A COMPARISON OF NURSING INTERVENTIONS FOR SMOKING CESSATION IN ADULTSWITH CARDIOVASCULAR HEALTH-PROBLEMS

Objective: To examine the relative effectiveness of three different pr esentations of a smoking cessation program on the smoking behavior of adults with cardiovascular health problems. Design: A 2 x 2 x 2 x 4 ex perimental design with stratification by sex, smoking history, and a c ardiovascular event, and randomization to Individual, Group, Written, or No Intervention groups. Setting: Six community hospital classrooms. Subjects: 255 nonhospitalized adults. Theoretic Framework: Interactio n Model of Client Health Behavior. Measurements: Study Intake: Profess ional referral form, demographic questionnaire, smoking habits questio nnaire, health history, perceived threat survey, perceived health stat us. Follow up: smoking cessation and health questionnaire, saliva thio cyanate testing. Results: At 12-month follow-up, a nurse-client intera ction was more effective than written self-help materials; however, sm oking cessation rates were highest in the No Intervention control grou p, possibly related to having had coronary artery bypass graft surgery . Variables positively related to quitting were being male and married and having a higher income. With baseline factors considered, a quitt er was most likely to be male and less than 48 years of age, have a hi gh degree of perceived threat relative to medical diagnosis, and be in the Individual Intervention group. Only partial support for the study hypotheses was found.