Cancer (With or Without Metastasis)
Conditions
Keywords
Smoking cessation, music therapy, tobacco addiction treatment
Brief summary
The innovative nature of this project lies in the combination of three types of intervention: tobacco addiction treatment, music therapy and therapeutic education. Three disciplines that work together. 1. Tobacco addiction treatment: reducing consumption, quitting, 2. Music therapy: acting on emotions and reward circuits, 3. Therapeutic education: promoting independent healthy practices. Patients learn to use the soundtrack independently to help them manage withdrawal symptoms caused by reducing or stopping tobacco consumption. In this programme, patients play an active role on several levels: * working with the music therapist to create a personalised 'soundtrack'; * identifying situations in which music can help them manage withdrawal symptoms; * using music independently in their everyday lives. The music therapy protocol will be proposed in this study, the soundtrack is co-created by the music therapist and the patient based on the patient's musical tastes and needs. The fact that the patient can use the musical tool independently also gives them significant leverage in their withdrawal process, allowing them to act on withdrawal symptoms and the main factors contributing to relapse.
Detailed description
Music therapy could address the three elements mentioned above: * add a practitioner other than the tobacco specialist, * increase the patient's perception of self-efficacy, * provide the patient with a personalised soundtrack that may have an effect on withdrawal symptoms associated with smoking cessation. Music therapy could increase the chances of successful cessation. It therefore seems innovative to offer an educational intervention combining the tobacco specialist nurse and the music therapist, which would enable patients to use a musical tool co-developed with the music therapist independently at home. There are no data on the learning and use of such a tool to reinforce self-efficacy in managing smoking cessation. The analysis of the existing literature is poor in terms of music therapy and addiction and virtually non-existent in terms of tobacco addiction. The objective is to evaluate the feasibility of an intervention combining tobacco addiction treatment and music therapy and its impact on smoking cessation symptoms in patients with cancer who smoke.
Interventions
OTHERMusic therapy
Music therapy sessions in addition to nursing consultations: creation of a soundtrack to listen to in order to help quit smoking
Sponsors
Institut du Cancer de Montpellier - Val d'Aurelle
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Intervention model description
Music therapy is offered to provide additional support in the process of quitting smoking.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Patients over the age of 18 2. Patients with tobacco-related or non-tobacco-related cancer (excluding blood cancer) 3. Patients who smoke daily 4. Patients wishing to begin a smoking cessation programme 5. Patients with a prognosis of \> 1 year 6. Patients who have given their informed, written and express consent 7. Patients affiliated with a French social security scheme
Exclusion criteria
1. Patients with uncorrected hearing loss 2. Patients with unstable psychiatric conditions 3. Patients for whom regular follow-up is impossible for psychological, family, social or geographical reasons 4. Patients under guardianship, curatorship or judicial protection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of patients who adhered to the supervised sessions, combining follow-up by a tobacco addiction nurse and follow-up in music therapy | From baseline to month 6 | The patient is considered compliant if they have participated in 4 or more of the 6 supervised sessions combining tobacco addiction consultations |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Tobacco use | at baseline, at month 3, at month 6 | Number of cigarettes smoked per day and Measurement of exhaled CO and Tobacco dependence scale score: Simplified Fagerström Test |
| Withdrawal symptoms | at baseline, at month 3, at month 6 | Scores on the Smoking Cessation Scale |
| The craving | at baseline, at month 3, at month 6 | Scores obtained on the French Tobacco Craving Questionnaire |
| Motivation | at baseline, at month3, at month 6 | Scores on the 0-10 Digital Scale assessing motivation |
| Confidence | at baseline, at month 3, at month 6 | Scores on the EN assessing confidence |
| Sense of personal competence | at baseline, at month 3, at month 6 | General Self Efficacy Scale questionnaire |
| Symptoms of anxiety and depression | at baseline, at month 3, at month 6 | Anxiety and depression scores on the Hospital Anxiety and Depression Scale |
| Describe adherence to independent listening in music therapy between T2 and T6. | at baseline, at month 3 and at month 6 | Describe the number of times the patient listened to the audio recording per day, as recorded in a logbook. |
Countries
France
Contacts
CONTACTAude Menteaux Music therapist
PRINCIPAL_INVESTIGATORGONZALEZ Marie Laure, Tobacco Nurse
marie-laure.gonzalez@icm.unicancer.fr
Outcome results
None listed