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Published in: AIDS and Behavior 7/2017

01-07-2017 | Original Paper

Combining Text Messaging and Telephone Counseling to Increase Varenicline Adherence and Smoking Abstinence Among Cigarette Smokers Living with HIV: A Randomized Controlled Study

Authors: Tuo-Yen Tseng, Paul Krebs, Antoinette Schoenthaler, Selena Wong, Scott Sherman, Mirelis Gonzalez, Antonio Urbina, Charles M. Cleland, Donna Shelley

Published in: AIDS and Behavior | Issue 7/2017

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Abstract

Smoking represents an important health risk for people living with HIV (PLHIV). Low adherence to smoking cessation pharmacotherapy may limit treatment effectiveness. In this study, 158 participants recruited from three HIV care centers in New York City were randomized to receive 12-weeks of varenicline (Chantix) either alone as standard care (SC) or in combination with text message (TM) support or TM plus cell phone-delivered adherence-focused motivational and behavioral therapy (ABT). Generalized linear mixed-effect models found a significant decline in varenicline adherence from week 1–12 across treatment groups. At 12-weeks, the probability of smoking abstinence was significantly higher in SC+TM+ABT than in SC. The study demonstrates the feasibility of delivering adherence-focused interventions to PLHIV who smoke. Findings suggest intensive behavioral support is an important component of an effective smoking cessation intervention for this population, and a focus on improving adherence self-efficacy may lead to more consistent adherence and higher smoking abstinence.
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Metadata
Title
Combining Text Messaging and Telephone Counseling to Increase Varenicline Adherence and Smoking Abstinence Among Cigarette Smokers Living with HIV: A Randomized Controlled Study
Authors
Tuo-Yen Tseng
Paul Krebs
Antoinette Schoenthaler
Selena Wong
Scott Sherman
Mirelis Gonzalez
Antonio Urbina
Charles M. Cleland
Donna Shelley
Publication date
01-07-2017
Publisher
Springer US
Published in
AIDS and Behavior / Issue 7/2017
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-016-1538-z

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