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J Correct Health Care. 2013 Oct;19(4):236-47. doi: 10.1177/1078345813499307. Epub 2013 Aug 15.

Predictors of adherence to behavioral counseling and medication among female prisoners enrolled in a smoking cessation trial.

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1Department of Behavioral Sciences and Health Education, Emory University School of Public Health, Atlanta, GA, USA.


Smoking is highly prevalent among prison populations. Adherence to counseling and nicotine replacement therapy predicts successful cessation. The authors examined predictors of ≥ 80% adherence to counseling and nicotine patch in a cessation trial targeting female prisoners. Of the 202 participants included in these analyses, 66.8% were adherent to the patch, 51.2% were adherent to counseling, 16.3% were nonadherent to both, and 45.0% were adherent to both. Older age of smoking initiation (p = .01), higher baseline smoking (p = .03), and prior substance abuse treatment (p = .04) predicted counseling adherence. Predictors of patch adherence included greater prior smoking level (p = .07) and more quit attempts (p = .09). The predictors of adherence to both was more prior quit attempts (p = .04). Understanding adherence-related factors may increase effectiveness of cessation interventions.


adherence; counseling; nicotine replacement therapy; smoking cessation

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