Impact of a Counseling Consultation in the Workplace for Smoker Health Professionals

NCT06988644 | Recruiting

• 2 other identifiers: PSYTaB2024-A01826-41
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Smoking Cessation

Keywords

Smoking Cessation; Smoking consultation; carbon monoxyde measurement

Outcome Measures

Primary Outcomes (1)

• Evalue the effectiveness of a counseling consultation in the workplace among smoker health professionals.

  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.

  At 12 month

Secondary Outcomes (11)

• 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

Study Arms (1)

consultation tabacco

EXPERIMENTAL

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.

Diagnostic Test: exhaled carbon monoxyde measurement

Interventions

exhaled carbon monoxyde measurement DIAGNOSTIC_TEST

At the initial tobacco consultation: measurement of exhaled carbon monoxyde. At the tobaccology consultation at 12 months, measurement of the cessation rate: no tobacco smoked in the last 7 days (self-reported), confirmed by a measurement of exhaled carbon monoxyde \< 9 ppm.

consultation tabacco

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 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

You may not qualify if:

• Smoking via vaporizer exclusively
• 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.

Sponsors & Collaborators

• Groupe Hospitalier Mutualiste de Grenoble: lead

Study Sites (1)

Groupe Hospitalier Mutualiste Grenoble

Grenoble, isere, 38000, France

RECRUITING

MeSH Terms

Conditions

Smoking Cessation

Condition Hierarchy (Ancestors)

Health Behavior; Behavior

Study Officials

• Olivier Jenny, Medical doctor

  Hospital Center Alpes-Isère

  STUDY CHAIR

Central Study Contacts

Estelle Cotte-Raffour, Nursery

CONTACT

0033 476708995; estelle.cotte-raffour@avec.fr

Laurence Fabaron, Nursery

CONTACT

0033 4 76 56 48 37; lfabaron@ch-alpes-isere.fr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: * Interventional study * Prospective * Non-randomised * Comparative with historical cohort * Monocentric

Study Record Dates

• First Submitted: May 16, 2025
• First Posted: May 25, 2025
• Study Start: November 11, 2024
• Primary Completion (Estimated): November 30, 2026
• Study Completion (Estimated): November 30, 2026
• Last Updated: May 29, 2025

Record last verified: 2025-05

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)