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Master Thesis

La visite de non-contre-indication à la pratique du trail en médecine générale : élaboration, par méthode Delphi, d’un guide de consultation et d’une fiche d’information patient

Abstract : Background: Trail running is a recent discipline which has gained in popularity. Its practice in a club or in competition necessitates a certificate of no medical contraindication to trail, mainly issued by the general practitioner during no-contraindication visits. A 2020 study found that generals practitioners met with difficulties during these consultations. Consultation aids, such as a patient information sheet (PIS) intended for patients or a consultation guide (CG) for the generals practitioners, can optimize this type of consultations. Some authors have produced this type of support, but these do not stem from a consensual method. Main Objective: To develop by consensus two consultation support materials: a CG for general practitioners during no medical contraindication visit to trail and a PIS for trail runner patients. Method: We carried out a semi-qualitative study according to the Delphi technique. The experts panel was made up of doctors from different specialties, practicing on Reunion Island or in metropolitan France. The study went through several steps, during which the relevance of the proposals to appear on the support materials was evaluated on a scale of 1 to 9. Depending on the median, each proposal obtained a positive, negative or no consensus. Only those proposals that had obtained a positive consensus were selected. Results: Twenty-seven experts were included. A total of 64 % of the proposals obtained a positive consensus, 16 % a negative consensus and 20 % did not obtain a consensus. Therapeutic & doping, cardiovascular, general and rules themes are the ones that most easily reached a consensus. The topics gynecology, dermatology, psychology and digestive however, did not easily reach a consensus. Conclusion: A CG and an PIS were carried out thanks to the consensus reached among the experts. It would be beneficial to evaluate the latter in practice in order to enable their distribution.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03265623
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Submitted on : Monday, June 21, 2021 - 10:08:06 AM
Last modification on : Tuesday, October 19, 2021 - 5:56:44 PM
Long-term archiving on: : Wednesday, September 22, 2021 - 6:14:36 PM

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  • HAL Id : dumas-03265623, version 1

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Damien Collineau, Mélanie Brenot. La visite de non-contre-indication à la pratique du trail en médecine générale : élaboration, par méthode Delphi, d’un guide de consultation et d’une fiche d’information patient. Sciences du Vivant [q-bio]. 2021. ⟨dumas-03265623⟩

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