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Master Thesis

Étude qualitative des stratégies de prise en charge utilisées par les masseurs-kinésithérapeutes salariés et libéraux diplômés d’État pour obtenir l’adhésion thérapeutique des adolescents atteints de mucoviscidose

Abstract : Advances in management of Cystic fibrosis pathology have improved quality of life for patients to the detriment of more complicated treatment. It is responsible for a decrease in motivation leading to occurrence of non-adhesion factors, especially for teenager cases. The aim of this study is to identify the tools used by salaried and liberal physiotherapists to get adolescent therapeutic adherence to his own care. This qualitative study is a survey carried out by means of semi-directional interviews with 8 liberal or staff physiotherapists in order to obtain right feedback on experience and to identify their beliefs about therapeutic adherence. Strategies and tools used by physiotherapists to evaluate and assess motivation in order to get adolescent involvement in care and increase therapeutic adherence are mainly oral exchange, therapeutic education, physical activity, video games as well as organizational means. The use of these tools depends on the interviewee’s salary or liberal status. The quality of the carecare relationship, family support and interdisciplinarity have been identified as factors of therapeutic adherence. The results of the study underline the importance for physiotherapists to have a therapeutic arsenal of motivational tools to treat problems of adherence to care. This brief opens ways to thinking of use of these tools for other chronic pathologies, use of new technologies for motivation as well as on the patient adherence’s impact due to different care according to the physiotherapist status.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03016928
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Submitted on : Friday, November 20, 2020 - 4:08:48 PM
Last modification on : Monday, October 11, 2021 - 2:23:53 PM

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Mathilde Verstaete. Étude qualitative des stratégies de prise en charge utilisées par les masseurs-kinésithérapeutes salariés et libéraux diplômés d’État pour obtenir l’adhésion thérapeutique des adolescents atteints de mucoviscidose. Sciences du Vivant [q-bio]. 2020. ⟨dumas-03016928⟩

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