Daily adherence to nicotine replacement therapy in low-income smokers: The role of gender, negative mood, motivation, and self-efficacy. (March 2023)

• Record Type: Journal Article
• Authors: Gajos, Jamie M.; Hawes, Elizabeth S.; Chana, Sofía Mildrum; Mrug, Sylvie; Wolford-Clevenger, Caitlin; Businelle, Michael S.; Carpenter, Matthew J.; Cropsey, Karen L.
• Is Part Of: Addictive behaviors. Volume 138(2023)
• Publication Date: 2023-03
• Subjects: Nicotine replacement therapies -- Low-income smokers -- Gender differences -- Daily diary -- Negative mood -- Motivation -- Self-efficacy; 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.2022.107543
• Languages: English
• ISSNs: 0306-4603

Abstract

Highlights: Low-income smokers may benefit from nicotine replacement therapies (NRTs). Daily negative mood, motivation, and self-efficacy may impact NRT adherence. Daily negative mood, motivation, and self-efficacy impacts NRT adherence differently in men and women. Abstract: Background: Low-income smokers may benefit from interventions promoting nicotine replacement therapies (NRTs), particularly for women, as women have worse smoking cessation outcomes than men. Little is known about factors that affect daily NRT adherence, such as negative mood, motivation, and self-efficacy, and whether gender moderates these associations. Methods: Secondary analysis of a randomized controlled trial comparing a novel, in session sampling of short-acting combination NRT intervention ( In Vivo ) to standard care smoking cessation behavioral counseling was performed. Low-income smokers ( n = 62; Mage = 47.4; 42 % female; 61 % non-White) completed daily surveys using the Insight™ mHealth platform for 55 consecutive days. Three types of NRT adherence were examined: dose amount of short-acting NRT, nicotine patch wear time, and combination NRT (cNRT) (combined nicotine patch and short-acting NRT). Results: Generalized multilevel models report same-day negative mood was associated with greater likelihood of nicotine patch adherence in men, but unrelated to women's nicotine patch adherence. Same-day negative mood was associated with greater likelihood of cNRT adherence in men, but less likelihood in women. The relationship between same-day motivation and use of short-acting NRT varied by gender, but simple slope analyses revealed that motivation was unrelated to short-acting NRT use within either group. Same-day self-efficacy was related to an increased likelihood of nicotine patch adherence and cNRT adherence in women but unrelated to men's adherence of either type. Conclusions: Future research should focus on gender differences in low-income smokers' same-day negative mood, motivation, and self-efficacy processes on NRT adherence during smoking cessation interventions.