Effectiveness of a Managed Care Smoking Cessation Program in Patients With Acute Coronary Syndrome Based on Nicotine Replacement as a Treatment and a Cognitive-behavioral Approach
18 Years
70 Years
Both
Smoking, Acute Coronary Syndrome
Trial Information
Effectiveness of a Managed Care Smoking Cessation Program in Patients With Acute Coronary Syndrome Based on Nicotine Replacement as a Treatment and a Cognitive-behavioral Approach
The cognitive behavioural approach group : This group will receive an inclusion visit at
first, then two "cigaret exposures cessions" during hospitalisation. Thereafter-one week
after he's out- the patient will come for 5 follow up visits consisting in the specific
technique of cigaret exposure and nicotinic treatment adjustment. Then the last visit, at
six months, will tell us if the patient is an effective non smoker or not; We'll be also
collecting psychological and medical informations (such as the treatment, IMC,
cardiovascular check up and psychological tests). The control group : This group is managed
as "usual" : the nurse gives very rapid recommendations to the patients concerning smoking
cessation. Nicotinic substitutes are proposed to the patients but the patient must find them
by itself.
Inclusion Criteria:
- Patients are men and women of less than 70 years old
- Hospitalised for acute coronary syndrome in cardiology Intensive Care Unit
- Active smoking >5 cigarettes/day
- Has given consent to participate in the study and haven't expressed its opposition
the exploitation of data as part of the study
Exclusion Criteria:
- Presence of another dependence : alcohol abuse avowed or strongly suspected,
addiction to drugs, high dose benzodiazepine dependence. clinical assessment
- Major psychiatric disorders or history. clinical assessment
- Treatment with lithium and neuroleptic. clinical assessment
- Patient whose cardiac problem could lead to hemodynamic instability during 48 h after
admission.
- Patient scheduled for programmed hospitalisation within 6 months after release from
hospital (>3 days long, including coronary bypass)
- Patients presenting another severe pathology requiring 6 months specific treatments.
clinical assessment
- Patient which cannot understand or read French
- Patient with possible side-effect to nicotine substitute
- Patient unaffiliated to any social security regime
Type of Study:
Interventional
Study Design:
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
Outcome Measure:
The smoking habits at 6 months classified as : no smoking confirmed by CO measurement, smoking or doubtful (declaration of no smoking by the patient but a CO level > 10 ppm).
Outcome Time Frame:
6 month
Safety Issue:
No
Principal Investigator
Patrick HENRY, MD,PhD
Investigator Role:
Principal Investigator
Investigator Affiliation:
Assistance Publique - Hôpitaux de Paris
Authority:
France: Ministry of Health
Study ID:
LRB0801
NCT ID:
NCT00987597
Start Date:
September 2008
Completion Date:
April 2010
Related Keywords:
- Smoking
- Acute Coronary Syndrome
- Smoking
- nicotine replacement
- psychological behaviour
- Smoking > 5 cigarettes per day
- Hospitalisation for acute coronary syndrome
- Smoking
- Acute Coronary Syndrome
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