RCT: Among people with HIV who smoke, clinical pharmacist-delivered nicotine replacement with contingency management improved tobacco-related outcomes, providing evidence-based strategies for smoking reduction in HIV clinics.
Question What are optimal clinical pharmacist–delivered treatment strategies for promoting cigarette smoking reduction among people with HIV?
Findings In this randomized clinical trial involving 323 participants, those receiving nicotine replacement therapy (NRT) with or without contingency management (CM) had similar reductions in cigarettes per day (CPD) at 12 weeks. Among participants who started with NRT alone and did not achieve week 12 abstinence, adding CM led to lower CPD than switching to oral medications. Participants who started with NRT and then added CM achieved lowest CPD at week 24.
Meaning Study findings, indicating that CM is an effective adjunct to clinical pharmacist–delivered NRT for improving tobacco-related outcomes, provide HIV clinics with guidance on strategies for addressing cigarette smoking reduction among people with HIV.








