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February 9, 2004CirculationOpen Access

High Rates of Sustained Smoking Cessation in Women Hospitalized With Cardiovascular Disease

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Key result

A cognitive behavioral relapse-prevention intervention significantly increased the time smoke-free compared to usual care in women hospitalized with cardiovascular disease (P=0.038).

Why the study?

Does a nurse-managed cognitive behavioral relapse-prevention intervention delay resumption of smoking in women hospitalized with cardiovascular disease?

Population

277 women diagnosed with cardiovascular disease, mean age 61+/-10 years, hospitalized in 1 of 12 San…

Comparison

Strong physician's advice and a nurse-managed… vs Usual care.

Design

RCT, Randomly assigned within 1 of 12 San Francisco Bay Area hospitals

Follow-up

30 months

Authors

EFErika Sivarajan FroelicherNMNancy Houston MillerDCDianne J. Christopherson

Discussion

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Overview

Supports nurse-managed CBT relapse prevention after CVD hospitalization in women; extends prior cessation trials to this high-risk population.

Study Design

Type

RCT (n=277)

Multicenter

Yes

Structured PICO

Does a nurse-managed cognitive behavioral relapse-prevention intervention delay resumption of smoking in women hospitalized with cardiovascular disease?

P
Population
277 women (mean age 61 years) hospitalized with cardiovascular disease, randomized to a cognitive behavioral smoking-cessation intervention or usual care, followed for 30 months.
I
Intervention
Strong physician's advice and a nurse-managed cognitive behavioral relapse-prevention intervention at bedside, with telephone contact at intervals after discharge.
C
Comparator
Usual care (strong physician's advice, a self-help pamphlet, and a list of community resources).
O
Outcome
Time to resumption of continuous smoking.patient reported

Main Result

p-value: p=0.038

A nurse-managed cognitive behavioral intervention delayed the resumption of smoking in women hospitalized with CVD, although long-term point prevalence of nonsmoking was similar to usual care.

Cite This Study

Froelicher et al. (2004) conducted an RCT in Cardiovascular disease (n=277). Cognitive behavioral relapse-prevention intervention vs. Usual care (physician's advice, self-help pamphlet, and community resources) was evaluated on Time to resumption of continuous smoking (p=0.038). A cognitive behavioral relapse-prevention intervention significantly increased the time smoke-free compared to usual care in women hospitalized with cardiovascular disease (P=0.038).

synapsesocial.com/papers/6aa030e363d9efd1efb489dahttps://doi.org/10.1161/01.cir.0000115310.36419.9e
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Also Consider

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

  1. 1Brief intervention during hospital admission to help patients to give up smoking after myocardial infarction and bypass surgery: randomised controlled trial2002 · 180 citations
  2. 2Smoking Cessation after Acute Myocardial Infarction: Effects of a Nurse-Managed Intervention1990 · 394 citations
  3. 3A Case-Management System for Coronary Risk Factor Modification after Acute Myocardial Infarction1994 · 746 citations
  4. 4Survival Analysis: A Self-Learning Text1997 · 814 citations
  5. 5Cardiovascular Toxicity of Nicotine: Implications for Nicotine Replacement Therapy 11All editorial decisions for this article, including selection of referees, were made by a Guest Editor. This policy applies to all articles with authors from the University of California San Francisco.1997 · 527 citations