title: A pilot randomized trial of a smoking cessation nursing intervention in cardiac patients after hospital discharge.
abstract: BACKGROUND
  One fifth of Canadians are smokers despite the availability of community-based smoking cessation programs. It was hypothesized that offering a post-discharge smoking cessation program to cardiac patients would decrease smoking rates at six months.
  
  
  METHODS
  This pilot randomized study explored the feasibility, acceptability and preliminary efficacy of a smoking cessation intervention delivered by a smoking cessation nurse specialist (SCNS) to cardiac patients after hospital discharge.
  
  
  METHODS
  Participants (N=40) were randomized to either a postdischarge telephone intervention delivered weekly for the first month and then monthly until the third month (experimental group [EG]), or referral to usual community care (control group [CG]).
  
  
  RESULTS
  The researchers confirmed the feasibility of recruitment and acceptability of the intervention, but dfficulty with follow-up. The intention-to-treat analysis showed similar smoking cessation rates in both groups at six months (25% EG versus 30% CG; p = 0.72).
  
  
  CONCLUSIONS
  An intensifed follow-up protocol, or a more intensive, comprehensive and multidisciplinary intervention might be required, given the characteristics of the smokers.
authors.affiliation: Montreal Heart Institute Research Centre, R-2231, 5000, Bélanger est, Montreal, QC H1T 1C8. sylvie.cossette.inf@umontreal.ca
authors.forename: Sylvie
authors.initials: S
authors.lastname: Cossette
authors.forename: Nancy
authors.initials: N
authors.lastname: Frasure-Smith
authors.forename: Martine
authors.initials: M
authors.lastname: Robert
authors.forename: Maud-Christine
authors.initials: MC
authors.lastname: Chouinard
authors.forename: Martin
authors.initials: M
authors.lastname: Juneau
authors.forename: Marie-Claude
authors.initials: MC
authors.lastname: Guertin
authors.forename: Alexis
authors.initials: A
authors.lastname: Cournoyer
authors.forename: Tanya
authors.initials: T
authors.lastname: Mailhot
authors.forename: John William
authors.initials: JW
authors.lastname: Kayser
mesh_terms: D006348:Cardiac Surgical Procedures / Q000451:nursing* / Q000523:psychology / Q000534:rehabilitation*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D057194:Intention to Treat Analysis; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D062405:Motivational Interviewing; D010865:Pilot Projects; D057184:Practice Patterns, Nurses'; D011792:Quebec; D016540:Smoking Cessation / Q000523:psychology; D013689:Telephone