International Journal of Behavioral Medicine

, Volume 13, Issue 1, pp 79–88

Adherence to nicotine replacement patch therapy in cardiovascular patients


  • Louise C. W. Wiggers
    • Department of Medical Psychology and Department of Surgery
  • Ellen M. A. Smets
    • Department of Medical Psychology
  • Frans J. Oort
    • Department of Medical Psychology
  • Hanneke C. J. M. de Haes
    • Department of Medical Psychology
  • Marja N. Storm-Versloot
    • Department of Surgery
  • Hester Vermeulen
    • Department of Surgery
    • Department of Surgery
  • Lucas B. M. van Loenen
    • Department of CardiologyAcademic Medical Center
  • Ron J. G. Peters
    • Department of CardiologyAcademic Medical Center

DOI: 10.1207/s15327558ijbm1301_10

Cite this article as:
Wiggers, L.C.W., Smets, E.M.A., Oort, F.J. et al. Int. J. Behav. Med. (2006) 13: 79. doi:10.1207/s15327558ijbm1301_10


Nicotine Replacement Therapy (NRT) is the most frequently used pharmacological intervention for smoking cessation. Research on the effect of NRT showed serious nonadherence among users. We investigated adherence to NRT in cardiovascular patients. A number of 174 outpatients (N = 174), who smoked > 5 cigarettes a day, received free patches and intensive instructions from nurses. Questionnaires were sent to patients assessing patient characteristics, adherence to a 7–8 weeks time frame and appliance instructions, side effects/withdrawal symptoms, and reasons for non-adherence. Only 38% of the patients was adherent to the time frame. Appliance instructions were followed in 76–96% of the cases, except for smoking; 50% continued to smoke during NRT. In conclusion, despite considerable attention to appliance instructions, access to free patches and additional behavioral support, adherence to NRT in these patients is rather low.

Key words

adherenceNRTsmoking cessationcardiovascular disease

Copyright information

© International Society of Behavioral Medicine 2006