WorldCat Identities

Thomas, Maud (1991-....).

Works: 1 works in 2 publications in 1 language and 2 library holdings
Publication Timeline
Most widely held works by Maud Thomas
Exploration de l'accompagnement au changement de comportement en santé des patients par les médecins généralistes et mise en parallèle avec l'entretien motivationnel : étude qualitative par entretiens semi-dirigés en Loire-Atlantique by Anaïs Dvorak( )

2 editions published in 2019 in French and held by 2 WorldCat member libraries worldwide

Context : the patient-centered approach is an effective collaborative approach to medical care. Motivational interviewing (MI) is a useful communication style to support patients in changing their health behaviour. Developed for the treatment of addictions, it also extends to other areas of health. Its effectiveness and feasibility in general practice have been proven by numerous studies. What is its place in the current practice of general practitioners? Objective : the purpose of the study is to explore the methods used by general practitioners to guide their patients towards a change in health behaviour and compare them to motivational interviewing. Method : qualitative study by semi-directed interviews with general practitioners from the Loire Atlantique, conducted from 24th September to 20th November 2018. An inductive analysis of verbatim by thematic grouping was performed with NVivo® software with data triangulation. Results : eleven interviews were conducted. Interviewees, aware of the importance of changing patient health behaviours, respect the spirit of motivational interviewing without applying the whole approach or always knowing its principles. They establish a relationship of mutual trust with their patients, adopt a caring and empathetic attitude and create an active partnership with the patient, respecting his or her autonomy. Interviewees promote the evocation of change discourse by helping their patients build their intrinsic motivation(s) and resolve their ambivalence. They encourage their patients and reinforce their self-efficacy. Discussion : the interview focused on the change itself to extrapolate the aspects included in the motivational interview. Interviewees use principles and tools of motivational interviewing, although paternalistic or counselling attitudes persist. General practitioners recognize that it is more realistic and economical to make the patients active and take responsibility for improving their health. Ongoing training focused on the lesser-used aspects of the MI or on strengthening what is already being done would be useful to support the work of general practitioners
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French (2)