Women's Initiative for Nonsmoking (WINS V): under-use of nicotine replacement therapy.
OBJECTIVE
The purpose of this study was to assess the use of nicotine replacement therapy (NRT) in a nurse-managed smoking cessation program.


METHODS
A cohort design nested within the WINS randomized clinical trial was used with follow-up at 2, 7, 21, 28, and 90 days.


METHODS
The study took place in 10 hospitals in the San Francisco Bay Area.


METHODS
Participants included 142 women hospitalized with cardiovascular disease (CVD).


METHODS
The outcome measure was the use of NRT after having been assessed as eligible for its use.


METHODS
NRT was used as an adjunct in the behavioral intervention protocol. NRT was recommended during the hospital intervention and during the 90-day outpatient phase.


RESULTS
Of 142 women in the intervention group, 127 met the criteria for NRT use. During the 5 follow-up assessments, the reported NRT use ranged from 9% to 22%.


CONCLUSIONS
A low NRT use rate among women with CVD is evident. The results suggest that future research about NRT myths pertaining to women is needed. Nurses can help patients dispel these myths and prevent smoking relapse in women with CVD.
Mahrer-Imhof
Romy
R
Department of Physiological Nursing, School of Nursing, University of California-San Francisco, San Francisco, CA, USA.
Froelicher
Erika Sivarajan
ES
Li
Wen-Wen
WW
Parker
Kathleen M
KM
Benowitz
Neal
N
D000279:Administration, Cutaneous; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002638:Chewing Gum; D015331:Cohort Studies; D005260:Female; D006801:Humans; D008875:Middle Aged; D009538:Nicotine / Q000627:therapeutic use*; D010349:Patient Compliance; D016540:Smoking Cessation / Q000379:methods / Q000706:statistics & numerical data*; D016896:Treatment Outcome; D016387:Women's Health
D002638:Chewing Gum; D009538:Nicotine