ERIC Number: EJ992075
Record Type: Journal
Publication Date: 2013-Feb
Abstractor: As Provided
Treatment Adherence in a Lay Health Adviser Intervention to Treat Tobacco Dependence
Hood, N. E.; Ferketich, A. K.; Paskett, E. D.; Wewers, M. E.
Health Education Research, v28 n1 p72-82 Feb 2013
Lay health advisers (LHAs) are increasingly used to deliver tobacco dependence treatment, especially with low-socioeconomic status (SES) populations. More information is needed about treatment adherence to help interpret mixed evidence of LHA intervention effectiveness. This study examined adherence to behavioral counseling and nicotine patches in an LHA intervention with 147 Ohio Appalachian female daily smokers. Participants were randomly selected from clinics and randomized to the intervention condition of a randomized controlled trial. Overall, 75.5% of participants received all seven planned LHA visits, 29.3% used patches for greater than 7 weeks and approximately half received high average ratings on participant responsiveness. Depressive symptoms and low nicotine dependence were associated with lower patch adherence while high poverty-to-income ratio was associated with high responsiveness. Compared with those with fewer visits, participants who received all visits were more likely to be abstinent (22.5 versus 2.8%, P = 0.026) or have attempted quitting (85.0 versus 47.4%, P = 0.009) at 3 months. High participant responsiveness was associated with 12-month abstinence. LHA interventions should focus on improving adherence to nicotine patches and managing depression because it is an independent risk factor for low adherence.
Descriptors: Evidence, Risk, Smoking, Intervention, Behavior Modification, Depression (Psychology), Low Income Groups, Socioeconomic Status, Counseling, Counseling Effectiveness, Drug Therapy, Health Promotion, Prevention, Health Behavior, Behavior Change, Health Education, Public Health, Community Health Services, Health Personnel, Program Implementation, Program Effectiveness, Outcomes of Treatment, Correlation
Oxford University Press. Great Clarendon Street, Oxford OX2 6DP, UK. Tel: +44-1865-353907; Fax: +44-1865-353485; e-mail: email@example.com; Web site: http://her.oxfordjournals.org/
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Authoring Institution: N/A
Identifiers - Location: Ohio