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
  • Ellen M. A. Smets
  • Frans J. Oort
  • Hanneke C. J. M. de Haes
  • Marja N. Storm-Versloot
  • Hester Vermeulen
  • Dink A. Legemate
  • Lucas B. M. van Loenen
  • Ron J. G. Peters
Article

Abstract

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

adherence NRT smoking cessation cardiovascular disease 

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Copyright information

© International Society of Behavioral Medicine 2006

Authors and Affiliations

  • Louise C. W. Wiggers
    • 1
  • Ellen M. A. Smets
    • 2
  • Frans J. Oort
    • 2
  • Hanneke C. J. M. de Haes
    • 2
  • Marja N. Storm-Versloot
    • 3
  • Hester Vermeulen
    • 3
  • Dink A. Legemate
    • 3
  • Lucas B. M. van Loenen
    • 4
  • Ron J. G. Peters
    • 4
  1. 1.Department of Medical Psychology and Department of SurgeryThe Netherlands
  2. 2.Department of Medical PsychologyThe Netherlands
  3. 3.Department of SurgeryThe Netherlands
  4. 4.Department of CardiologyAcademic Medical CenterAmsterdamThe Netherlands
  5. 5.Department of Surgery (G4-111)Academic Medical CenterAmsterdamThe Netherlands

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