Nurse-led Smoking Cessation With Further Follow-up in Lifestyle Centres - a Randomized Pilot Study

Vestre Viken Hospital Trust58 enrolled

Overview

The purpose of this randomized controlled pilot study is to test whether an in-hospital nurse-led smoking cessation intervention increases the refferal rate to healty life-centers in the municipalities. We will also describe the proportion who succeed in quitting smoking between the intervention group and the control group and obtain new knowledge about the patient and system factors of importance for participation to healty life-centers and for successful and unsuccessful smoking cessation.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

SINGLE

Enrollment

Conditions

Smoking Cessation Smoking Behaviors Nurse's Role Cardiovascular Diseases

Interventions

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria (all): * Age\> 18 years and smokes at least 1 cigarette daily * Hospitalized with a cardiovascular event (i.e. myocardial infarction, heart failure, unstable or stable angina, achyarrhythmias, bradyarrhythmias, carotid stenosis or claudication with need for peripheral revascularization) * Sign informed consent and is expected to participate according to ICH / GCP Exclusion Criteria (none of these): * Does not meet the criteria to participate in the pilot project, i.e. patients who do not usually live or work in the Vestre Viken catchment area * Chronic renal failure stage 4 or known allergic reaction to varenicline . Any condition (e.g. psychosis, alcohol abuse, dementia) or situation that may pose a significant risk to the participant, confuse the results or make participation unethical * Lack of Norwegian and English knowledge * Short life expectancy (\<12 months)

Outcomes

Primary Outcomes

Differences in participation rate at healthy life-centers between the intervention group and the control group measured by telephone interview with personnell at the healthy life-centers

Time frame: 8-12 weeks after randomization

Differences in use of smoking cessation aids between the intervention group and the control group

Differences in use of smoking cessation aids between the intervention group and the control group measued by patient self-report and collected from the prescription mediator in the hospital record

Time frame: 8-12 weeks after randomization

Secondary Outcomes

Difference in point prevalence of smoke-free (no cigarettes last 7 days) after 6 months

Difference in point prevalence of smoke-free (no cigarettes last 7 days) after 6 months measured with self-reported questionnaires according to the Russell Standard

Time frame: 12 weeks after randomization

Difference between the groups in proportion who quit smoking between the groups

Difference between the groups in proportion who quit smoking between the groups measured by the level of carbon monoxide in the exhaled air