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Master Thesis

Freins et motivations des médecins généralistes réunionnais dans la prévention des troubles du spectre de l'alcoolisation foetale

Abstract : Background : Fetal alcohol spectrum disorders (FASD) are the leading cause of non-genetic intellectual disability. The damage caused, while completely preventable, is irreversible and requires lifelong support. The general practitioner (GP) appears to have an important role in preventing FASD. However, the Regional Health Agency reports shortcomings in tracking alcohol consumption, especially among pregnant women, and a lack of interest in the trainings offered on FASD. Method : A qualitative research was carried out by conducting semi-structured individual interviews with GPs. The participants were selected randomly or following the snowball sampling method. GPs who worked only in unscheduled care services were excluded. After transcribing the interviews, a verbatim analysis was performed according to the principles of grounded theory. Results : Twenty interviews were conducted out between November and December 2020 by two investigators. GPs expressed unease in approaching alcohol and in managing excessive drinking behaviors. They had an imprecise theoretical knowledge and a lack of practical experience with FASD. They also showed little knowledge of the care pathway. Both the patients and GPs were dealing with a taboo when talking about women’s alcohol consumption. Conflicting government policies were pointed out as FASD prevention initiatives were overshadowed by alcohol promotion campaigns. Conclusion : GPs should interact openly, without judgement, with women and couples using early detection and short-term intervention. GP should also be better trained on FASD and have a clearer understanding of the care pathway.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03428836
Contributor : La Réunion Université Connect in order to contact the contributor
Submitted on : Monday, November 29, 2021 - 11:14:15 AM
Last modification on : Wednesday, December 1, 2021 - 3:30:56 AM

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François Baelen. Freins et motivations des médecins généralistes réunionnais dans la prévention des troubles du spectre de l'alcoolisation foetale. Sciences du Vivant [q-bio]. 2021. ⟨dumas-03428836⟩

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