'heart disease' and 'coronary heart disease'
Conditions
Interventions
The interventions consist of intensive counselling by smoking cessation
professionals, either by telephone in one intervention and by face-to-face
counselling in the other. These comparable interven
Sponsors
Open Universiteit Nederland
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Patients who are admitted with coronary heart disease at cardiac wards and smoked at least five cigarettes a week prior to hospital admission will be recruted. Inclusion criteria are: - stable cardiac situation - one of the following diagnoses: angina pectoris, myocardial infarction, post-PCI, post-CABG or a combination - 18 years or older - sufficiently fluent in Dutch and able to read Dutch.
Exclusion criteria
Exclusion criteria: Exlusion criteria are: - unstable cardiac situation - terminal stage of the disease - smoking less than 5 cigarettes per week - smoking cessation more than one month prior to hospital admission - insufficiently fluent in Dutch.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome will be point prevalence abstinence from smoking (PPA) after 6 and 12 months. PPA is considered to be the most sensitive and valid measure of smoking cessation. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes will be continued abstinence, quit attempts, lapses and relapse into smoking. Health outcomes that will be measured are new coronary events, hospital readmissions for coronary events, TC/HDL cholesterol ratio, blood pressure, prescribed medication, number of visits to the cardiologist since discharge. In telephone interview after 6 and 12 months will assess: visits to general practitioner in past months, cardiology outpatient visits in past months, hospitalisations in past months and death related to cardiovascular disease, contacts with caregivers, absence from work due to illness, and resource use specifically for the interventions. Patients who die during the study will directly be excluded from the study to avoid any further contact with family. OTHER MEASUREMENTS The baseline measurement (questionnaire) and the 6 and 12 months post-test (telephone interview) will also include factors that are related to smoking cessation and/ or relapse among this patient population. These include: - demographics; - smoking related factors (smoking history, addiction); - disease related factors (severity of disease, diagnosis); - BMI; - psychological state (depression, anxiety, type D behaviour); smoking cessation related cognitions (for example attitude, selfefficacy, smoking behaviour of important others) only measured baseline | — |
Countries
Netherlands
Outcome results
None listed