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Adolescents’ use of nicotine replacement therapy for smoking cessation: predictors of compliance trajectories

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Abstract

Rationale

Previous research has shown limited efficacy of nicotine replacement therapy (NRT) among adolescents and generally low compliance rates. As higher compliance rates are associated with improved abstinence rates, the present study examined predictors of NRT compliance.

Objectives

This study aims to test whether different NRT compliance trajectories can be distinguished among adolescents, to test whether these trajectories can be predicted by demographic, smoking-related, and personality factors, and to examine abstinence rates for each trajectory.

Methods

Data were used from a randomized controlled trial that tested the efficacy of nicotine patches versus placebo patches among 265 Dutch adolescents. During NRT treatment, adolescents filled out six online questionnaires in which they reported on the number of days they used the patches. Predictors (i.e., demographic and smoking-related factors and personality characteristics) and end-of-treatment abstinence were also administered through these self-reports. Latent class growth analysis (LCGA) was used to analyze compliance data by classifying individuals into similar growth trajectories.

Results

Three compliance trajectories were found (i.e., “compliers” (n = 89), “moderate decreasers” (n = 41), and “strong decreasers” (n = 127)). The compliers can be characterized by higher levels of conscientiousness and agreeableness and lower levels of extraversion compared with the strong decreasers, and by higher levels of conscientiousness and education compared with the moderate decreasers. Among the compliers, a substantially higher percentage of adolescents achieved abstinence at end-of-treatment (10 %) compared with the moderate decreasers (3 %) and the strong decreasers (6 %).

Conclusions

These findings could be the starting point for person-tailored interventions that aim to enhance NRT compliance rates among adolescents.

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Conflict of interest

No conflicts of interest were reported by the authors of this paper.

Funding

This study is funded by the Netherlands Organization for Health Research and Development (ZonMw).

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Authors and Affiliations

  1. Child and Adolescent Studies, Utrecht University, P.O. Box 80.140, 3508 TC, Utrecht, The Netherlands

    Charlotte S. Scherphof, Regina J. J. M. van den Eijnden & Wilma A. M. Vollebergh

  2. Department of Methods and Statistics, Utrecht University, P.O. Box 80.140, 3508 TC, Utrecht, The Netherlands

    Peter Lugtig

  3. Behavioural Science Institute, Radboud University Nijmegen, P.O. Box 9104, 6500 HE, Nijmegen, The Netherlands

    Rutger C. M. E. Engels

Authors
  1. Charlotte S. Scherphof
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  2. Regina J. J. M. van den Eijnden
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  4. Rutger C. M. E. Engels
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  5. Wilma A. M. Vollebergh
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Correspondence to Charlotte S. Scherphof.

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Scherphof, C.S., van den Eijnden, R.J.J.M., Lugtig, P. et al. Adolescents’ use of nicotine replacement therapy for smoking cessation: predictors of compliance trajectories. Psychopharmacology 231, 1743–1752 (2014). https://doi.org/10.1007/s00213-014-3511-8

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  • DOI: https://doi.org/10.1007/s00213-014-3511-8

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