Clinical trial NCT00563199: A Randomized Controlled Trial of a Nurse Delivered Stage-matched Smoking Cessation Intervention to Promote Heart Health of Cardiac Patients
Official title: A Randomized Controlled Trial of a Nurse Delivered Stage-matched Smoking Cessation Intervention to Promote Heart Health of Cardiac Patients
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Smoking Cessation
Smoking
Keywords: smoking cessation
smoking behaviors
Lead sponsor: Hospital Authority, Hong Kong
Sponsor class: OTHER_GOV
Collaborators: name: Research Grants Council, Hong Kong
First posted: 2007-11-26
Enrollment: 1824
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Allocation: RANDOMIZED
Intervention model: PARALLEL

Brief summary: 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.


Eligibility criteria: 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

Primary outcomes:
measure: Quitting--to achieve higher quit rate in the cardiac patients (coronary artery disease) who are smokers
timeFrame: continuous abstinence for one month at the time of 3, 6 and 12 month follow up
Secondary outcomes:
measure: Reduction of the number of cigarettes smoked
timeFrame: at the time of 3, 6 and 12 month follow up
measure: Progression to a higher stage of readiness to quit
timeFrame: at the time of 3, 6 and 12 month follow up
Other outcomes:
Locations:
city: Hong Kong
country: China
facility: Caritas Medical Centre
city: Hong Kong
country: China
facility: Pamela Youde Nethersole Eastern Hospital
city: Hong Kong
country: China
facility: Princess Margaret Hospital
city: Hong Kong
country: China
facility: Queen Elizabeth Hospital
city: Hong Kong
country: China
facility: Queen Mary Hospital
city: Hong Kong
country: China
facility: Ruttonjee Hospital / Tang Shiu Kin Hospital
city: Hong Kong
country: China
facility: Tseung Kwan O Hospital
city: Hong Kong
country: China
facility: Tuen Mun Hospital
city: Hong Kong
country: China
facility: Tung Wah Hospital
city: Hong Kong
country: China
facility: United Christian Hospital
Study officials:
affiliation: Department of Nursing Studies, The University of Hong Kong
name: Sophia SC Chan, Dr
role: PRINCIPAL_INVESTIGATOR
References: