Post Acute Coronary Event Smoking Study
| Status: | Completed |
|---|---|
| Conditions: | Smoking Cessation, Cardiology |
| Therapuetic Areas: | Cardiology / Vascular Diseases, Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 18 - 75 |
| Updated: | 4/21/2016 |
| Start Date: | October 2013 |
| End Date: | April 2015 |
Integrated Smoking Cessation and Mood Management for Cardiac Patients
Smoking and depressed mood are both predictive of mortality following Acute Coronary
Syndrome. However, to date, no counseling treatment has been designed to target smoking
cessation and manage mood in this population. This trial will test such a treatment based on
Behavioral Activation, an approach that has shown promise as an integrated treatment for
smoking and mood management in other populations.
Syndrome. However, to date, no counseling treatment has been designed to target smoking
cessation and manage mood in this population. This trial will test such a treatment based on
Behavioral Activation, an approach that has shown promise as an integrated treatment for
smoking and mood management in other populations.
The occurrence of Acute Coronary Syndrome (ACS; unstable angina, ST and non-ST elevation
myocardial infarction) can be conceptualized as a "teachable moment," whereby patients may
be more receptive to smoking cessation messages. Continued smoking following ACS is an
independent predictor of mortality. Depressed mood post-ACS is also predictive of mortality,
and smokers with depressed mood are less likely to abstain from smoking following an ACS
hospitalization. Thus, a single, integrated treatment that targets both depressed mood and
smoking could be highly effective in reducing post-ACS mortality. Behavioral Activation (BA)
may be an ideal treatment for this population as BA can easily integrate both mood and
smoking cessation related goals and it focuses on addressing restriction of valued
activities, which is common in the post-ACS population.
Thus, the overall aim of the current study is test a BA treatment manual that integrates
smoking cessation and mood management for post-ACS smokers (Behavioral Activation Treatment
for cardiac patients who smoke; BAT-CS). We will conduct an RCT (N=72) comparing BAT-CS (1
in-hospital session and 5-9 post-discharge sessions) to Standard Care (SC; 1 in-hospital
session and 5 mailed packets of printed self-help materials). Differences in smoking
cessation, depressed mood, and positive affect will be compared between conditions.
myocardial infarction) can be conceptualized as a "teachable moment," whereby patients may
be more receptive to smoking cessation messages. Continued smoking following ACS is an
independent predictor of mortality. Depressed mood post-ACS is also predictive of mortality,
and smokers with depressed mood are less likely to abstain from smoking following an ACS
hospitalization. Thus, a single, integrated treatment that targets both depressed mood and
smoking could be highly effective in reducing post-ACS mortality. Behavioral Activation (BA)
may be an ideal treatment for this population as BA can easily integrate both mood and
smoking cessation related goals and it focuses on addressing restriction of valued
activities, which is common in the post-ACS population.
Thus, the overall aim of the current study is test a BA treatment manual that integrates
smoking cessation and mood management for post-ACS smokers (Behavioral Activation Treatment
for cardiac patients who smoke; BAT-CS). We will conduct an RCT (N=72) comparing BAT-CS (1
in-hospital session and 5-9 post-discharge sessions) to Standard Care (SC; 1 in-hospital
session and 5 mailed packets of printed self-help materials). Differences in smoking
cessation, depressed mood, and positive affect will be compared between conditions.
Inclusion Criteria:
- ACS diagnosis documented in medical record
- smoked 3 or more cigarettes per day before being hospitalized
- between the ages of 18-75
- fluent in English
- regular access to a telephone
- lives in the Providence, RI area
- willing to "strongly consider" an attempt to quit smoking at discharge
Exclusion criteria:
- limited mental competency (i.e., Mini-Mental Status exam < 20)
- presence of current psychosis, serious mental illness, or suicidality, expectation
that patient will not live through 6 month study period
- currently regularly attending counseling for depression or smoking cessation and
plans to continue after discharge
We found this trial at
1
site
Miriam Hospital The Miriam Hospital is a private, not-for-profit hospital, with a history of providing...
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