Evidence map›Paper›PMID 40669292›Full record

Trial reportAddictive behaviors2025

Characteristics associated with medication adherence in a randomized clinical trial of multiple pharmacotherapy adaptations based on treatment response in black adults who smoke.

Erica Cruvinel, Alexandra Brown, Amanda Pritchard, Matthew S Mayo, Lisa Sanderson Cox, Eleanor L S Leavens, Nicole L Nollen

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Addictive behaviors, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

7 authors.

Erica CruvinelDepartment of Population Health, University of Kansas Medical Center, Kansas City, KS 66160, United State. Electronic address: ecruvinel@kumc.edu.
Alexandra BrownDepartment of Biostatistics & Data Science, University of Kansas Medical Center, Kansas City, KS 66160, United States. Electronic address: abrown8@kumc.edu.
Amanda PritchardDepartment of Biostatistics & Data Science, University of Kansas Medical Center, Kansas City, KS 66160, United States. Electronic address: apritchard2@kumc.edu.
Matthew S MayoDepartment of Biostatistics & Data Science, University of Kansas Medical Center, Kansas City, KS 66160, United States. Electronic address: mmayo@kumc.edu.
Lisa Sanderson CoxDepartment of Population Health, University of Kansas Medical Center, Kansas City, KS 66160, United State. Electronic address: lcox@kumc.edu.
Eleanor L S LeavensDepartment of Population Health, University of Kansas Medical Center, Kansas City, KS 66160, United State. Electronic address: eleavens@kumc.edu.
Nicole L NollenDepartment of Population Health, University of Kansas Medical Center, Kansas City, KS 66160, United State. Electronic address: nnollen@kumc.edu.

Funding

Transgenic & Gene-Targeting Shared ResourceP30CA168524 · NCI · UNIVERSITY OF KANSAS MEDICAL CENTER · PI ROY A. JENSEN · 2012 to 2026
$40.1M
Heartland Institute for Clinical and Translational ResearchUL1TR000001 · NCATS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI BAROHN, RICHARD J. · 2012 to 2015
$13.0M
Understanding the Impact of Marijuana and Opioid Misuse on Tobacco Dependence Treatment and Outcomes among African American Participants in a Clinical TrialR01DA046576 · NIDA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI NOLLEN, NICOLE L · 2018 to 2022
$3.6M
USING CONTINGENCY MANAGEMENT TO PROMOTE ADHERENCE TO SMOKING CESSATION TREATMENT AMONG HOSPITALIZED SMOKERSK01DA055779 · NIDA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Erica Nichols Cruvinel · 2022 to 2026
$895k
NCATS NIH HHS UL1 TR000001NCI NIH HHS P30 CA168524NIDA NIH HHS K01 DA055779NIDA NIH HHS R01 DA046576
6 · The paper itself

Abstract

introductionPharmacotherapy is a key component of evidence-based smoking cessation treatment and a major predictor of success in quitting. However, most people attempting to quit in clinical trials fail to fully adhere to their pharmacological treatments. AIMS AND

methodsTo assess factors associated with adherence to smoking cessation pharmacotherapies among Black adults participating in a clinical trial and to understand reasons for non-adherence to treatment. Data came from 333 participants enrolled in a randomized clinical trial of adapted therapy (ADT) or enhanced usual care (UC) for smoking cessation. Medication adherence was defined as taking at least 80 % of the prescribed medication for the entire treatment. Characteristics associated with 18-week adherence included demographic, psychosocial, smoking characteristics, substance use, medication experience, early treatment response, and adverse events. A best-subsets regression analyses were performed with all characteristics, and descriptive statistics were used to summarize the reasons for non-adherence to medication.

resultsOne hundred seventy-seven participants were compliant with their medication. Participants randomized to the ADT (OR = 2.40, 95 % CI = 1.52-3.81, p < 0.001) and with more positive medication experience (OR = 1.28, 95 % CI = 1.14-1.45, p < 0.001) were more likely to be adherent to study medications. The most common reason for non-adherence was "forgetting or losing the medication" (49.1 %).

conclusionsOver half of our sample were adherent to their pharmacotherapy, and those randomized to adaptive therapy, coupled with a positive experience with their medication, exhibited better overall compliance with their long-term pharmacotherapy. Reasons for not taking medications were similar to the existing literature.

Indexed as

Black or African AmericanMedication AdherenceSmoking CessationSmoking Cessation AgentsAdultFemaleHumansMaleMiddle AgedSmoking Cessation AgentsBlack peopleClinical trialPharmacotherapySmoking cessationTreatment adherence and compliance

Identifiers

PMID40669292
PMCPMC13196000

What OpenQuestion holds

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Registered trials

None linked

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.