The determinants of alcohol and tobacco cessation in the case of head and neck cancers: What lessons for future management? ; Les déterminants du sevrage de l'alcool et du tabac dans le cas des cancers VADS : Quels enseignements pour une future prise en charge ?

International audience ; Scientific ContextSmoking and alcohol consumption are the top two risk factors for cancer in France. After a cancer diagnosis, quitting is crucial as continued consumption poses numerous health risks and reduces quality of life. However, some patients fail to quit. Sociodemographic factors may explain a person's consumption during cancer, while psychological processes such as body image, coping strategies, and psychological distress explain the cancer experience. To date, no study has elucidated the mechanisms of quitting through the implementation of these psychological strategies determined by certain personality traits or other biopsychosocial factors.Objectives and MethodThe primary objective is to explain the psychosocial determinants of quitting, relapse, or refusal following a diagnosis of head and neck cancer. The secondary objective is to explain the psychosocial determinants of the quality of life of these same patients. A longitudinal and mixed-method study is proposed with a sample from the Oncopole. Data will be collected at four time points, from diagnosis to 3 months after the end of oncological treatment. Building upon the Integrative Multifactorial Transactional Model (TIM), we will assess all antecedents and moderators, as well as quality of life using validated tools and semi-structured interviews.Expected ResultsWe expect this study to identify determinants and psychological profiles explaining quitting with a cancer diagnosis. Their identification will enable us to implement tailored protocols based on profiles during cessation support. Furthermore, a better understanding of quitting motivations will help determine high-risk moments for relapse, thus focusing more intensive support during those times. ; Contexte scientifiqueLe tabagisme et l’alcool sont les deux premiers facteurs de risque de cancer en France. Après un diagnostic de cancer, le sevrage est primordial car la poursuite de consommation entraîne une multitude de risques de santé, ainsi qu’une réduction de ...