Predictors of Adherence to Behavioral Counseling and Medication Among Female Prisoners Enrolled in a Smoking Cessation Trial

Academic Article


  • 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. © The Author(s) 2013.
  • Published In

    Digital Object Identifier (doi)

    Author List

  • Berg CJ; Ahluwalia JS; Cropsey K
  • Start Page

  • 236
  • End Page

  • 247
  • Volume

  • 19
  • Issue

  • 4