Clinical trial NCT04291534: Quality of Life and Addiction Among Hospital Night Workers
Official title: Quality of Life and Addiction Among Hospital Night Workers - Descriptive Study of APHP Workers in Paris
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Health Services Research
Quality of Life
Addiction
Substance-Related Disorders
Health Personnel
Lead sponsor: University Paris 7 - Denis Diderot
Sponsor class: OTHER
Collaborators: name: Institut National de la Santé Et de la Recherche Médicale, France
name: Assistance Publique - Hôpitaux de Paris
First posted: 2020-03-02
Enrollment: 1800
Sex: ALL
Minimum age (years): 16
Maximum age (years): 67
Standard ages: CHILD
ADULT
OLDER_ADULT
Observational model: ECOLOGIC_OR_COMMUNITY
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: As night workers are more prone to impaired health and to addictions, the study focuses on hospital night workers who represent a population particularly at risk.

Brief summary: The current context of the Covid-19 health crisis leads to an over-solicitation of health systems, with hospital staff in the front line. These personnel are undergoing high levels of stress, an alteration of their life rhythm, but also of their health status and quality of life at work. In addition, night work, through the disruption of circadian rhythms, has consequences on physical and mental health. The more frequent worsening of the condition of certain patients at night increases the burden and responsibilities of night staff. Increasing the use of psychoactive substances (SPAs) can become a solution for managing stress, work rhythms, sleep disorders and their consequences. This self-medication behaviour is not without risks, neither for staff nor for patients.

The ALADDIN study is a project made up of 2 waves of questionnaires - one during and the other after the Covid "hospital" crisis - filled in by the hospital night staff of AP-HP. This project will assess the impact of the Covid-19 epidemic on the quality of work life, mental health disorders, post-traumatic stress and substance use of hospital night staff.

The main objectives of this study is to evaluate the prevalence of psychoactive substance consumption among the night shift healthcare workers of the AP-HP and to describe the participants' quality of working life.

Methods The study is prospective study using an online self-completed questionnaire. The questionnaire was elaborated on the basis of the validated scales ASSIST (Alcohol, Smoking, and Substance Involvement Screening Test), AUDIT-C (Alcohol Use Disorder Test, shortened version) and HAD (for anxiety and depression) and on qualitative interviews conducted among care staff working the night shift.

The questionnaire will be completed at t0 (baseline) and 18 months after. This study will provide data on the consumption psychoactive substances by night hospital workers adn their quality of working life. It will also allow us to compare their consumption with the general population, and to describe the risk factors influencing the consumption.


Eligibility criteria: Inclusion Criteria:

- hospital workers at APHP, working at night or night and day alternance (working at least 3 hours between 9 p.m and 6 a.m, 2 times a week)

Exclusion Criteria:

* Hospital workers working during the day
* Workers working less than 3 hours a night two time a week
* Doctors

Primary outcomes:
measure: Substance use prevalence
timeFrame: at T0 month : baseline
measure: Quality of working life scale
timeFrame: at T0 month : baseline
Secondary outcomes:
measure: Intervention preference
timeFrame: at T0 month
measure: Psychoactive substance consumption and associated factors
timeFrame: at T0 month
measure: Impact of substance consumption on quality of life at work
timeFrame: at T0 month
measure: Risk factors associated with tobacco use
timeFrame: at T0 month
measure: Impact of sleep quality on quality of working life and perceived health
timeFrame: at T0 month
measure: Impact of anxiety and depressive symptoms on sleep and QWL.
timeFrame: at T0 month
measure: Impact of sleep and workplace upheaval on anxiety and depressives symptoms
timeFrame: at T month
measure: Modification of quality of working life score and psychoactive substances consumption prevalences
timeFrame: T18 months
measure: Comparison of modification of quality of life score and declared quality of life modification after 18 month
timeFrame: T18 months
Other outcomes:
Locations:
city: Le Kremlin-Bicêtre
country: France
facility: Hôpital de Bicêtre
city: Paris
country: France
facility: Assistance Publique des Hopitaux de Paris
Study officials:
References: