Evidence map›Paper›PMID 29696311›Full record

Trial reportPsychopharmacology2018

Can we increase smokers' adherence to nicotine replacement therapy and does this help them quit?

Tanya R Schlam, Jessica W Cook, Timothy B Baker, Todd Hayes-Birchler, Daniel M Bolt, Stevens S Smith, Michael C Fiore, Megan E Piper

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychopharmacology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01120704 (Project 3), which is not on this map. Cited by 28 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 4 pooled it
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01120704 phase4completednot on this map

Project 3: Identifying Optimal Strategies of Increasing Smokers' Adherence to Cessation Medications

TypeinterventionalSponsorUniversity of Wisconsin, MadisonRan2010 to 2014Enrolled544ConditionsSmoking, Smoking Cessation, Adherence, Nicotine DependenceArmsShort Term Combination Nicotine Replacement Therapy (patch + gum), Long Term Combination Nicotine Replacement Therapy (patch + gum), Intensive Maintenance Counseling, Cognitive Medication Adherence Counseling (CAM), Electronic Medication Monitoring Device (the Helping Hand) + Feedback
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 4 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Interventions to increase adherence to medications for tobacco dependence.The Cochrane database of systematic reviews · 2019
    Pooled it
  4. Pooled it
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  7. Electronically Monitored Nicotine Gum Use Before and After Smoking Lapses: Relationship With Lapse and Relapse.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020
    Trial
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  11. Mixed Methods Process Evaluation of Behavioral Support and Nicotine Replacement Therapy for Smokeless Tobacco Cessation in Bangladesh, India, and Pakistan.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Article
  12. Article
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  16. Attitudes and practices of health care providers towards improving adherence to smoking cessation medications in Australia: A descriptive study.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2023
    Article
  17. Article
  18. Development and Content Validation of a Questionnaire for Measuring Beliefs About Using Nicotine Replacement Therapy for Smoking Cessation in Pregnancy.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Tanya R SchlamCenter for Tobacco Research and Intervention, Department of Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, 1930 Monroe Street, Suite 200, Madison, WI, 53711, USA. trschlam@ctri.wisc.edu.
Jessica W CookCenter for Tobacco Research and Intervention, Department of Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, 1930 Monroe Street, Suite 200, Madison, WI, 53711, USA.
Timothy B BakerCenter for Tobacco Research and Intervention, Department of Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, 1930 Monroe Street, Suite 200, Madison, WI, 53711, USA.
Todd Hayes-BirchlerCenter for Tobacco Research and Intervention, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA.
Daniel M BoltDepartment of Educational Psychology, University of Wisconsin-Madison, Madison, WI, USA.
Stevens S SmithCenter for Tobacco Research and Intervention, Department of Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, 1930 Monroe Street, Suite 200, Madison, WI, 53711, USA.
Michael C FioreCenter for Tobacco Research and Intervention, Department of Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, 1930 Monroe Street, Suite 200, Madison, WI, 53711, USA.
Megan E PiperCenter for Tobacco Research and Intervention, Department of Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, 1930 Monroe Street, Suite 200, Madison, WI, 53711, USA.
University of Wisconsin–Madison · USWilliam S. Middleton Memorial Veterans Hospital · US

Funding

Testing Relapse Recovery Intervention ComponentsP01CA180945 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI BAKER, TIMOTHY B, FIORE, MICHAEL C · 2014 to 2023
$23.0M
Methods CoreP50CA143188 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI BAKER, TIMOTHY B, FIORE, MICHAEL C · 2009 to 2013
$10.5M
Training in Translational Tobacco ScienceK05CA139871 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI BAKER, TIMOTHY B · 2008 to 2012
$850k
NCI NIH HHS K05 CA139871NCI NIH HHS P01 CA180945NCI NIH HHS P50 CA143188U.S. Department of Veterans Affairs 101CX00056
6 · The paper itself

Abstract

objectiveTo examine the effects of five intervention components on smokers' adherence to combined nicotine patch and nicotine gum during a quit attempt and assess whether adherence is related to cessation.

methodSmokers interested in quitting (N = 513; 59% female; 87% White) received nicotine patch plus nicotine gum and participated in a 2x2x2x2x2 randomized factorial experiment (i.e., 32 treatment conditions) evaluating five intervention components: (1) medication adherence counseling versus none; (2) automated medication adherence calls versus none; (3) electronic medication monitoring with feedback and counseling versus e-monitoring alone; (4) 26 versus 8 weeks of nicotine patch plus nicotine gum; and (5) maintenance counseling versus none. Adherence was assessed over the first 6 weeks post-target quit day via timeline follow-back (nicotine patch) and electronic medication dispenser (gum).

resultsIn the first 6 weeks post-quit day, 12% of participants used no patches or gum, and 40% used the patch every day. Only 1.4% used both patch and gum adherently every day in the 6 weeks post-target quit day. E-monitoring counseling increased gum use (from 1.9 to 2.6 pieces/day; p < .001) but did not increase abstinence. More adherent patch and gum use in the first 6 weeks were each associated with higher point-prevalence abstinence rates through 1 year.

conclusionsThis large experiment with electronic monitoring of nicotine gum adherence showed that e-monitoring counseling increased gum use but not abstinence. Adherence to nicotine patch and to gum were each strongly related to abstinence, but it is unclear whether adherence increases abstinence, or relapse causes medication discontinuation. CLINICAL

trial registrationClinicalTrials.gov NCT01120704.

Indexed as

Medication AdherenceNicotine Chewing GumTobacco Use Cessation DevicesAdultCounselingFemaleHumansMaleMiddle AgedNicotineRecurrenceSmokersSmoking CessationSmoking Cessation AgentsTelephoneTobacco Use DisorderNicotineNicotine Chewing GumSmoking Cessation AgentsElectronic medication monitoringMedication adherenceNicotine replacement therapySmoking cessationTobacco dependence

Identifiers

PMID29696311
PMCPMC6141024
OpenAlexW2799896543

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.