A Randomized Controlled Trial of a Nurse Delivered Stage-matched Smoking Cessation Intervention to Promote Heart Health of Cardiac Patients

Study Overview
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Brief Summary
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This study is a randomized controlled trial designed to evaluate the effectiveness of a nurse delivered stage-matched intervention to cardiac patients for cessation of tobacco use. Review of literature shows that there is a clear lack of empirical evidence on (1) using nurses to deliver stage-matched smoking cessation interventions, and (2) the effectiveness of such intervention for cardiac patients in Chinese populations. The ultimate goal of the intervention achieve a higher quit rate in the intervention group than in the controls. In addition, the change in the patient's smoking behaviour such as reduction of the number of cigarettes smoked, and progression to a higher stage of readiness to quit, will also be measured. This study is the first step to address the urgently needed data for (1) promoting the delivery of nurse-run stage-matched smoking cessation interventions to help patients stop smoking, (2) developing smoking cessation policy and programmes in the hospitals and for the health care system, and (3) contributing an evidence-based approach to orientate clinical services towards prevention, so as to reduce premature deaths and the enormous disease burden of our society.

Official Title
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A Randomized Controlled Trial of a Nurse Delivered Stage-matched Smoking Cessation Intervention to Promote Heart Health of Cardiac Patients

Conditions
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Smoking, Smoking Cessation

Intervention / Treatment
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* Behavioral: nurse-delivered stage-matched smoking cessation counseling


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patient who is admitted to the participating centres and is a current smoker who has smoked daily in the past 7 days prior to hospitalization. Patient speaks and reads Cantonese/Chinese Exclusion Criteria: Patient who is clinically too ill and not suitable to complete questionnaire and/or receive intervention. Patient who does not speak or read Chinese
Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Design Details

Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Intervention/Treatment |
| --- |
|Behavioral: nurse-delivered stage-matched smoking cessation counseling|nan|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Quitting--to achieve higher quit rate in the cardiac patients (coronary artery disease) who are smokers |  | continuous abstinence for one month at the time of 3, 6 and 12 month follow up | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Reduction of the number of cigarettes smoked |  | at the time of 3, 6 and 12 month follow up | 
| Progression to a higher stage of readiness to quit |  | at the time of 3, 6 and 12 month follow up | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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smoking cessation, smoking behaviors