The innovative nature of this project lies in the combination of three types of intervention: tobacco addiction treatment, music therapy and therapeutic education.
Three disciplines that work together.
1. Tobacco addiction treatment: reducing consumption, quitting, 2. Music therapy: acting on emotions and reward circuits, 3. Therapeutic education: promoting independent healthy practices. Patients learn to use the soundtrack independently to help them manage withdrawal symptoms caused by reducing or stopping tobacco consumption.
In this programme, patients play an active role on several levels:
* working with the music therapist to create a personalised 'soundtrack'; * identifying situations in which music can help them manage withdrawal symptoms; * using music independently in their everyday lives. The music therapy protocol will be proposed in this study, the soundtrack is co-created by the music therapist and the patient based on the patient's musical tastes and needs. The fact that the patient can use the musical tool independently also gives them significant leverage in their withdrawal process, allowing them to act on withdrawal symptoms and the main factors contributing to relapse.
Patients over the age of 18
Patients with tobacco-related or non-tobacco-related cancer (excluding blood cancer)
Patients who smoke daily
Patients wishing to begin a smoking cessation programme
Patients with uncorrected hearing loss
Patients with unstable psychiatric conditions
Patients for whom regular follow-up is impossible for psychological, family, social or geographical reasons
Patients under guardianship, curatorship or judicial protection
Single group
Music therapy
Other interventionMusic therapy sessions in addition to nursing consultations: creation of a soundtrack to listen to in order to help quit smoking
Proportion of patients who adhered to the supervised sessions, combining follow-up by a tobacco addiction nurse and follow-up in music therapy
The patient is considered compliant if they have participated in 4 or more of the 6 supervised sessions combining tobacco addiction consultations
Tobacco use
Number of cigarettes smoked per day and Measurement of exhaled CO and Tobacco dependence scale score: Simplified Fagerström Test
Withdrawal symptoms
Scores on the Smoking Cessation Scale
The craving
Scores obtained on the French Tobacco Craving Questionnaire
Motivation
Scores on the 0-10 Digital Scale assessing motivation
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