A nurse managed smoking cessation and relapse prevention programme did not reduce smoking rates at 12 months beyond rates achieved by usual care in women with cardiovascular disease
Q Is a nurse managed, cognitive behavioural, smoking cessation and relapse prevention programme effective for women admitted to hospital with cardiovascular disease (CVD)?
METHODS
Design:
randomised controlled trial.
Allocation:
{concealed}*.
Blinding:
blinded (data collectors and outcome assessors).
Follow up period:
30 months.
Setting:
10 hospitals in the San Francisco Bay area, California, USA.
Patients:
277 women ⩾18 years of age (mean age 61 y) who were admitted to hospital with CVD or peripheral vascular disease, had smoked cigarettes in the month before admission, and were willing to make a serious attempt to quit smoking after discharge. Exclusion criteria included medical instability, alcohol or substance abuse, dementia, and schizophrenia.
Intervention:
smoking cessation and relapse prevention intervention (brief physician counselling and usual care plus nurse managed, cognitive behavioural, relapse prevention intervention given before discharge, ⩽5 structured telephone contacts 2–90 days after discharge, and relapse management counselling as needed) (n = 142) …
