A test of motivational plus nicotine replacement interventions for HIV positive smokers

TitleA test of motivational plus nicotine replacement interventions for HIV positive smokers
Publication TypeJournal Article
Year of Publication2009
AuthorsIngersoll, KS, Cropsey, KL, Heckman, CJ
JournalAIDS and Behavior
Date PublishedJun
Publication Languageeng
ISBN Number1573-3254 (Electronic)1090-7165 (Linking)
Accession Number18066659
Keywords*Motivation, Administration, Cutaneous, Adult, Follow-Up Studies, HIV Infections/drug therapy, Humans, Intention, Male, Middle Aged, Nicotine/administration & dosage/*therapeutic use, Nicotinic Agonists/administration & dosage/*therapeutic use, Patient Compliance, Smoking Cessation/*methods/psychology, Tobacco Use Disorder/*therapy, Treatment Outcome

The purpose of this study was to test two combination motivational plus pharmacological interventions for smoking cessation among HIV positive smokers. Participants were 40 adults receiving HIV care who smoked daily reporting interest in smoking reduction. Measures were administered at baseline, 1-month, and 3-month follow-ups. Participants were randomly assigned to self-guided reading plus nicotine patch (n = 18) or motivational interviewing plus nicotine patch (n = 22). Groups did not differ at 3 months on biochemically-verified abstinence. The sample reduced cigarettes per day by half a pack and the percent of smoking days by 41%, and 22% were abstinent at 3-month follow-up. Compliance with the nicotine patch was poor and declined over time, but patch use was unrelated to carbon monoxide level at 3-month follow-up. Smoking cessation interventions for people with HIV can be helpful and should include components that encourage some smoke-free days, increase self-efficacy, and attend to adherence to nicotine replacement treatment.

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