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University of California, San Francisco | About UCSF | Search UCSF | UCSF Medical Center | |
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Erika S. Froelicher, RN, PhD
Professor,
Dept. of Physiological Nursing,
UCSF School of Nursing
Affiliated Faculty,
Dept. of Epidemiology & Biostatistics, UCSF School of Medicine
2 Koret Way, #N-631
San Francisco, CA 94143-0610
Telephone: (415) 476-4833 Fax: (415) 476-8899
E-mail: erika.froelicher@nursing.ucsf.edu
Research Program: Primary, secondary and tertiary (rehabilitation) prevention through nursing interventions to reduce cardiovascular disease risk factors (exercise, blood pressure, lipid, obesity, smoking cessation and relapse prevention) as well as depression and social isolation. I also have a strong interest in physiological, psychosocial, and economic issues relevant to Expertise in methods, design, and epidemiology.
I am also participating in the Enhancing Recovery in Coronary Heart Disease (ENRICHD) project at the Collaborative Studies Coordinating Center, Department of Biostatistics, School of Public Health, University of North Carolina at Chapel Hill.
The Women's Initiative for Nonsmoking (WINS) is a randomized clinical trial to test the short- and long-term efficacy of a nurse-managed smoking cessation and relapse prevention program for women smokers, hospitalized for cardiovascular disease (CVD). The WINS intervention is based on social learning theory ad a relapse prevention model and is predicated on maintaining abstinence from tobacco after hospitalizations of at least 48-72 hours. A similar intervention, tested in men and women recovering from a heart attack at a health maintenance organization in the San Francisco Bay Area in 1990 had a bio-chemically confirmed cessation rate at one year of 71% for the intervention group and a 40% control group. In WINS, this same intervention is tailored to suit women with CVD through an assessment of smoking history, prior patterns of quit behavior, level of addiction, and efficacy to be able to establish a quit date. The study uses the American Heart Association Active Partnership: Smoking Cessation Program as the basis for addressing women's general as well as unique needs.
Pharmacological therapy is used as an adjunct to the cognitive behavioral intervention. Special consideration is given to weight control with exercise and dietary counseling provided within the context of quitting smoking. Outcomes are measured at 6, 12, 24, and 30 months with nonsmoking confirmed by saliva cotinine measures. A set of co-variates (demographics, smoking history, nicotine dependence, self-efficacy, alcohol use, co-morbidity, weight, exercise, depression, stress, well-being, and function, psychological distress, social support, smoking cessation, and adjunct therapy) are being studied to identify risk factors that predict relapse in CVD women.
A new web site has been launched for nurses:
The http://tobaccofreenurses.org web site is sponsored by the R. W. Johnson Foundation with oversight by UCSF Nursing Professor Erika Froelicher and three other distinguished nurses from UCLA, Ohio University, and the Tobacco Control Institute of San Francisco.
1999 American Heart Association San Francisco Affiliate, Distinguished Service Award-25 years Service.
1998 Meritorious Achievement Award, American Heart Association. In recognition of contributions to science, teaching and practice to further the mission of the American Heart Association's goals.
1997 California Society of Cardiac Rehabilitation. Lifetime Honorary Member Award. Awarded for significant contributions to research and clinical practice in cardiac disease prevention and rehabilitation.
1996-97
Kaiser Permanente Medical Care Program. Northern California Region. Division of Research. Best Published Paper July, 1996- June, 1997. Honorable Mention. Variation Among Hospitals in Coronary-Angiography Practices and Outcomes After Myocardial Infarction in a Large Health Maintenance Organization.
The New England Journal of Medicine 1996; 35: 1888-1896.
1996 Honorary Lifetime Membership, Texas Association of Cardiovascular and Pulmonary Rehabilitation. In recognition for contributions to cardiac rehabilitation.
1996 Distinguished Service Award, American Association of Cardiovascular and Pulmonary Rehabilitation.
1989 American Heart Association, Council on Cardiovascular Nursing, Kay Lembright Award for Nursing Research.
PhD Epidemiology, University of California, Los Angeles
MPH Public Health, University of California, Los Angeles
MA Nursing, University of Washington, Seattle
BS Nursing, University of Washington, Seattle
Diploma Nursing, Queen Mary's Hospital, London, England
Certificate Midwifery City of London Maternity Hospital
Certificate Psychiatric Nursing Charing Cross Hospital, London, England
New! Search PubMed for publications by this author.
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1996 Selby JV, Fireman BH, Lundstrom RJ, Swain BE, Truman AF, Wong CC, Froelicher ES, Barrow HV, Hlatky MA. Geographic variation in coronary revascularization practices and outcomes after myocardial infarction in a large health maintenance organization. New England Journal of Medicine; 335:1888-96.
1997 Wong CC, Froelicher ES, Selby JV, Lundstrom RJ, Bacchetti P, Gee L, Swain BE, Truman AF. Influence of gender on one year cardiovascular mortality in acute myocardial infarction patients with high indication for coronary angiography. Circulation, 96:(Suppl II):II-51 - II-57.
1998 Wong CC, Froelicher ES, Bacchetti P, Gee L. In a managed care setting, are there gender differences in the use of coronary angioplasty after myocardial infarction? Am Heart J, 135: 435-442.
1998 Gilcreast DM, Stotts NA, Froelicher ES, Baker ll, Moss KM. Effect of electrical stimulation on foot skin perfusion in persons with or at risk for diabetic foot ulcer. Wound Repair and Regeneration, 1998; Sept-Oct, 6(5):434-441.
1999 Balady GJ, Chaitman B, Driscill D, Foster C, Froelicher E, Gordon N, Pate R, Rippe J, Bazzarre T. Recommendations for Cardiovascular Screening, Staffing, and Emergency Policies at Health/Fitness Facilities. Circulation. 1998; 97:(22) 2283-2293.
2000 Wenger NK, Smith LK, Sivarajan Froelicher E, McCall Commoss P. Cardiac Rehabilitation. A Guide to Practice in the 21st Century. New York: Marcel Dekker, 2000.
2000 Woods SL, Sivarajan Froelicher, Underhill Motzer SL. Cardiac Nursing. 4th Edition. Philadelphia: JB Lippincott, 2000.
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