Abstract

Introduction Prior research has shown that the transdermal nicotine patch is a safe and effective aid to smoking cessation, but adherence to the directed use of the nicotine patch is often low. Few studies have examined participant-reported reasons for non-adherence to nicotine patch therapy during a quit attempt. Aims The aim of this study was to evaluate adherence to nicotine patch therapy and to identify participant-reported reasons for non-adherence. Methods Participants were 201 current daily smokers who were offered 6-weekly group treatment sessions and were asked to report nicotine patch use and barriers to use. Results Seventy-one (35.3%) participants were adherent for the first 28 days of treatment and 130 (64.7%) participants were non-adherent. Commonly reported reasons for non-adherence were forgetting to put the patch on (30%), not liking the experienced side effects (15%), resuming smoking (10%) and difficulty affording the cost of the patches (7%). Conclusions Participant- reported barriers to adherence of nicotine patch therapy can be mitigated with advice from healthcare providers. Some examples of advice to patients could include carrying an extra patch, using community resources to obtain free or reduced cost nicotine patches, reviewing the effectiveness of nicotine replacement, and explaining side effects associated with the use of the nicotine patch.

Original languageEnglish (US)
Pages (from-to)883-888
Number of pages6
JournalInternational Journal of Clinical Practice
Volume69
Issue number8
DOIs
StatePublished - Aug 1 2015

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Tobacco Use Cessation Products
Therapeutics
Costs and Cost Analysis
Smoking Cessation
Nicotine
Health Personnel
Smoking

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

@article{3b81c7c034194c25b4dce7fbf105d541,
title = "Reasons for non-adherence to nicotine patch therapy during the first month of a quit attempt",
abstract = "Introduction Prior research has shown that the transdermal nicotine patch is a safe and effective aid to smoking cessation, but adherence to the directed use of the nicotine patch is often low. Few studies have examined participant-reported reasons for non-adherence to nicotine patch therapy during a quit attempt. Aims The aim of this study was to evaluate adherence to nicotine patch therapy and to identify participant-reported reasons for non-adherence. Methods Participants were 201 current daily smokers who were offered 6-weekly group treatment sessions and were asked to report nicotine patch use and barriers to use. Results Seventy-one (35.3{\%}) participants were adherent for the first 28 days of treatment and 130 (64.7{\%}) participants were non-adherent. Commonly reported reasons for non-adherence were forgetting to put the patch on (30{\%}), not liking the experienced side effects (15{\%}), resuming smoking (10{\%}) and difficulty affording the cost of the patches (7{\%}). Conclusions Participant- reported barriers to adherence of nicotine patch therapy can be mitigated with advice from healthcare providers. Some examples of advice to patients could include carrying an extra patch, using community resources to obtain free or reduced cost nicotine patches, reviewing the effectiveness of nicotine replacement, and explaining side effects associated with the use of the nicotine patch.",
author = "Yingst, {J. M.} and Susan Veldheer and Shari Hrabovsky and Christopher Sciamanna and Jonathan Foulds",
year = "2015",
month = "8",
day = "1",
doi = "10.1111/ijcp.12644",
language = "English (US)",
volume = "69",
pages = "883--888",
journal = "International Journal of Clinical Practice",
issn = "1368-5031",
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T1 - Reasons for non-adherence to nicotine patch therapy during the first month of a quit attempt

AU - Yingst, J. M.

AU - Veldheer, Susan

AU - Hrabovsky, Shari

AU - Sciamanna, Christopher

AU - Foulds, Jonathan

PY - 2015/8/1

Y1 - 2015/8/1

N2 - Introduction Prior research has shown that the transdermal nicotine patch is a safe and effective aid to smoking cessation, but adherence to the directed use of the nicotine patch is often low. Few studies have examined participant-reported reasons for non-adherence to nicotine patch therapy during a quit attempt. Aims The aim of this study was to evaluate adherence to nicotine patch therapy and to identify participant-reported reasons for non-adherence. Methods Participants were 201 current daily smokers who were offered 6-weekly group treatment sessions and were asked to report nicotine patch use and barriers to use. Results Seventy-one (35.3%) participants were adherent for the first 28 days of treatment and 130 (64.7%) participants were non-adherent. Commonly reported reasons for non-adherence were forgetting to put the patch on (30%), not liking the experienced side effects (15%), resuming smoking (10%) and difficulty affording the cost of the patches (7%). Conclusions Participant- reported barriers to adherence of nicotine patch therapy can be mitigated with advice from healthcare providers. Some examples of advice to patients could include carrying an extra patch, using community resources to obtain free or reduced cost nicotine patches, reviewing the effectiveness of nicotine replacement, and explaining side effects associated with the use of the nicotine patch.

AB - Introduction Prior research has shown that the transdermal nicotine patch is a safe and effective aid to smoking cessation, but adherence to the directed use of the nicotine patch is often low. Few studies have examined participant-reported reasons for non-adherence to nicotine patch therapy during a quit attempt. Aims The aim of this study was to evaluate adherence to nicotine patch therapy and to identify participant-reported reasons for non-adherence. Methods Participants were 201 current daily smokers who were offered 6-weekly group treatment sessions and were asked to report nicotine patch use and barriers to use. Results Seventy-one (35.3%) participants were adherent for the first 28 days of treatment and 130 (64.7%) participants were non-adherent. Commonly reported reasons for non-adherence were forgetting to put the patch on (30%), not liking the experienced side effects (15%), resuming smoking (10%) and difficulty affording the cost of the patches (7%). Conclusions Participant- reported barriers to adherence of nicotine patch therapy can be mitigated with advice from healthcare providers. Some examples of advice to patients could include carrying an extra patch, using community resources to obtain free or reduced cost nicotine patches, reviewing the effectiveness of nicotine replacement, and explaining side effects associated with the use of the nicotine patch.

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