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Women's initiative for nonsmoking (WINS) I: design and methods
E S Froelicher1, D J Christopherson
1Department of Physiological Nursing, School of Nursing, University of California, San Francisco, 94143-0610, USA.
Heart & Lung : the Journal of Critical Care
|November 18, 2000
Summary
This study details the Women's Initiative for Nonsmoking, a nurse-led program to help women hospitalized with cardiovascular disease quit smoking and prevent relapse. The randomized trial aims to reduce smoking risks in this vulnerable population.
Area of Science:
- Cardiology
- Public Health
- Nursing
Background:
- Cardiovascular disease (CVD) is a leading cause of mortality in women.
- Smoking is a major modifiable risk factor for CVD and complicates recovery.
- Hospitalization presents a critical opportunity for smoking cessation interventions.
Purpose of the Study:
- To describe the design and methods of the Women's Initiative for Nonsmoking (WIN) trial.
- To outline a nurse-managed intervention for smoking cessation and relapse prevention in women with CVD.
- To provide a framework for replicating the study and developing clinical programs.
Main Methods:
- Randomized clinical trial conducted across 10 urban hospitals.
- Nurse-managed behavioral intervention focused on relapse prevention post-cessation.
- Data collection included demographics, clinical data, smoking history, confidence, stress, depression, and quality of life.
- Follow-up assessments at 6, 12, 24, and 30 months post-intervention.
Main Results:
- The study enrolled 278 women (mean age 61) hospitalized with various cardiovascular conditions.
- Detailed methodology is presented for future research and clinical application.
- Results of the trial are pending publication.
Conclusions:
- The WIN trial provides a robust design for evaluating a nurse-led smoking cessation program in women with CVD.
- The intervention targets critical relapse prevention strategies during a key healthcare encounter.
- Findings will inform evidence-based smoking cessation programs for cardiovascular patients.