This study evaluates adherence to a personalized prevention plan in female night shift workers at increased risk of breast cancer. Night shift work is associated with circadian disruption and increased cancer risk, as well as cardiovascular and reproductive health risks.
Participants attend an initial consultation including clinical assessment and development of a personalized prevention plan targeting modifiable risk factors such as alcohol consumption, physical activity, smoking, diet, and weight.
Follow-up is conducted remotely over 5 years to assess adherence to recommendations and screening. Participant satisfaction and adherence to additional consultations are also evaluated.
Female participants aged 18 years or older
Night shift workers at Pitié-Salpêtrière Hospital
Attending consultation for breast cancer risk assessment PGRC
Affiliated with a social security system
Pregnant or breastfeeding women
Individuals under legal protection or deprived of liberty
Individuals without standard health insurance coverage
The target population consists of female night staff at Pitié-Salpêtrière Hospital
Cohort
Prospective
Personalized Prevention Plan
BehavioralPersonalized recommendations for night shift workers targeting modifiable risk factors, including lifestyle, diet, physical activity, smoking, alcohol consumption, and adherence to screening
Adherence to Personalized Prevention Plan established during the initial risk assessment consultation
Proportion of participants adhering to at least one recommendation of the Personalized Prevention Plan or completing prescribed screening. Percentage of participants who lost weight when overweight had been identified during the initial consultation. Percentage of participants with modified sporting activity according to the recommendations at the initial consultation. Percentage of participants who had quit smoking. Percentage of participants who modified their alcohol consumption when it was excessive at the initial consultation. Percentage of participants who changed their diets when a dietary imbalance was observed during the initial consultation. Percentage of women who underwent screening as recommended following the initial consultation.
Overal patient satisfaction
Patient satisfaction regarding the PPP will be assessed 1 year following the intervention using the validated "Patient Satisfaction Questionnaire Short Form (PSQ-18)", based on a 5-point Likert scale ranging from "strongly disagree" to "strongly agree"
Participant satisfaction with the adapted consultation to night work
Satisfaction rate of women with the consultation system adapted to night. Patient satisfaction will be assessed using the validated "Patient Satisfaction Questionnaire Short Form (PSQ-18)", based on a 5-point Likert scale ranging from "strongly disagree" to "strongly agree".
Screening adherence to a cardiovascular consultation recommendation
Proportion of participants who had the consultation with a cardiologist when recommended
Screening adherence to a fertility consultation consultation recommendation
Proportion of participants who had the consultation with a cardiologist when recommended
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