Historique
Article de Périodique
Discussing alcohol use with the GP: a qualitative study (2020)
Auteur(s) :
COSTE, S. ;
GIMENEZ, L. ;
COMES, A. ;
ABDELNOUR, X. ;
DUPOUY, J. ;
ESCOURROU, E.
Année
2020
Page(s) :
9 p., doi: 10.3399/ bjgpopen20X101029
Langue(s) :
Anglais
Refs biblio. :
33
Domaine :
Alcool / Alcohol
Thésaurus géographique
FRANCE
Thésaurus mots-clés
ALCOOL
;
MEDECIN GENERALISTE
;
ETUDE QUALITATIVE
;
REPERAGE PRECOCE
;
IMAGE DE SOI
;
RELATION THERAPEUTIQUE
;
ATTITUDE
;
DENI
Résumé :
BACKGROUND: Despite most GPs recognising their role in the early diagnosis of alcohol use disorder (AUD), only 23% of GPs routinely screen for alcohol use. One reason GPs report for not screening is their relationship with patients; questions regarding alcohol use are considered a disturbance of a relationship built on mutual trust.
AIM: To analyse the feelings and experiences of patients with AUD concerning early screening for alcohol use by GPs.
DESIGN & SETTING: A qualitative study of patients (n = 12) with AUD in remission or treatment, recruited from various medical settings.
METHOD: Semi-structured interviews were conducted, audiorecorded, and transcribed verbatim. The authors conducted an inductive analysis based on grounded theory. The analysis was performed until theoretical data saturation was reached.
RESULTS: The participants experienced AUD as a chronic, destructive, and shameful disease. The participants expected their GPs to play a primary role in addressing AUD by kind listening, and providing information and support. If the GPs expressed a non-judgmental attitude, the participants could confide in them; this moment was identified as a key milestone in their trajectory, allowing relief and a move toward treatment. The participants thought that any consultation could be an opportunity to discuss alcohol use and noted that such discussions required a psychological and benevolent approach.
CONCLUSION: The participants felt fear or denial from the GPs, even though they felt that discussing alcohol use is part of the GP's job. The participants requested that GPs adopt non-judgmental attitudes and kindness when approaching the subject of alcohol use.
AIM: To analyse the feelings and experiences of patients with AUD concerning early screening for alcohol use by GPs.
DESIGN & SETTING: A qualitative study of patients (n = 12) with AUD in remission or treatment, recruited from various medical settings.
METHOD: Semi-structured interviews were conducted, audiorecorded, and transcribed verbatim. The authors conducted an inductive analysis based on grounded theory. The analysis was performed until theoretical data saturation was reached.
RESULTS: The participants experienced AUD as a chronic, destructive, and shameful disease. The participants expected their GPs to play a primary role in addressing AUD by kind listening, and providing information and support. If the GPs expressed a non-judgmental attitude, the participants could confide in them; this moment was identified as a key milestone in their trajectory, allowing relief and a move toward treatment. The participants thought that any consultation could be an opportunity to discuss alcohol use and noted that such discussions required a psychological and benevolent approach.
CONCLUSION: The participants felt fear or denial from the GPs, even though they felt that discussing alcohol use is part of the GP's job. The participants requested that GPs adopt non-judgmental attitudes and kindness when approaching the subject of alcohol use.
Affiliation :
General Practice Department, Toulouse III University, Toulouse, France