Effect of nurse tobacco cessation counselling on quitting tobacco among stroke patients

INTERVENTION: Intervention1: Nurse‐led brief tobacco cessation counselling: Participants in the experimental group will receive a structured nurse‐led brief tobacco cessation counselling intervention based on the 5As and 5Rs approach,STEP (stroke tobacco education programme) educational booklet, individualised quit planning and telephonic reinforcement at scheduled follow‐up visits. The intervention will be delivered over a total duration of 30 days consisting of one face to face counselling session at baseline followed by telephonic reinforcement on day seven, day 15 and day 23 with final outcome assessment on day 30 in addition to usual care. Control Intervention1: usual care: Participants in the comparator group will receive routine neurological care as per hospital practice for a total duration of 30 days without structured nurse‐led brief tobacco cessation counselling. An outcome assessment will be performed on day 30. CONDITION: Health Condition 1: I679‐ Cerebrovascular disease, unspecified PRIMARY OUTCOME: tobacco abstinence, reduction in tobacco use, within one monthTimepoint: one month SECONDARY OUTCOME: intention to quit tobacco, nicotine dependence, barriers to quitting tobaccoTimepoint: one month INCLUSION CRITERIA: adults above 18yrs diagnosed with stroke, NIHSS less than 4, willing to provide informed consent, current tobacco users, able to communicate in hindi and english,