Alcohol and Tobacco Consumption in Patients With Head and Neck or Lung Cancer : Interest of an Addiction Treatment
Condition: Upper Aerodigestive Tract Neoplasms; Lung Cancer
MeSH terms: Lung Neoplasms; Head and Neck Neoplasms; Behavior, Addictive
Study type: Interventional

Summary: 
      This is a multicenter, interventional, randomized study among patients with a first lung or
      head & neck cancer who are still active smokers ± alcohol misusers.The study will aim to
      compare the systematic implementation of an addiction treatment program initiated at hospital
      and integrated to the initial cancer treatment program (Arm A), versus the as-usual
      procedure, which consists in recommendations to follow an addiction treatment program (Arm B)
    

Detailed description: 
      -  Study proposal at the first medical consultation for therapeutic management of a first
           upper aerodigestive tract cancer or lung cancer.

        -  Selection criteria validation

        -  Collection of an informed consent

        -  Randomization :

      Arm A: Experimental arm : Addiction consultation to the overall cancer treatment

      Arm B: standard of care

      The completion of questionnaires , the measurement of exhaled carbone monoxide rate using a
      CO tester for all patients, and the integrated addiction treatment among patients randomized
      in Arm A will not interfere with the medical treatment of cancer.
    

Intervention name(s): integrated addiction treatment program; standard of care
Intervention type(s): Procedure; Procedure
Intervention description(s): At the inclusion, a 45 min interview for : the completion of questionnaires (Fagerström, AUDIT, CAST, Socrates, M.I.N.I), the collection of socio-professional information, obstacles and incentives to stop the consumption of alcohol and tobacco, the record of alcohol-tobacco consumptions, the measurement of exhaled carbone monoxide rate expressed in particles per million using the CO tester.
At 3, 6, and 12 months : a 20 min interview to assess the alcohol-tobacco consumption and the obstacles and incentives to stop the consumption.
The first addiction consultation will be carried out directly in the cancer treatment unit and integrated to the overall cancer treatment program.; The following actions will be performed by a nurse or by the study coordinator on site who have been trained in tobaccology and addictology :
At the inclusion, a 45 minutes interview for : the completion of questionnaires (Fagerström, AUDIT, CAST, Socrates, M.I.N.I) , the collection of socio-professional information, obstacles and incentives to stop the consumption of alcohol and tobacco, the record of alcohol-tobacco consumptions, the measurement of exhaled carbone monoxide rate expressed in particles per million (ppm) using the CO tester.
At 3, 6, and 12 months: a 20 minutes interview to assess the alcohol-tobacco consumption and the obstacles and incentives to stop the consumption
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Health Services Research
Keywords: alcohol and tobacco consumption; addiction treatment