|Titre :||Discussing alcohol use with the GP: a qualitative study (2020)|
|Auteurs :||S. COSTE ; L. GIMENEZ ; A. COMES ; X. ABDELNOUR ; J. DUPOUY ; E. ESCOURROU|
|Type de document :||Article : Périodique|
|Dans :||BJGP Open (Vol.4, n°2, June 2020)|
|Article en page(s) :||9 p., doi: 10.3399/ bjgpopen20X101029|
|Discipline :||SHS (Sciences humaines et sociales / Humanities and social sciences)|
Thésaurus TOXIBASEALCOOL ; MEDECIN GENERALISTE ; ETUDE QUALITATIVE ; REPERAGE PRECOCE ; IMAGE DE SOI ; RELATION THERAPEUTIQUE ; ATTITUDE ; DENI
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.
|Domaine :||Alcool / Alcohol|
|Refs biblio. :||33|
|Affiliation :||General Practice Department, Toulouse III University, Toulouse, France|