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July 1, 2005Nursing Research

The Effectiveness of a Nursing Inpatient Smoking Cessation Program in Individuals With Cardiovascular Disease

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Key result

Inpatient smoking cessation counseling with telephone follow-up increased 6-month smoking abstinence to 41.5%, compared with 30.2% for counseling alone and 20% for usual care (p=0.05).

Why the study?

Does a nurse-delivered inpatient smoking cessation program with telephone follow-up improve smoking cessation rates in individuals with cardiovascular disease?

Population

168 individuals with cardiovascular disease who are smokers

Comparison

Nurse-delivered inpatient smoking cessation… vs Inpatient counseling only, or usual care

Design

RCT, Randomly assigned by cohorts

Follow-up

6 months

Authors

MCMaud‐Christine ChouinardSRSylvie Robichaud‐Ekstrand

Discussion

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Overview

May support tailored nurse-led inpatient cessation programs in CVD patients; leaves open need for randomized confirmation.

Study Design

Type

RCT (n=168)

Randomization

by cohorts

Structured PICO

Does a nurse-delivered inpatient smoking cessation program with telephone follow-up improve smoking cessation rates in individuals with cardiovascular disease?

P
Population
168 individuals with cardiovascular disease who smoke, followed for 6 months.
I
Intervention
Nurse-delivered inpatient smoking cessation program (1-hour counseling session) with telephone follow-up (6 calls during the first 2 months after discharge) tailored to the individual's stage of change
C
Comparator
Inpatient counseling only, or usual care
O
Outcome
Actual and continuous smoking cessation rates (biochemical markers) and increased motivation (progress to ulterior stages of change) at 2 and 6 monthssurrogate

Main Result

Absolute Event Rate: 41.5% vs 20%

p-value: p=.05

A tailored inpatient smoking cessation program with telephone follow-up significantly increased smoking cessation at 6 months in patients with cardiovascular disease.

Cite This Study

Chouinard et al. (2005) conducted an RCT in Cardiovascular Disease (n=168). Inpatient counseling with telephone follow-up vs. Inpatient counseling alone and usual care was evaluated on 6-month smoking abstinence rate (p=.05). Inpatient smoking cessation counseling with telephone follow-up increased 6-month smoking abstinence to 41.5%, compared with 30.2% for counseling alone and 20% for usual care (p=0.05).

synapsesocial.com/papers/6a63bf899a2e487662c2258ahttps://doi.org/10.1097/00006199-200507000-00006
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Smoking Cessation Counseling With Inpatients: A Promising Approach for Achieving Tobacco-Free Healthcare Settings2023
  2. 2Effectiveness of two intensive treatment methods for smoking cessation and relapse prevention in patients with coronary heart disease: study protocol and baseline description2012 · 31 citations
  3. 3Randomised controlled trial of smoking cessation intervention after admission for coronary heart disease2003 · 116 citations
  4. 4High Rates of Sustained Smoking Cessation in Women Hospitalized With Cardiovascular Disease2004 · 83 citations
  5. 5Smoking Cessation after Acute Myocardial Infarction: Effects of a Nurse-Managed Intervention1990 · 394 citations