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IRCT20190119042417N1 IRCT 2020-03-03 Shahid Beheshti University of Medical Sciences The effect of telephone based smoking cessation program in patients with coronary artery disease Comparison of the effectiveness of telephone based smoking cessation program and hospital smoking cessation program in smoking cessation in patients with coronary artery disease 2020-02-20 anticipated 200 Complete https://irct.ir/trial/43797 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Individuals with inclusion criteria will be randomly assigned to one of two study groups after obtaining informed consent. Permuted Block Stratified Randomization with 2, 4, 6, and 8 random blocks with software of the same name (Block Stratified Randomization) will be used to generate the random list. To avoid selection bias, and to comply with allocation concealment the random list will be provided to the individual outside the sampling process. N/A coronary artery disease. Intervention 1: One hour training course on heart disease risk factors and the long-term smoking cessation training program will be implemented by telephone counseling, which includes the following sections: An interview session including diagnostic interview and motivational interview will be conducted by a psychiatric resident. In this interview, the patient's attitude toward smoking, the consequences of smoking in cardiac patients and the benefits of quitting smoking will be assessed. The motivation to quit smoking will be assessed. Benefits of smoking cessation (In particular: five-year mortality reduction to half, reduction in surgical wound healing time, and reduction in pulmonary complications) And the risks of continued smoking (in particular: the increased likelihood of re-operation due to vessel congestion, the prolongation of hospital stay) will be explained to the patient. Afterwards the stages of smoking cessation and how to evaluate the patient after discharge will be explained. Patients will receive five 10-minute telephone consultations (2 days, 1 week, 3 weeks, 3 months and 5 months after discharge), which will be conducted by a trained nurse. In these consultations, the patient will be asked about whether or not to stop smoking. If the patient continues to smoke, the patient will be warned about the risk of heart disease and the dangers of continuing to smoke, and positive consequences of smoking cessation will be reminded if patient stops smoking. Intervention 2: Control group: One-hour training class on heart disease risk factors routinely taught to all hospitalized patients. Yes - There is a plan to make this available What will be shared: The study protocol, informed consent form, participant data file, and study report will be shared. When: 12 to 24 months after publication of study results. To whom: Researchers working in academic and scientific institutions Conditions: For use in review studies and meta-analyzes Where to obtain: Majid sadeghian Tel:+989126008662 Email:sadeghian_5@yahoo.com How to obtain: The person in charge will respond to the request after receiving the email and review it within a maximum of one month. Comments:
public Majid Sadeghian
No 34, Kashfian Ave, Sheykhbahai St, Tehran, Iran
Tehran Iran (Islamic Republic of) 1985711151 +98 21 8803 8050 sadeghian_5@yahoo.com Shahid Beheshti University of Medical Sciences scientific Alireza Shamsi
Arabi Ave, Daneshjoo Blvd, Velenjak
Tehran Iran (Islamic Republic of) 19839-63113 +98 21 8803 8050 ar.shamsi@sbmu.ac.ir Shahid Beheshti University of Medical Sciences Iran (Islamic Republic of) Consume at least five cigarettes daily for at least one month before admission Suffering from coronary artery disease Attempted to quit smoking following coronary artery disease Patient consent for inclusion in the study no limit no limit Both Language problems that the patient is unable to complete the questionnaire Unstable clinical condition Patients with dementia (according to history) Patients with delirium (lack of awareness to time, place, or person at interview time) patient that cannot be reached by telephone for follow up I25.1 Atherosclerotic heart disease of native coronary artery Treatment - Other Treatment - Other One hour training course on heart disease risk factors and the long-term smoking cessation training program will be implemented by telephone counseling, which includes the following sections: An interview session including diagnostic interview and motivational interview will be conducted by a psychiatric resident. In this interview, the patient's attitude toward smoking, the consequences of smoking in cardiac patients and the benefits of quitting smoking will be assessed. The motivation to quit smoking will be assessed. Benefits of smoking cessation (In particular: five-year mortality reduction to half, reduction in surgical wound healing time, and reduction in pulmonary complications) And the risks of continued smoking (in particular: the increased likelihood of re-operation due to vessel congestion, the prolongation of hospital stay) will be explained to the patient. Afterwards the stages of smoking cessation and how to evaluate the patient after discharge will be explained. Patients will receive five 10-minute telephone consultations (2 days, 1 week, 3 weeks, 3 months and 5 months after discharge), which will be conducted by a trained nurse. In these consultations, the patient will be asked about whether or not to stop smoking. If the patient continues to smoke, the patient will be warned about the risk of heart disease and the dangers of continuing to smoke, and positive consequences of smoking cessation will be reminded if patient stops smoking. Control group: One-hour training class on heart disease risk factors routinely taught to all hospitalized patients. Smoking cessation. Timepoint: at baseline and after 6 months. Method of measurement: questionnaire. Shahid Beheshti University of Medical Sciences Approved 2019-09-24 Ethics committee of Shahid Beheshti University of medical sciences Shahid Beheshti university of medical siences, Aarabi Ave, Yaman Ave, Chamran St, Tehran, Iran Tehran Tehran Iran (Islamic Republic of)