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Master Thesis

Accompagnement collectif à l’arrêt du tabac durant le Moi(s) Sans Tabac 2018 : retour d’expérience des participants

Abstract : Introduction: the number of people asking for support to stop smoking is currently increasing. The « Moi(s) Sans Tabac », Month without smoking, the French national campaign promoting non-smoking, is gathering momentum and is becoming more and more popular each year. It is part of a national policy and a set of laws meant to fight smoking, including the possibility for every health professional to provide prescriptions for nicotine patches. This collective experiment on supporting giving-up smoking has been designed to develop the care while patients quit smoking. The programme includes support from a nursing coach and a follow-up by the health practitioner who prescribed nicotine patch treatment Purpose and Method: pointing out the most efficient levers of the programme by surveying participants’ viewpoints on the provided care. It is a qualitative analysis carried out among 15 participants taking part in the programme who attended group sessions in November 2018. This analysis was carried out 6 months after they started the programme. Results: the most efficient levers pointed out by the participants were: the striking knowledge they received (such as the mechanisms of addiction, the psychological effects of tobacco, the handling of substitute treatments) but also the group effect enhanced by the sharing of their experience, the comforting talks from the addiction specialist to lift their guilt, the notion of ambivalent behaviour: the basis of behavioural therapy, the possibility of a progressive giving-up. The way the support group was conceived proved also efficient. The results show that 10 out of 15 participants remain abstinent. Concerning the coordination between health practitioners, the general practitioner remains the chosen intermediary but the lack of a consistency in their discourse on that matter must be improved. It also appears relevant to formalise the coaching support. The possibility for extended prescription for nicotinic substitutes by health practitioners has not been evaluated but it seems necessary to set up trainings on their new prescribing possibility. Conclusion: this study highlighted the most efficient levers of action for a collective approach on giving-up smoking. The feedbacks are satisfactory as a whole and the method will be set up again for the next campaign in November 2019 while taking into accounts these feedbacks.
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Submitted on : Friday, January 17, 2020 - 3:56:27 PM
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Marion Sprimont. Accompagnement collectif à l’arrêt du tabac durant le Moi(s) Sans Tabac 2018 : retour d’expérience des participants. Médecine humaine et pathologie. 2019. ⟨dumas-02444114⟩

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