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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

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Q Is a nurse managed, cognitive behavioural, smoking cessation and relapse prevention programme effective for women admitted to hospital with cardiovascular disease (CVD)?


Embedded ImageDesign:

randomised controlled trial.

Embedded ImageAllocation:


Embedded ImageBlinding:

blinded (data collectors and outcome assessors).

Embedded ImageFollow up period:

30 months.

Embedded ImageSetting:

10 hospitals in the San Francisco Bay area, California, USA.

Embedded ImagePatients:

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.

Embedded ImageIntervention:

smoking cessation and relapse prevention intervention (brief physician counselling and usual care …

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  • * Information provided by author.

  • For correspondence: Professor E S Sivarajan Froelicher, University of California at San Francisco, San Francisco, CA, USA.

  • Sources of funding: National Heart, Lung, and Blood Institute; nicotine patches donated by Hoechst, Marion and Rousseau and SmithKlineBeecham.