistic expectations for patch efficacy (e.g., that users may still experience some level of craving and/or withdrawal). This information will used to develop and pilot test a brief treatment module that focuses on improving nicotine patch adherence. Highlights: The results of these studies suggest that improved adherence with the nicotine patch include information around: Safety and side effects of the nicotine patch Realistic expectations for nicotine patch efficacy Problem solving to weave patch use into daily routines These adherence strategies may have implications beyond HIV-positive and Latino smokers. Research is needed to evaluate whether including such an adherence intervention to smoking cessation treatment improves clinical outcomes.