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Master Thesis

Élaboration d’un outil de formation en ligne de type RPIB (Repérage Précoce et Intervention Brève) pour l’optimisation des prescriptions des benzodiazépines en médecine générale

Abstract : Title : Development of an e-learning training tool named RPIB (screening and brief intervention) to optimize benzodiazepine prescription in primary care. Aims : Excessive consumption of benzodiazepines in France remains a public health issue. Though many official recommendations, general practitioners still have difficulties to apply them. Our aims were to build a tool dedicated to GP, using recommendations and barriers identified in literature, to put online the training tool « RPIB Benzos » on a dedicated website, and to assess the satisfaction of a pool of physicians who tried the tool. Method : First, we built the training tool following official recommendations on the topic, with a validation of each step by an expert group. At the same time, we performed a systematic review about constraints existing for practical application of these recommendations by general practitioners. Then, we rounded off the tool and contact Télésanté Aquitaine in order to build the design of the web site. We also worked out a semi-structured interview guide to realize a qualitative survey with a sample of general practitioners who were supposed to try the tool. General practitioners were chosen by the investigator and joined by phone. Results : We identified many constraints to the benzodiazepine prescription optimization by general practitioners with a potentiating effect. Among them, we find the lack of training on the topic and the positive vision of the drug. We built the tool in order to break down these barriers. We worked step by step as the experts group criticized each revision of the work. The final training tool is a video format, composed of six modules of training sessions, nine movies of medical consultations examples, references, printable documents for patients and a final quiz. Setting online on AGIR 33 website was performed and we conducted semi-structured interviews with fifteen doctors who accepted to participate to the investigation. Most of these physicians judged the training tool RPIB “Benzos” useful and easy handling. Critics essentially focused on precise points in the display and the low applicability of cognitive behavioral therapy tool in primary care. Conclusion : Training tool RPIB “Benzos” was developed reflecting constraints identified in literature to help general practitioners to optimize benzodiazepine prescription. Physicians critics allowed us to improve the tool to make it more appropriate to primary care. This final version will be part of another survey, which will be a bigger one, on the whole Aquitaine territory. This work is the first step of an overall project which aims to take action close to general practitioners and patients to allow a decrease of benzodiazepine consumption in France.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01301929
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Wednesday, April 13, 2016 - 12:12:56 PM
Last modification on : Wednesday, August 23, 2017 - 4:30:45 PM
Long-term archiving on: : Tuesday, November 15, 2016 - 2:47:05 AM

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Élodie Coispeau. Élaboration d’un outil de formation en ligne de type RPIB (Repérage Précoce et Intervention Brève) pour l’optimisation des prescriptions des benzodiazépines en médecine générale. Médecine humaine et pathologie. 2016. ⟨dumas-01301929⟩

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