Prospective Study Aimed at Evaluating the Effect of a Counseling Consultation in the Workplace for Smoker Employees in a Mental Health Establishment
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Evalue the effectiveness of a counseling consultation in the workplace among smoker health professionals.
研究概览
简要总结
Smoking is still a major cause of premature death in France (75,000 deaths a year). Health professionals also seem to be affected by smoking, but few studies have been carried out on this population of smokers. While having a job can be protective, certain working conditions are at risk: night shifts, stress, physical strain, burnout... In 2010, 23% of nurses and 40% of nursing auxiliaries were smokers. More recently, a study of 10,000 health professionals in a French health establishment in 2022 revealed a rate of 32% among nursing auxiliaries.
Data on smoking among health professionals is still scarce. Yet they seem essential, given that smoking among healthcare professionals seems to be an obstacle to dealing with patients' consumption and contributes to the erroneous representations that persist in psychiatry more than elsewhere, such as: "smoking with a patient makes an alliance with them", "smoking is a way of reducing psychological tension", "patients have other problems to deal with", "it won't work because they've been smoking for years". Smoking in mental health facilities is high among both patients and professionals.
Investigators now know that smoking has an impact on mood disorders and sleep. It aggravates all somatic and psychological pathologies and predisposes people to more diabetes, chronic bronchitis, cardiovascular disease, cancer, etc. It also interacts with many drugs.
Smoking screening and cessation assistance have become an indicator of quality somatic care in mental health institutions.
Investigators hypothesise that a consultation in the workplace can help employees to change their smoking habits.
The aims of this study are to assess the effect of a workplace smoking clinic on smokers employed in a mental health institution, and to describe their smoking habits and profiles according to occupational category, with a view to implementing appropriate preventive and treatment measures.
详细描述
Smoking is still a major cause of premature death in France (75,000 deaths a year). Healthcare professionals also seem to be affected by smoking, and few studies have been carried out on this population of smokers.
In 2010, 23% of nurses and 40% of nursing auxiliaries in France said they smoked every day. In a more recent study on parisian hospitals, the prevalence of daily smoking was observed among 26.8% of nurse auxiliaries, 26.3% of nurses, 16.7% of physiotherapists, 27.6% of health managers and 27% of doctors. Among the 3,659 respondents to a study at the Hospices Civils de Lyon, the smoking rate among paramedics (nurses, nursing auxiliaries, and health managers) was 25.6%. Among doctors, pharmacists and dentists, the proportion of smokers is 17.3%, while it reaches 46% among technical and logistics staff. The same survey also showed that paramedical students are three times more likely to be smokers than medical students, and that night staff are 1.5 times more likely to be smokers, given the same age.
In mental health establishments, smoking is prevalent among both patients and healthcare professionals. Investigators now know that smoking affects mood and sleep. It aggravates all pathologies (somatic and psychological) and predisposes people to more diabetes, chronic bronchitis, cardiovascular disease, cancer, etc. It interacts with many psychotropic and analgesic drugs. Smoking screening and cessation assistance have become a quality of care indicator in mental health institutions.
Investigators hypothesise that easier access to smoking cessation consultations in the workplace will improve uptake of this support and encourage smoker carers to change their smoking habits, and that experimenting with this support will increase smoker carers' confidence in their ability to manage their patients' smoking.
The issue of smoking in patients with psychiatric comorbidity is a major one. Smoking significantly reduces their life expectancy: an average of 25 years less, compared with 10 years for smokers without mental disorders. Cardiovascular disease and cancer are the leading causes of premature death. Smoking also affects their quality of life by increasing their metabolic risk (diabetes), reducing their respiratory capacity (chronic obstructive bronchitis) and increasing their risk of chronic disabling pain (arteritis of the lower limbs). Healthcare professionals are expected to play an active role in the fight against smoking and to act as role models for those receiving care, promoting appropriate lifestyles to maintain good health.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age ≥ 18 years
- •Health professional
- •Daily smoker of at least 1 cigarette or joint per day and every day
- •Willingness to quit smoking
- •Patient physically able and willing to undertake a carbon monoxyde measurement
- •Patient affiliated to a social security scheme or beneficiary of such a scheme
- •Signature of informed consent
排除标准
- •Smoking via vaporizer exclusively
- •Occasional (i.e. not daily) smoker or exhaled carbon monoxyde at inclusion < 9 ppm
- •Resignation, transfer or end of employment contract during the study period (1 year)
- •Unable to undergo study follow-up for geographical, social or psychological reasons
- •Persons under legal protection or unable to express their consent.
研究组 & 干预措施
consultation tabacco
At the first T0 consultation, the tobacco nurse :
- Carries out a monoxyde carbon measurement, In order to assess the patient's smoking profile and find out their degree of nicotine dependency, what might be holding them back from quitting, what might be motivating them, their psychological state, their fears and their medical history.
- Define a programme for smoking cessation : the planned date for cessation, the treatment chosen, any additional specific therapy or consultations, and the date of the next appointments.
During the 6-month follow-up sessions, the nurse assesses the patient's mood and anxiety, with a view to adapting the treatment if necessary.
At the final consultation at T12 months, the nurse assesses the patient's withdrawal and the effect of the follow-up tobacco consultations.
干预措施: exhaled carbon monoxyde measurement (Diagnostic Test)
结局指标
主要结局
Evalue the effectiveness of a counseling consultation in the workplace among smoker health professionals.
时间窗: At 12 month
Cessation rate at 12 months: At the 12-month visit, no smoking in the last 7 days (self-reported) confirmed by a measurement of exhaled carbon monoxyde \< 9 ppm.
次要结局
- Medico-economic impact of counseling consultation(between inclusion and 12-month follow-up)
- Prevalence of anxiety and depressive disorders(at inclusion)
- Prevalence of chronic pain(at inclusion)
- Prevalence of chronic fatigue(at inclusion)
- Effectiveness of counseling consultation on anxiety and depressive disorders(at inclusion, 6 months and 12 months)
- Effectiveness of counseling consultation on pain(at inclusion, 6 months and 12 months)
- Effectiveness of counseling consultation on chronic fatigue(at inclusion, 6 months and 12 months)
- Effectiveness of counseling consultation on the sense of personal efficacy with consumption and management of patients' smoking habits(at inclusion , 12 months.)
- Effectiveness of counseling consultation on use of ancillary products(at inclusion, 12 months)
- Prevalence of burnouts(at inclusion)
- Determine the profile of the smoker health professionals(at inclusion)