Interventions to increase adherence to medications for tobacco dependence

Abstract

People who received help to improve their use of medicines to stop smoking used their medicines slightly more than people who did not receive this help. There was some evidence that this also led to slightly more people quitting smoking. Quality of the evidence The evidence that helping people improve their use of stop-smoking medicines can successfully boost the use of these medicines is of moderate quality, meaning that more evidence could make us feel more certain of this effect. This is because there were problems with Interventions to increase adherence to medications for tobacco dependence (Review)

Pilot evaluation of a brief intervention to improve nicotine patch adherence among smokers living with HIV/AIDS.

“…However, adding a 10-min module focused on patch adherence to the standard 5 As protocol led to an improvement in adherence to the patch, verified 7-day point-prevalence abstinence at 3 months, and continuous abstinence over the follow-up period. Although not statistically significant (this small pilot was conducted to estimate effect sizes), the magnitude of the effect is greater than the relative risks reported in other evaluations of the short-term efficacy of interventions to increase adherence to medications for tobacco dependence (Hollands et al, 2015).…”

Pilot evaluation of a brief intervention to improve nicotine patch adherence among smokers living with HIV/AIDS.

“…However, adding a 10-min module focused on patch adherence to the standard 5 As protocol led to an improvement in adherence to the patch, verified 7-day point-prevalence abstinence at 3 months, and continuous abstinence over the follow-up period. Although not statistically significant (this small pilot was conducted to estimate effect sizes), the magnitude of the effect is greater than the relative risks reported in other evaluations of the short-term efficacy of interventions to increase adherence to medications for tobacco dependence (Hollands et al, 2015).…”

Treatment adherence and short-term outcomes of smoking cessation outpatient clinic patients

“…Such factors could possibly contribute to this study having a higher quit rate than other national studies. However, the limited number of close follow-ups and phone contacts, as well as limited extended pretreatment and patient education, may explain the lower rates than in international studies 27 . If that were the case, more effort and staff are needed for a better outcome in Turkey.…”

Effects of interventions to combat tobacco addiction: Cochrane update of 2019 and 2020 reviews

“…The updated review investigating interventions for improving adherence to smoking cessation medications added two new studies to the previous eight. It found that, in people who were stopping smoking using pharmacotherapy, enhanced behavioural support focusing upon improving adherence can provide modest benefit, improving cessation medication adherence [standardized mean difference (SMD) = 0.10, 95% CI = 0.03–0.18; I 2 = 6%; 10 studies, n = 3655; moderate‐certainty evidence] compared with behavioural support without this focus [30]. Evidence was insufficient to assess whether there was a benefit for cessation in the short term (RR = 1.08, 95% CI = 0.96–1.21; I 2 = 0%; five studies, n = 1795; low‐certainty evidence) and at 6 months follow‐up or more (RR = 1.16, 95% CI = 0.96–1.40; I 2 = 48%; five studies, n = 3593; low‐certainty evidence).…”

Pilot evaluation of a brief intervention to improve nicotine patch adherence among smokers living with HIV/AIDS.

“…However, adding a 10-min module focused on patch adherence to the standard 5 As protocol led to an improvement in adherence to the patch, verified 7-day point-prevalence abstinence at 3 months, and continuous abstinence over the follow-up period. Although not statistically significant (this small pilot was conducted to estimate effect sizes), the magnitude of the effect is greater than the relative risks reported in other evaluations of the short-term efficacy of interventions to increase adherence to medications for tobacco dependence (Hollands et al, 2015).…”

Treatment adherence and short-term outcomes of smoking cessation outpatient clinic patients

“…Such factors could possibly contribute to this study having a higher quit rate than other national studies. However, the limited number of close follow-ups and phone contacts, as well as limited extended pretreatment and patient education, may explain the lower rates than in international studies 27 . If that were the case, more effort and staff are needed for a better outcome in Turkey.…”

Effects of interventions to combat tobacco addiction: Cochrane update of 2019 and 2020 reviews

“…The updated review investigating interventions for improving adherence to smoking cessation medications added two new studies to the previous eight. It found that, in people who were stopping smoking using pharmacotherapy, enhanced behavioural support focusing upon improving adherence can provide modest benefit, improving cessation medication adherence [standardized mean difference (SMD) = 0.10, 95% CI = 0.03–0.18; I 2 = 6%; 10 studies, n = 3655; moderate‐certainty evidence] compared with behavioural support without this focus [30]. Evidence was insufficient to assess whether there was a benefit for cessation in the short term (RR = 1.08, 95% CI = 0.96–1.21; I 2 = 0%; five studies, n = 1795; low‐certainty evidence) and at 6 months follow‐up or more (RR = 1.16, 95% CI = 0.96–1.40; I 2 = 48%; five studies, n = 3593; low‐certainty evidence).…”

Pilot evaluation of a brief intervention to improve nicotine patch adherence among smokers living with HIV/AIDS.

“…However, adding a 10-min module focused on patch adherence to the standard 5 As protocol led to an improvement in adherence to the patch, verified 7-day point-prevalence abstinence at 3 months, and continuous abstinence over the follow-up period. Although not statistically significant (this small pilot was conducted to estimate effect sizes), the magnitude of the effect is greater than the relative risks reported in other evaluations of the short-term efficacy of interventions to increase adherence to medications for tobacco dependence (Hollands et al, 2015).…”

Treatment adherence and short-term outcomes of smoking cessation outpatient clinic patients

“…Such factors could possibly contribute to this study having a higher quit rate than other national studies. However, the limited number of close follow-ups and phone contacts, as well as limited extended pretreatment and patient education, may explain the lower rates than in international studies 27 . If that were the case, more effort and staff are needed for a better outcome in Turkey.…”

Effects of interventions to combat tobacco addiction: Cochrane update of 2019 and 2020 reviews

“…The updated review investigating interventions for improving adherence to smoking cessation medications added two new studies to the previous eight. It found that, in people who were stopping smoking using pharmacotherapy, enhanced behavioural support focusing upon improving adherence can provide modest benefit, improving cessation medication adherence [standardized mean difference (SMD) = 0.10, 95% CI = 0.03–0.18; I 2 = 6%; 10 studies, n = 3655; moderate‐certainty evidence] compared with behavioural support without this focus [30]. Evidence was insufficient to assess whether there was a benefit for cessation in the short term (RR = 1.08, 95% CI = 0.96–1.21; I 2 = 0%; five studies, n = 1795; low‐certainty evidence) and at 6 months follow‐up or more (RR = 1.16, 95% CI = 0.96–1.40; I 2 = 48%; five studies, n = 3593; low‐certainty evidence).…”