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A comparison of Nicotine Replacement Therapy and Nicotine Replacement Therapy combined with the Minimal Intervention Strategy for smoking cessation in cardiovascular outpatients.
ISRCTN ISRCTN22579361
ClinicalTrials.gov identifier
Public title A comparison of Nicotine Replacement Therapy and Nicotine Replacement Therapy combined with the Minimal Intervention Strategy for smoking cessation in cardiovascular outpatients.
Scientific title
Acronym N/A
Serial number at source NHF 2000/B216
Study hypothesis In the literature evidence exists that Nicotine Replacement Therapy (NRT) approximately doubles smoking cessation rates, regardless of the setting. The Minimal Intervention Strategy (MIS) is propagated by several health institutions, but its incremental effect to NRT in cardiovascular patients if performed by a nurse in an outpatient setting is not known. In this study it is hypothesised that the combination of C-MIS and NRT significantly decreases the number of smokers if compared with NRT alone.
Lay summary
Ethics approval Not provided at time of registration
Study design Randomised controlled trial
Countries of recruitment Netherlands
Disease/condition/study domain Cardiovascular disease
Participants - inclusion criteria Consecutive patients who attend the cardiological or vascular surgical outpatients clinic, have a diagnosis of atherosclerotic cardiac or arterial disease and who smoked until the cardiac event more than 5 cigarettes per day, will be included.
Participants - exclusion criteria 1. Acute myocardial infarction in the month prior to randomisation
2. Unstable angina
3. Serious arrhythmia
4. Recent stroke
5. Skin allergy complicating the use of nicotine patches
Anticipated start date 01/09/2001
Anticipated end date 01/05/2004
Status of trial Completed
Patient information material
Target number of participants 365
Interventions In the experimental arm: Nicotine Replacement Therapy (patches) and The Minimal Intervention Strategy (short behavioural counselling)

In the control arm: only Nicotine Replacement Therapy (patches)
Primary outcome measure(s) The primary endpoint of the study is smoking cessation at 12 months follow-up, as indicated by patient self-report and objectivated by urine cotinine levels.
Secondary outcome measure(s) Secondary endpoints are:
1. Changes in cognitions and smoking behaviour
2. Change in quality of life (generic and disease specific quality of life)
3. Adherence to NRT
4. Evaluation of the intervention
Sources of funding The Netherlands Heart Foundation (The Netherlands) (ref: NHF2000/B216)
Trial website
Publications Results in:
1. http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=ShowDetailView&TermToSearch=14532872
2. http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=ShowDetailView&TermToSearch=15850883
3. http://www.ncbi.nlm.nih.gov/sites/entrez?Db=pubmed&Cmd=ShowDetailView&TermToSearch=15917067
Contact name Prof  Dink A  Legemate
  Address PO Box 22700
  City/town Amsterdam
  Zip/Postcode 1100 DE
  Country Netherlands
  Tel +31(0)20-5667832
  Fax +31(0)20-5669243
  Email d.a.legemate@amc.uva.nl
Sponsor The Netherlands Heart Foundation (The Netherlands)
  Address PO Box 300
  City/town Den Haag
  Zip/Postcode 2501 CH
  Country Netherlands
  Tel +31 (0)70-3155514
  Fax +31 (0)70-3831765
  Email research@hartstichting.nl
  Sponsor website: http://www.hartstichting.nl/research
Date applied 29/08/2005
Last edited 27/09/2007
Date ISRCTN assigned 13/09/2005
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